中药浸泡联合火针治疗多发性跖疣临床研究  

Therapeutic Effect of Traditional Chinese Medicine Immersion Combined with Fire Needles for Multiple Plantar warts

作　　者：方莹莹 王建锋[2] 张汪林 朱梦欢 FANG Yingying;WANY Jianfeng;ZHANG Wanglin;ZHU Menghuan(Anhui University of Chinese Medicine,Anhui Hefei 230012,China;The First Affiliated Hospital of Anhui University of Chinese Medicine,Anhui Hefei 230031,China)

机构地区：[1]安徽中医药大学研究生院,安徽合肥230012 [2]安徽中医药大学第一附属医院,安徽合肥230031

出　　处：《中医药临床杂志》2023年第2期381-385,共5页Clinical Journal of Traditional Chinese Medicine

基　　金：全国西学中骨干人才项目(国中医药办人教函[2018]223号);安徽省张虹亚名老中医工作室(皖卫办秘2016-280号);国家重点研发计划项目“中医药现代化研究”重点专项课题(2018YFC1705301)。

摘　　要：目的:观察中药浸泡联合火针治疗多发性跖疣的临床研究。方法:将60例多发性跖疣患者,随机分成对照组和观察组,对照组(30例)采用中药浸泡治疗,1次/d,每次30min;观察组(30例)在对照组基础上联合火针治疗,其中火针每周1次,2组均治疗8周。观察2组的临床症状积分、疗效、不良反应率及复发率。结果:(1)临床疗效:治疗8周后,观察组的临床症状积分(2.86±2.63)明显低于对照组(4.72±2.60),观察组的有效率(79.31%)与对照组(51.72%)相比,差异有统计学意义(χ^(2)=4.884,P<0.05);(2)复发率:观察组无复发病例(0.00%),对照组在15例痊愈及显效的患者中出现复发4例(26.67%),差异有统计学意义(P=0.018<0.05);(3)安全性:观察组中有2人,在火针治疗后出现施术部位的灼痛,但症状均可在1~3h内消失。对照组未见不良反应。2组的不良反应发生率差异无统计学意义(P=0.491>0.05)。结论:中药浸泡联合火针是治疗多发性跖疣安全、有效、经济的治疗选择。Objective:To observe the clinical research of traditional Chinese medicine soaking combined with fire needling in treating multiple plantar warts.Methods:60 patients with multiple plantar warts were randomly divided into control group and observation group.The control group(30 cases)received traditional Chinese medicine soaking treatment,once a day,each time for 30 minutes;Combination of fire acupuncture treatment,in which fire acupuncture was given once a week,both groups were treated for 8 weeks.The clinical symptom score,curative effect,adverse reaction rate and recurrence rate of the two groups were observed.Results:(1)Clinical curative effect:After 8 weeks of treatment,the clinical symptom score of the observation group(2.86±2.63)was significantly lower than that of the control group(4.72±2.60),and the effective rate of the observation group(79.31%)was similar to that of the control group(51.72%).The difference was statistically significant(χ^(2)=4.884,P<0.05);(2)Recurrence rate:there was no recurrence in the observation group(0.00%),and 4 recurrences occurred in the control group(26.67%)among the 15 cured and markedly effective patients,the difference was statistically significant(P=0.018<0.05);(3)Safety:2 people in the observation group experienced burning pain at the operation site after the fire acupuncture treatment,but the symptoms disappeared within 1 to 3 hours.There was no adverse reaction in the control group.There was no significant difference in the incidence of adverse reactions between the two groups(P=0.491>0.05).Conclusion:Traditional Chinese medicine soaking combined with fire acupuncture is a safe,effective and economical treatment option for multiple plantar warts.

关 键 词：多发性跖疣 中药浸泡 火针 

分 类 号：R245[医药卫生—针灸推拿学]