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浙江青田县中医院针灸科
纸质出版日期:2009
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高宏, 李雪珍, 叶文伟, 等. 粗针皮下透刺神道穴对慢性荨麻疹患者症状积分及血清IgE的影响[J]. 针刺研究, 2009,34(4):272-275.
GAO Hong, LIXue-zhen, YE Wen-wei, et al. Influence of Penetrative Needling of Shendao(GV 11) on the Symptom Score and Serum IgE Content in Chronic Urticaria Patients[J]. Acupuncture research, 2009, 34(4): 272-275.
高宏, 李雪珍, 叶文伟, 等. 粗针皮下透刺神道穴对慢性荨麻疹患者症状积分及血清IgE的影响[J]. 针刺研究, 2009,34(4):272-275. DOI:
GAO Hong, LIXue-zhen, YE Wen-wei, et al. Influence of Penetrative Needling of Shendao(GV 11) on the Symptom Score and Serum IgE Content in Chronic Urticaria Patients[J]. Acupuncture research, 2009, 34(4): 272-275. DOI:
目的:观察粗针皮下透刺神道穴对慢性荨麻疹患者的疗效。方法:将60例慢性荨麻疹患者随机分为粗针组及西药组
各30例。粗针组采用粗针皮下透刺神道穴
每日1次
每周5次
治疗2周为一疗程。西药组口服盐酸左西替利嗪片
5mg/次
6周为一疗程。观察两组患者治疗前
治疗2周、6周、12周的血清IgE水平及症状积分的变化。结果:两组患者在治疗2周、6周血清IgE水平与治疗前比较均下降
差异有统计学意义(P<0.01):治疗12周后
粗针组血清IgE水平和症状积分与治疗前比较仍下降(P<0.01)
西药组血清IgE水平和症状积分与治疗前比较虽有下降
但差异无统计学意义(P>0.05);治疗前、治疗2周、6周两组患者间的血清IgE水平和症状积分比较差异没有统计学意义(均P>0.05);治疗12周
粗针组血清IgE水平和症状积分明显低于西药组(P<0.05);两组治疗前后血清IgE水平和症状积分呈正相关。结论:粗针皮下透刺神道穴可以有效降低慢性荨麻疹患者的血清IgE水平及改善临床症状。
Objective To observe the changes of symptom scores and serum IgE level after treatment with thick-needle subcutaneous penetration of Shendao(GV 11) in chronic urticaria patients.Methods A total of 60 chronic urticaria patients were randomly divided into acupuncture group(n=30) and medication group(n=30).Subcutaneous penetrative needling was applied to GV 11 with thick acupuncture needle(retained for 4 h/time
once daily
5 times/week) for patients of acupuncture group and Levocetirizine Hydrochloride tablets(5 mg/time
once daily in the first two weeks
then
once every other day in the 3
(rd)
and 4(rd) and 4
(th)
weeks
and once every 3 days in the last two weeks) were given to patients of medication group.Serum IgE content was assayed before and 2
6
12 weeks after the treatment by chemiluminescent technique.Symptom scores were obtained by"0-3 four levels assessment"method in the light of the size of the wheal and the itching severity.Results Self-comparison indicated that the symptom scores and serum IgE levels declined significantly(P
<
0.01)2 and 6 weeks(Wks) after the treatment in both acupuncture and medication groups
and 12 Wks after the treatment in the acupuncture group(P
<
0.01).Comparison between two groups showed that the symptom score and serum IgE content of acupuncture group were significant lower than those of medication group 12 Wks after the treatment(P
<
0.05).No significant differences were found between two groups in the symptom scores and serum IgE levels before
2 and 6 Wks after the treatment(P
>
0.05).A positive correlation exists between the symptom score and the serum IgE level before and after the treatment in both groups.Conclusion Thick-needle subcutaneous penetration of Shendao(GV 11) can effectively improve clinical symptoms of chronic urticaria patients
which may be closely related to its effect in lowering peripheral blood IgE level.
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