改良火针技术联合中医修治疗法治疗多发性跖疣:随机对照试验  

Multiple verruca plantaris treated with modified fire-needle technique and herbal bathing-repairing therapy of TCM:a randomized controlled trial

作　　者：徐纬[1] 王松[2] 陈娜[1] 叶文雄 方小娟 边可[2] XU Wei;WANG Song;CHEN Na;YE Wenxiong;FANG Xiaojuan;BIAN Ke(Department of Rehabilitatio Medicine,Third People's Hospital of Hangzhou City,Zhejiang Province,China;Department of Dermatology,Third People's Hospital of Hangzhou City,Zhejiang Province,China)

机构地区：[1]杭州市第三人民医院康复医学科,浙江杭州310009 [2]杭州市第三人民医院皮肤科,浙江杭州310009

出　　处：《中国针灸》2024年第6期643-647,共5页Chinese Acupuncture & Moxibustion

基　　金：浙江省中医药科技计划项目:2022ZB281。

摘　　要：目的:观察改良火针技术联合中医修治疗法治疗多发性跖疣的临床疗效。方法:将70例多发性跖疣患者随机分为观察组(35例,剔除1例)和对照组(35例,脱落2例)。对照组采用中医修治疗法治疗;在对照组的基础上,观察组在皮肤镜引导下于皮损基底部或血供富集处行火针烙刺。两组治疗均每周1次,3周为一疗程,共治疗2个疗程。分别于治疗前后观察两组患者自拟症状评分、皮肤病生活质量指数(DLQI)评分、典型皮损面积。于治疗后评定两组临床疗效,治疗后2个月评估两组复发情况。结果:治疗后,两组患者自拟症状评分和DLQI评分较治疗前降低、典型皮损面积较治疗前缩小(P<0.05),观察组自拟症状评分和DLQI评分低于对照组、典型皮损面积小于对照组(P<0.05)。观察组总有效率为91.2%(31/34),高于对照组60.6%(20/33,P<0.05)。观察组复发率为6.5%(2/31),低于对照组的35.0%(7/20,P<0.05)。结论:改良火针技术联合中医修治疗法可改善多发性跖疣患者临床症状及生活质量,降低跖疣复发率。Objective To observe the clinical effect of modified fire-needle technique and herbal bathing-repairing therapy of TCM on multiple verruca plantaris.Methods Seventy patients with multiple verruca plantaris were randomly divided into an observation group(35 cases,1 case was eliminated)and a control group(35 cases,2 cases dropped out).In the control group,the herbal bathing-repairing therapy of TCM was adopted.In the observation group,besides the treatment as the control group,fire needling and cauterization were delivered on the base of skin lesion or the sites with rich blood vessels under the dermoscope.The intervention was provided once a week,one course of treatment was composed of 3 weeks,and two courses were required in each group.The score of the self-designed symptom scale,the score of dermatology life quality index(DLQI)and the area of typical skin lesion were observed before and after treatment.The clinical effect was evaluated after treatment and the recurrence was assessed 2 months after treatment completion in the two groups.Results After treatment,the scores of the self-designed symptom scale and DLQI were lower and the area of typical skin lesion was smaller compared with those before treatment in the two groups(P<0.05).The scores of the self-designed symptom score and DLQI in the observation group were reduced(P<0.05),and the area of typical lesion was smaller(P<0.05)in comparison with those in the control group.The total effective rate was 91.2%(31/34)in the observation group,higher than that in the control group(60.6%,20/33,P<0.05).The recurrence rate was 6.5%(2/31)in the observation group,lower than that in the control group(35.0%,7/20,P<0.05).Conclusion Modified fire-needle technique combined with herbal bathing-repairing therapy ameliorates clinical symptoms and the quality of life in the patients with multiple verruca plantaris and reduces the recurrence of the disease.

关 键 词：多发性跖疣 火针 皮肤镜 随机对照试验 

分 类 号：R246.7[医药卫生—针灸推拿学]