本文選題：穴位埋線　切入點：序貫療法　出處：《云南中醫(yī)學院》2014年碩士論文

【摘要】：目的:應用消銀湯和穴位埋線序貫療法進行中醫(yī)藥治療尋常型血熱證銀屑病，以期延長緩解期時間，防止和減少復發(fā)，降低醫(yī)療成本，提高患者生活質量。 方法：按病例納入標準選擇進行期血熱證的患者95例服用消銀湯，進入緩解期患者按照1：1的比例隨機分為治療組和對照組。治療組應用穴位埋線序貫療法繼續(xù)治療，在局部麻醉下行穴位埋線一次；對照組不予任何干預措施。兩組每個月電話隨訪1次，每2個月醫(yī)患見1次面，為期半年。觀察并記錄兩組復發(fā)率，緩解期持續(xù)時間以及兩組病情PASI積分。 結果：治療觀察6個月結束時，復發(fā)率比較：治療組32例，2例復發(fā)30例未復發(fā)，復發(fā)率為6.3%；對照組30例，復發(fā)9例，21例未復發(fā)，復發(fā)率為30%；有統計學意義（P 0.05），治療組優(yōu)于對照組。緩解期維持時間：治療組（x±s）5.880.55個月,對照組（x±s）5.361.25個月，有統計學意義（P0.05），治療組優(yōu)于對照組。病情程度方面（PASI積分）：治療組治療前PASI積分(x±s）為2.790.76，治療后（x±s）為2.700.57，無統計學意義（P0.05）；對照組治療前PASI積分（x±s）為3.371.42，治療后（x±s）為4.321.68，有統計學意義（P0.05）。表明治療組6個月結束時總體無加重趨勢，對照組有加重趨勢。 結論：應用消銀湯和穴位埋線序貫療法治療尋常型銀屑病能有效降低緩解期復發(fā)率，緩解復發(fā)后皮損嚴重程度，延長了復發(fā)期間隔時間，，降低了緩解期時維持進行期治療的經濟成本，有效維持緩解期病情。
[Abstract]:Objective: to treat psoriasis vulgaris with traditional Chinese medicine (TCM) with Xiaoyin decoction and acupoint catgut embedding in order to prolong the time of remission, prevent and reduce recurrence, reduce medical cost and improve the quality of life of patients. Methods: 95 patients with blood heat syndrome were divided into treatment group and control group according to the proportion of 1:1 in the remission period. The treatment group was treated with sequential therapy of catgut embedding at acupoint, and the treatment group was treated with sequential therapy of catgut embedding at acupoint. The patients in the two groups were followed up by telephone once a month, the doctors and patients were seen once every 2 months for half a year. The recurrence rates of the two groups were observed and recorded. Duration of remission and PASI score of two groups. Results: at the end of 6 months after treatment, the recurrence rate was compared: 32 cases in the treatment group with recurrence in 2 cases, 30 cases in the treatment group, 30 cases in the control group, 9 cases in the control group, and 21 cases in the control group. The recurrence rate was 30% (P 0.05), the treatment group was superior to the control group. The duration of remission period was 5.880.55months in the treatment group and 5.361.25 months in the control group. The scores of PASI before treatment and after treatment in treatment group were 2.790.76 and 2.700.57 respectively, which had no statistical significance (P 0.05), and PASI scores before treatment and after treatment were 3.371.42and 4.321.68, respectively. Statistical significance (P0.05) showed that there was no trend of aggravation at the end of 6 months in the treatment group. The control group had the tendency of aggravation. Conclusion: the treatment of psoriasis vulgaris with Xiaoyin decoction and sequential therapy of catgut embedding at acupoint can effectively reduce the relapse rate, alleviate the severity of skin lesion after recurrence, and prolong the interval time of recurrence. It reduces the economic cost of maintaining the treatment during the remission period, and effectively maintains the condition during the remission period.
【學位授予單位】：云南中醫(yī)學院
【學位級別】：碩士
【學位授予年份】：2014
【分類號】：R275.9

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