本文關鍵詞：郭玉峰主任醫(yī)師運用毫火針排針淺刺法治療慢性濕疹臨床療效觀察　出處：《北京中醫(yī)藥大學》2017年碩士論文　論文類型：學位論文

  更多相關文章： 毫火針 臨床觀察 慢性濕疹

【摘要】：研究背景:濕疹是由多種內外因素引起的、有明顯滲出傾向的皮膚炎癥反應,是臨床常見皮膚病,慢性濕疹具有劇烈瘙癢,反復發(fā)作等特點,給患者的生活造成極大困擾。研究目的:郭玉峰主任醫(yī)師運用"毫火針排針淺刺法"治療慢性濕疹5年,治療患者眾多,效果確切、反應良好。本課題設計研究方案,旨在對毫火針排針淺刺法治療慢性濕疹進行系統(tǒng)性療效觀察,明確該療法對慢性濕疹的臨床療效,并初步總結郭玉峰主任醫(yī)師運用毫火針排針淺刺法治療慢性濕疹的經驗。研究方法:研究對象來自于2016年7月至2017年4月就診于中國中醫(yī)科學院廣安門醫(yī)院針灸科門診的慢性濕疹患者30例,采用前后自身對照的研究方法,使用毫火針淺刺皮損部位,1周2次,治療4周(8次)后進行總結,收集治療前,治療第2天,和全部治療結束后第3天數(shù)據(jù),將其于治療前進行評估對比。分別通過濕疹面積及嚴重度指數(shù)(Eczema Area and Severity Index,EASI),直觀模擬標尺法(Visual Analogue Scale,VAS)評價患者的臨床癥狀及瘙癢程度。研究結果:1.全部30例患者中,痊愈2例(6.7%),顯效13例(43.3%),好轉15例(50%),無效0例,總有效率為100%。2.治療前與治療后VAS評分相比較,VAS評分好轉,差異顯著(P0.01),說明毫火針治療慢性濕疹可明顯改善患者瘙癢程度,3.治療前基數(shù)與治療第2天相比較,VAS評分降低,差異顯著(P0.01),說明毫火針緩解慢性濕疹瘙癢起效時間快,施術1天后即可起效。4.治療第2天和治療結束后的EASI評分,與治療前基數(shù)比較,EASI評分持續(xù)降低,差異顯著(P0.01),治療第2天和治療結束后的EASI評分相比較(P0.01),有顯著性差異,說明毫火針治療慢性濕疹可持續(xù)的,明顯的改善患者EASI評分。5.治療前和治療結束后相比,皮損面積積分降低,有顯著性差異(P0.01),說明毫火針治療慢性濕疹可明顯減少患者的皮損面積。6.治療前基數(shù)和治療結束后相比,皮損嚴重程度好轉,有顯著性差異(P0.01),說明毫火針治療慢性濕疹可明顯的減輕患者皮損嚴重程度。7.治療第2天與治療結束的VAS相比較,VAS評分升高,差異顯著(P0.01),表明毫火針施術后止癢效果快,但是會有一定的反復。8.治療前與治療第2天的皮損嚴重程度和皮損面積積分比較,無統(tǒng)計學差異(P0.05),說明治療1天無法改善患者的皮損嚴重程度和皮損面積。研究結論:毫火針排針淺刺法是郭玉峰主任醫(yī)師在傳統(tǒng)火針療法的基礎上經過臨床不斷嘗試、反饋、修正后固定形成的一種新型火針刺法,具有工作效率高,安全性高的優(yōu)勢。毫火針排針淺刺發(fā)治療慢性濕疹可同時發(fā)揮緩解瘙癢、皮損修復的功效,且起效迅速,有效緩解患者痛苦,降低醫(yī)療成本,操作安全可靠,值得推廣。
[Abstract]:Background: eczema is caused by a variety of internal and external factors, has a clear tendency to exudate skin inflammation, is a common clinical skin disease, chronic eczema has the characteristics of severe pruritus, recurrent attacks and so on. To the patient's life cause great trouble. Objective: the chief physician Guo Yufeng used "Needle Needle shallow needling method" to treat chronic eczema for 5 years, there are many patients treated, the effect is accurate. The purpose of this study is to observe the systemic curative effect of the treatment of chronic eczema and to make clear the clinical effect of this therapy on chronic eczema. The experience of Director Guo Yufeng in the treatment of chronic eczema was preliminarily summarized. The subjects of this study were 30 patients with chronic eczema from July 2016 to April 2017 in Department of Acupuncture and moxibustion Department of Guang'an Men Hospital of Chinese Academy of traditional Chinese Medicine. The method of self-control before and after treatment was used. The lesions were treated with light fire needle twice a week and 8 times in 4 weeks). Before and after treatment, the patients were collected and treated on the second day. And 3 days after treatment. The eczema Area and Severity index (EASI) was evaluated and compared before treatment. Visual Analogue scale was used to evaluate the clinical symptoms and the degree of pruritus. The total effective rate was 100. 2. The total effective rate was 100. 2. The total effective rate was 100. 2. The total effective rate was 100. 2. The VAS score was compared before and after treatment. The difference of VAS score was significant (P 0.01), which indicated that the pruritus degree of patients with chronic eczema could be significantly improved by the treatment of Needle Fire Needle. 3. The baseline before treatment was lower than that on the 2nd day after treatment. The difference was significant (P 0.01), which indicated that the time of relieving chronic eczema pruritus with fire needle was faster, and the effect could be taken after 1 day. 4. The EASI score of the second day of treatment and the end of treatment. Compared with the baseline before treatment, the scores of EASI were significantly lower than those before treatment (P 0.01), and the scores of EASI on the second day of treatment and the end of treatment were significantly different (P 0.01). The results showed that the treatment of chronic eczema with Needle Needle could significantly improve the EASI score of patients with chronic eczema. Compared with the end of treatment, the score of lesion area was lower than that before treatment, and there was a significant difference (P 0.01). It shows that the treatment of chronic eczema can significantly reduce the area of skin lesions. 6. The cardinal number before treatment and after treatment, the severity of skin lesions improved, there was a significant difference (P 0.01). The results showed that the treatment of chronic eczema with Needle Fire could significantly reduce the severity of skin lesions. Compared with the end of treatment on the second day of treatment, the VAS score increased significantly (P 0.01). The results showed that the antipruritic effect was quick, but there would be a certain number of repeated .8. there was no statistical difference between the severity of skin lesion and the score of lesion area before treatment and the second day of treatment (P 0.05). The result shows that the treatment for one day can not improve the severity of skin lesions and the area of skin lesions. Conclusion: the shallow needling method is based on the traditional fire needle therapy by Director Guo Yufeng through the clinical trial and feedback. A new type of fire acupuncture method formed by modified fixation has the advantages of high working efficiency and high safety. The treatment of chronic eczema with shallow needling can play the role of relieving pruritus and repairing skin lesions. And the effect is quick, the effective relief patient pain, reduces the medical treatment cost, the operation is safe and reliable, is worth popularizing.
【學位授予單位】：北京中醫(yī)藥大學
【學位級別】：碩士
【學位授予年份】：2017
【分類號】：R249;R246.7

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本文編號：1390483