针灸治疗寻常型银屑病30例临床随机对照观察

目的:观察针灸治疗寻常型银屑病的疗效。方法:将60例患者随机分为针灸组30例和西药组30例。针灸组主穴为背俞穴肺俞、膈俞、肝俞、脾俞、肾俞,配穴根据斑块所在部位而循经取穴,如合谷、外关、百会、曲池、委中等,留针30 min,另选取肾俞及较明显皮损处行艾条灸治,每处2～3 min,隔日治疗1次。西药组随餐口服阿维A胶囊20 mg,每日1次。两组疗程均为12周。治疗前后对皮损程度进行PASI(pso-riasis area and severity index)评分,并对临床疗效进行统计。结果:治疗结束后两组PASI评分均较治疗前明显下降(P<0.01),针灸组较西药组下降更明显(P<0.05)。针灸组临床痊愈4例,显效17例,有效6例,无效3例,愈显率为70.00%,总有效率为90.00%;西药组痊愈1例,显效15例,有效12例,无效2例,愈显率为53.33%,总有效率为93.33%;两组愈显率的差异有统计学意义(P<0.05),总有效率的差异无统计学意义(P>0.05)。结论:针灸治疗寻常型银屑病疗效显著,且优于阿维A胶囊。

Randomized controlled trials for treatment of 30 cases of ordinary psoriasis by acupuncture and moxibustion

Objective To observe the therapeutic effect of acu-moxibustion for ordinary psoriasis,so as to find a better curative method for it.Methods A total of 60 cases of psoriasis were equally randomized into medication group[(8.67±6.53) months in duration of disease,(39.25±10.21) years in age] and acu-moxibustion group [(9.16±7.37) months in duration of disease,and(37.38±11.36) years in age] according to a random number table.For patients of acu-moxibustion group,main acupoints used were Feishu(BL13),Geshu(BL17),Ganshu(BL18),Pishu(BL 20) and Shenshu(BL 23),combined with other acupoints [Hegu(LI 4),Weizhong(BL 40),etc.] according to the affected part of the body.Moxibustion was applied to Shenshu(BL 23) and the injured skin area for about 3 min every time.Acu-moxibustion treatment was given once every other day conti-nuously for 12 weeks.Patients of the medication group were treated with oral administration of Acitretin capsules(20 mg/d,for 12 weeks).The therapeutic effect was evaluated by using psoriasis area and severity index(PASI) scoring method.Results After the treatment,the integrative scores of PASI in both medication and acu-moxibustion groups decreased significantly(P<0.01),and that of the acu-moxibustion group was significantly lower than that of the medication group(P<0.05).Of the both 30 psoriasis patients in the medication and acu-moxibustion groups,1(3.33%) and 4(13.33%) were cured basically,15(50.00%) and 17(56.67%) were improved significantly,12(40.00%) and 6(20.00%) were effective,and 2(6.67%) and 3(10.00%) invalid,with the effective rates being 93.33% and 90.00%,respectively.The cured plus markedly effective rate of the acu-moxibustion group was significantly higher than that of the medication group(P<0.05).Conclusion Acu-moxibustion therapy is effective in the treatment of psoriasis and is remarkably superior to that of medication.