火针配合体针围刺治疗局限性神经性皮炎疗效观察

目的] 观察火针配合体针围刺治疗局限性神经性皮炎的临床疗效。方法] 按随机数字表法将76 例患者随机分为两组，其中治疗组40 例，采用火针配合体针围刺治疗；对照组36 例，采用醋酸去炎松尿素软膏外用治疗，2 周后进行疗效评价。结果] 治疗组总有效率为95.0%，对照组总有效率为83.3%；两组有效病例随访半年，治疗组复发率为5.3%，对照组为23.3%；两组主要症状、体征，即瘙痒及皮损改善程度评分比较，差异有统计学意义（P<0.01）。结论] 火针配合体针围刺治疗局限性神经性皮炎疗效确切，取穴简便，无毒副作用，复发率低，值得临床推广。

Effect of fire needle combined with body acupuncture surrounded needling on circumscribed neurodermatitis

Objective] To observe the clinical therapeutic effect of fire needle combined with body acupuncture surrounded needling for treating circumscribed neurodermatitis. Methods] The 76 patients were divided into two groups in accordance with the random number table. The 40 patients in the treatment group received the fire needle combined with body acupuncture, while in the control group triam-cinolone and urea cream were externally used. The therapeutic effect was assessed two weeks later. Results] The total effect rate of the treatment group was 95.0%, while the control group was 83.3%. Meanwhile the therapeutic effect of the two groups had a significant differ-ence (P<0.05), statistically. The effective cases of the two groups were followed up for half a year. The recurrence rate of the treatment group was 5.3%, whereas the control group was 23.3%. Comparison of the main symptoms and signs, such as the improvement degree of the pruritus scores and skin lesions scores, the two groups had a significant difference (P<0.01). Conclusion] The therapeutic effect of using fire needle combined with body acupuncture surrounded needling to treat circumscribed neurodermatitis is definitive. The acupoint selection is simple and convenient with no toxic and side effect. The recurrence rate is low and it is deserved for the clinical expending.