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1. 房山区中医医院
2. 北京中医药大学针灸推拿学院
纸质出版日期:2011
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吴家萍, 谷世喆. 针灸治疗寻常型银屑病30例临床随机对照观察[J]. 针刺研究, 2011,36(1):62-65.
WU Jia-ping, GU Shi-zhe1. Randomized Controlled Trials for Treatment of 30 Cases of Ordinary Psoriasis by Acupuncture and Moxibustion[J]. Acupuncture research, 2011, 36(1): 62-65.
吴家萍, 谷世喆. 针灸治疗寻常型银屑病30例临床随机对照观察[J]. 针刺研究, 2011,36(1):62-65. DOI: 10.13702/j.1000-0607.2011.01.014.
WU Jia-ping, GU Shi-zhe1. Randomized Controlled Trials for Treatment of 30 Cases of Ordinary Psoriasis by Acupuncture and Moxibustion[J]. Acupuncture research, 2011, 36(1): 62-65. DOI: 10.13702/j.1000-0607.2011.01.014.
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。
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.
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