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针刺联合放血治疗慢性荨麻疹的疗效观察

[Efficacy observation on acupuncture combined with bloodletting for chronic urticarial].

作者信息

Huo Huan-Min

出版信息

Zhongguo Zhen Jiu. 2014 Jan;34(1):41-3.

Abstract

OBJECTIVE

To observe differences of therapeutic effect between acupuncture combined with bloodletting and regular western medication on chronic urticarial.

METHODS

One hundred and sixty patients were randomly divided into an acupuncture bloodletting group and a loratadine group, 80 cases in each group. In the acupuncture bloodletting group, Quchi (LI 11), Neiguan (PC 6), Xuehai (SP 10) and Sanyinjiao (SP 6) were selected and manipulated with reducing method, and pricking bloodletting with three-edge needle and cupping were given at Feishu (BL 13) and Geshu (BL 17), once every other day. The oral administration of 10 mg loratadine was applied in the loratadine group, once a day. The therapeutic effect in two groups was observed and compared after four weeks.

RESULTS

The cured and markedly effective rate was 91.3% (73/80) in the acupuncture bloodletting group, which was similar to 81.3% (65/80) in the loratadine group (P > 0.05). The scores of symptom-sign in the two groups were reduced after treatment (10.14 +/- 1.95 vs 2.12 +/- 40.32, 10.30 +/- 1.82 vs 3.21 +/- 0.28, both P < 0.01), but there was no statistically significant difference between two groups after treatment (P > 0.05). There was no obvious adverse effect in the acupuncture bloodletting group while 3 cases of mild somnolence were reported in the loratadine group.

CONCLUSION

The acupuncture bloodletting is an effective method for chronic urticarial, which has similar effect to loratadine without adverse effect.

摘要

目的

观察针刺联合放血疗法与常规西药治疗慢性荨麻疹的疗效差异。

方法

将160例患者随机分为针刺放血组和氯雷他定组,每组80例。针刺放血组选取曲池(LI 11)、内关(PC 6)、血海(SP 10)、三阴交(SP 6),采用泻法针刺,并用三棱针点刺放血后在肺俞(BL 13)、膈俞(BL 17)拔罐,隔日1次。氯雷他定组口服氯雷他定10mg,每日1次。4周后观察并比较两组疗效。

结果

针刺放血组痊愈显效率为91.3%(73/80),与氯雷他定组的81.3%(65/80)相近(P>0.05)。两组治疗后症状体征积分均降低(10.14±1.95 vs 2.12±40.32,10.30±1.82 vs 3.21±0.28,P均<0.01),但治疗后两组比较差异无统计学意义(P>0.05)。针刺放血组未见明显不良反应,氯雷他定组有3例出现轻度嗜睡。

结论

针刺放血疗法治疗慢性荨麻疹疗效确切,与氯雷他定疗效相当且无不良反应。

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