刺络拔罐联合火针治疗血虚风燥型慢性湿疹的疗效观察及对生活质量的影响

目的观察刺络拔罐联合火针治疗血虚风燥型慢性湿疹的临床疗效及其对患者生活质量的影响。方法64例血虚风燥型慢性湿疹患者按照SPSS随机编码法分为对照组(32例)和治疗组(30例)。治疗组用火针点刺皮损,配以大椎、肺俞、膈俞、脾俞处刺络拔罐;对照组外用糠酸莫米松乳膏。观察两组治疗前后瘙痒视觉模拟量表(VAS)评分、湿疹面积及严重度指数(EASI)评分以及慢性湿疹中医生存质量量表(EPQOLS)评分的变化。比较两组临床疗效。结果两组治疗后VAS评分、EASI中皮损面积评分和临床表现评分均较治疗前明显降低(P<0.05),且治疗组治疗后VAS评分和EASI中临床表现评分均明显低于对照组(P<0.05),而治疗组治疗后EASI中皮损面积评分与对照组比较差异无统计学意义(P>0.05)。两组治疗后EPQOLS总分和生理、心理、社会各维度的评分均较治疗前降低(P<0.05),且治疗组治疗后均低于对照组(P<0.05)。治疗组总有效率为96.7%,对照组为37.5%,两组比较差异有统计学意义(P<0.05)。结论刺络拔罐联合火针治疗血虚风燥型慢性湿疹的临床疗效优于外用糠酸莫米松乳膏,可缓解瘙痒,控制皮损,提高患者生活质量。

Efficacy Observation of Blood-letting Puncturing and Cupping Combined with Fire Needle for Chronic Eczema due to Blood Deficiency and Wind Causing Dryness and Its Effect on Quality of Life

Objective To observe the clinical efficacy of blood-letting puncturing and cupping plus fire needle in treating chronic eczema due to blood deficiency and wind causing dryness and its effect on quality of life(QOL)in the patients.Method Sixty-four patients with chronic eczema due to blood deficiency and wind causing dryness were divided into a control group(32 cases)and a treatment group(30 cases)following SPSS randomized coding method.The treatment group was treated with pricking skin lesions using fire needle,in combination with blood-letting puncturing and cupping at Dazhui(GV14),Feishu(BL13),Geshu(BL17)and Pishu(BL20);the control group was treated with external application of Mometasone furoate cream.The scores of visual analogue scale(VAS)for itch,eczema area and severity index(EASI)and quality of life scale for chronic eczema patients-prior test version(EPQOLS)were observed before and after treatment in the two groups.The clinical efficacy was compared between the two groups.Result The VAS scores declined after treatment in both groups(P<0.05),and the VAS score was significantly lower in the treatment group than that in the control group(P<0.05)while the between-group difference in the total score of skin lesions was statistically insignificant(P>0.05).The scores of skin lesions and the scores of clinical features in EASI declined after treatment in both groups(P<0.05),and the score of clinical features was significantly lower in the treatment group than that in the control group(P<0.05),but the between-group difference of the score of skin lesions after treatment was not statistically significant(P>0.05).The total score and the scores of physical,mental and social domains in EPQOLS dropped after treatment in both groups(P<0.05),and were lower in the treatment group than those in the control group(P<0.05).The total effective rate was 96.7%in the treatment group versus 37.5%in the control group,and the between-group difference was statistically significant(P<0.05).Conclusion Blood-letting puncturing and cupping plus fire needle can produce more significant clinical efficacy than external use of Mometasone furoate cream in treating chronic eczema due to blood deficiency and wind causing dryness.It can mitigate itch,control skin lesions and improve QOL in the patients.