穴位自血疗法联合丙酸氟替卡松乳膏降阶梯疗法治疗老年慢性湿疹的临床观察  

A clinical observation of acupoint autohemotherapy combined with step-down therapy of fluticasone propionate cream in treatment of chronic eczema in the elderly

作　　者：干慧慧 任盈盈 王锋 杨高 沈婷婷 Gan Huihui;Ren Yingying;Wang Feng;Yang Gao;Shen Tingting(Department of Dermatology,Jinshan Hospital Affiliated to Fudan University,Shanghai,201508,P.R.China;Department of Traditional Chinese Medicine,Jinshan Hospital Affiliated to Fudan University,Shanghai,201508,P.R.China)

机构地区：[1]复旦大学附属金山医院皮肤科,上海201508 [2]复旦大学附属金山医院中医科,上海201508

出　　处：《老年医学与保健》2025年第1期240-243,共4页Geriatrics & Health Care

基　　金：上海市金山区科学技术创新资金项目(2021-3-07)。

摘　　要：目的探讨穴位自血疗法联合丙酸氟替卡松乳膏降阶梯疗法治疗老年慢性湿疹的效果。方法前瞻性纳入2022年3月—2023年2月于复旦大学附属金山医院就诊的120例老年慢性湿疹患者为观察对象,以单双球法随机分为观察组(丙酸氟卡松乳膏+穴位自血疗法,n=80)和对照组(丙酸氟卡松乳膏,n=40)。观察2组治疗效果。结果治疗后,与对照组比较,观察组疗效更佳,EASI评分、DLQI评分、IL-4水平均降低,IL-2及IFN-γ水平升高,皮肤屏障功能改善效果更佳(P<0.05)。结论穴位自血疗法联合丙酸氟替卡松乳膏降阶梯疗法治疗老年慢性湿疹效果较好,能改善临床症状、生活质量,减轻炎症,安全可靠。Objective To investigate the therapeutic effects of acupoint autohemotherapy combined with step-down therapy of fluticasone propionate cream on chronic eczema in the elderly.Methods 120 elderly patients with chronic eczema treated in Jinshan Hospital Affiliated to Fudan University from March 2022 to February 2023 were prospectively included as observation subjects.They were randomly divided into observation group(flecaisone propionate cream+acupoint autohemotherapy,n=80)and control group(flecaisone propionate cream,n=40)by single and double ball method.The therapeutic effect of the two groups was observed.Results After treatment,compared with the control group,the efficacy of the observation group was higher,EASI score,DLQI score and IL-4 level were lower,IL-2 and IFN-γlevels were higher,and the skin barrier function was better(P<0.05).Conclusion The combination of acupoint autohemotherapy and step-down therapy of fluticasone propionate cream is effective in the treatment of chronic eczema in the elderly.It can improve clinical symptoms and quality of life and reduce inflammation.It is safe and reliable.

关 键 词：老年 慢性湿疹 穴位自血疗法 丙酸氟替卡松乳膏 降阶梯疗法 

分 类 号：R758.23[医药卫生—皮肤病学与性病学]