局部走罐联合刺血拔罐治疗寻常型银屑病临床研究
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R758.63

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浙江省中医药科学研究基金项目 (2015ZB114)


Clinical Study on Local Moving Cupping Therapy Combined with Blood-letting Puncture and Cupping Therapy for Psoriasis Vulgaris
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    摘要:

    目的:观察局部走罐联合刺血拔罐治疗寻常型银屑病的临床疗效。方法:将90例纳入研究的寻常型银屑病患者随机分为3组各30例。常规治疗组给予照射窄谱中波紫外线并外用哈西奈德乳膏治疗;走罐组给予局部走罐联合刺血拔罐治疗;联合治疗组在常规治组治疗方案的基础上加用局部走罐联合刺血拔罐治疗,均治疗8周。观察治疗前后银屑病皮损面积和严重程度指数(PASI)评分,评价临床疗效并记录不良反应发生情况。结果:临床疗效总有效率常规治疗组63.33%,走罐组56.67%,联合治疗组86.67%,3组临床疗效总有效率比较,联合治疗组优于常规治疗组及走罐组,差异均有统计学意义(P<0.05)。治疗后,3组患者PASI评分均较治疗前下降(P<0.05);治疗后常规治疗组与走罐组PASI评分比较,差异无统计学意义(P>0.05);联合治疗组PASI评分较常规治疗组与走罐组均低,差异均有统计学意义(P<0.05)。走罐组未见不良反应。3组不良反应发生率比较,差异无统计学意义(P>0.05)。结论:局部走罐联合刺血拔罐治疗寻常型银屑病安全有效,配合常规治疗可提高疗效,值得临床运用。

    Abstract:

    Objective:To observe the clinical effect of local moving cupping therapy combined with blood-letting puncture and cupping therapy for psoriasis vulgaris.Methods:Divided 90 cases of patients with psoriasis vulgaris into three groups randomly,30 cases in each group.The routine treatment group received narrow-band ultraviolet B phototherapy and external application of halcinonide ointment for treatment;the moving cupping therapy group received local moving cupping therapy combined with blood-letting puncture and cupping therapy,and the combined treatment group additionally received local blood-letting puncture and cupping therapy based on the treatment of the routine treatment group.The treatment lasted for eight weeks.Observed the scores of psoriasis area and severity index(PASI),evaluate the clinical effect and recorded the adverse reactions before and after treatment.Results:The total effective rate was 63.33%in the routine treatment group,56.67%in the moving cupping therapy group and 86.67%in the combined treatment group,and the total effective rate in the combined treatment group was better than that in the routine treatment group and that in the moving cupping therapy group,differences being significant(P<0.05).After treatment,scores of PASI in the three groups were decreased when compared with those before treatment(P<0.05).After treatment,compared the PASI score in the routine treatment group with that in the moving cupping therapy group,there was no significance in the difference(P>0.05).PASI score in the combined treatment group was lower than that in the routine treatment group and that in the moving cupping therapy group,differences being significant(P<0.05).No adverse reaction was found in the moving cupping therapy group.No significant difference was found in the comparison of the incidence of adverse reactions between the three groups(P>0.05).Conclusion:The therapy of local moving cupping therapy combined with blood-letting puncture and cupping therapy for psoriasis vulgaris is safe and effective.The therapy combined with routine treatment can improve the therapeutic effect,which is worthy of application in clinical practice.

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殷文浩,金梦祝,陈峰,张庆江.局部走罐联合刺血拔罐治疗寻常型银屑病临床研究[J].新中医,2018,50(12):215-217

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  • 在线发布日期: 2018-12-09
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