Gao Hong, Li Xue-Zhen, Ye Wen-Wei, Zhou Bai-Ying, Jin Ying-Jie, Qiu Yi, Wu Jia-Jie
Section of Acu-moxibustion, Qingtian County Hospital of Chinese Medicine, Qingtian 323900, China.
Zhen Ci Yan Jiu. 2009 Aug;34(4):272-5.
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.
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 3rd and 41th 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.
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.
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.
观察神道穴(GV 11)粗针皮下透刺治疗慢性荨麻疹患者后症状评分及血清IgE水平的变化。
将60例慢性荨麻疹患者随机分为针刺组(n = 30)和药物组(n = 30)。针刺组患者采用粗针皮下透刺神道穴(留针4小时/次,每日1次,每周5次),药物组患者给予盐酸左西替利嗪片(5mg/次,前两周每日1次,第3至4周隔日1次,最后两周每3日1次)。采用化学发光技术检测治疗前及治疗后2、6、12周的血清IgE含量。根据风团大小及瘙痒程度,采用“0 - 3四级评估”法获得症状评分。
自身比较显示,针刺组和药物组治疗后2周和6周症状评分及血清IgE水平均显著下降(P < 0.01),针刺组治疗后12周亦显著下降(P < 0.01)。两组比较显示,治疗后12周针刺组症状评分及血清IgE含量显著低于药物组(P < 0.05)。治疗前及治疗后2周和6周两组症状评分及血清IgE水平比较差异无统计学意义(P > 0.05)。两组治疗前后症状评分与血清IgE水平均呈正相关。
神道穴(GV 11)粗针皮下透刺可有效改善慢性荨麻疹患者的临床症状,这可能与其降低外周血IgE水平的作用密切相关。