刺络拔罐疗法与西药治疗离心性环状红斑疗效比较

目的比较刺络拔罐疗法与西药治疗特发性离心性环状红斑疗效差异,为离心性环形红斑提供有效治疗方法。方法将50例离心性环状红斑患者随机分为观察组25例和对照组25例,观察组采取沿较大皮疹边缘刺络放血拔罐,背部督脉、足太阳膀胱经拔罐法,每次放出血量每罐约3 mL,至血出自停,背部留罐时间约6~10min,根据罐印可稍作调整;对照组运用口服抗组胺药盐酸西替利嗪片(仙特明)、复方甘草酸苷片(美能片),外用丁酸氢化可的松(尤卓尔)乳膏。观察两组治疗后离心性环形红斑消退时间、有效率及3个月后复发率。结果观察组与对照组红斑消退时间比较差异有统计学意义(P<0.01),观察组红斑消退时间[(10±1.5)d]明显短于对照组[(18±1.8)d];观察组总有效率(88.0%)明显高于对照组(76.0%)(P<0.01)。3个月后观察组复发率(12.5%)明显低于对照组(20.0%)(P<0.01),观察组复发患者再次用刺络放血治疗仍有效。结论刺络放血配合督脉、足太阳膀胱经拔罐治疗离心性环形红斑显效快,效果显著,无不良反应,复发率低,复发后再次治疗仍有效。

Comparison of the Efficacy of Pricking-cupping Bloodletting Therapy Versus Western Medicine for Centrifugal Annular Erythema

Objective To compare the efficacy of pricking-cupping bloodletting therapy versus Western medicine for idiopathic centrifugal annular erythema.Method Fifty patients with centrifugal annular erythema were randomized to an observation group(25 cases)and a control group(25 cases).The observation group received pricking-cupping bloodletting along the edge of larger erythema and cupping on dorsal Du Meridian and Bladder Meridian of Foot-Taiyang.For each session of bloodletting,a cup of about 3 mL blood was removed until bleeding stopped spontaneously.Dorsal cupping was retained for 6 to 10 min and the time could be somewhat adjusted according to the cupping mark.The control group received oral administration of antihistamines Cetirizine Hydrochloride Tablets(XianTeMing)and Compound Glycyrrhizin Tablets(MeiNeng)and external application of Hydrocortisone Butyrate Cream(YouZhuoEr).Time needed for the disappearance of centrifugal annular erythema,the efficacy rate and the recurrence rate after three months were observed in the two groups after treatment.Result Time needed for the disappearance of centrifugal annular erythema had a statistically significant difference between the observation and control groups and was significantly shorter in the observation group[(10±1.5)d]than in the control group[(18±1.8)d].The total efficacy rate was significantly higher in the observation group(88.0%)than in the control group(76.0%)(P<0.01).The recurrence rate was significantly lower in the observation group(12.5%)than in the control group(20.0%)after three months(P<0.01).Pricking-cupping bloodletting therapy used again was still effective in patients with erythema recurrence of the observation group.Conclusion Pricking-cupping bloodletting plus cupping on the Du Meridian and the Bladder Meridian of Foot-Taiyang has a quick and marked therapeutic effect on centrifugal annular erythema with no adverse reaction and low recurrence rate.Its treatment again after recurrence is still effective.