Wen Yong, Li Jun, Long Qing, Wan Chuan, Lan Xiaolin, Chen Ye
Department of Chinese Medicine, the Affiliated Hospital of Southwest Medical University, Luzhou 646000, Sichuan Province, China.
Zhongguo Zhen Jiu. 2017 Jun 12;37(6):608-612. doi: 10.13703/j.0255-2930.2017.06.009.
To observe the differences in the therapeutic effects on chronic perianal eczema between auricular point sticking therapy and auricular sticking pseudo-press therapy on the basis of the treatment with western medication.
Ninety patients were randomized into an auricular therapy group and an auricular pseudo-press therapy group (pseudo group), 45 cases in each one. The western medication was used in both of the groups. In the auricular therapy group, the auricular sticking method with semen vaccariae was added at Fengxi (SF), Shenshangxian (TG), Duipingjian (AT), Fei (CO), Pi (CO), Gangmen (HX). The patients were advised to press each auricular point every day. In the pseudo group, the plaster was applied to the same auricular points without semen vaccariae used and pressing manipulation given. The auricular sticking therapy was used once every three days in the two groups. The treatment for 2 weeks was as one session and one or two sessions of treatment were given accordingly. The severity of perianal itching, the area of skin lesion, the form of skin lesion and the score of dermatology life quality index (DLQI) and the clinical therapeutic effects were compared before and after treatment in the two groups. The adverse reaction and recurrence rate in 1-year follow-up visit were observed during treatment.
After treatment, the itching degree, the area of skin lesion, the form of skin lesion and DLQI score were all reduced apparently as compared with those before treatment in the patients of the two groups (all <0.05). The results in the auricular sticking therapy group were better than those in the pseudo group (all <0.05). The curative and markedly effective rate and the total effective rate in the auricular sticking therapy group were apparently better than those in the pseudo group[52.3% (23/44) vs 19.0% (8/42), 97.7% (43/44) vs 76.2% (32/42), both <0.05]. The recurrence rate in the auricular sticking therapy group was lower apparently than that in the pseudo group[7.0% (3/43) vs 37.5% (12/32), <0.05]. No severe adverse reactions were found during the treatment in the two groups.
The auricular sticking therapy combined with western medication effectively release itching in chronic perianal eczema and local skin lesions, improve the living quality and reduce recurrence rate.
观察在西药治疗基础上，耳穴贴压疗法与耳穴贴压假穴疗法治疗慢性肛周湿疹的疗效差异。
将90例患者随机分为耳穴治疗组和耳穴假压治疗组（假穴组），每组45例。两组均采用西药治疗。耳穴治疗组在风溪（SF）、神上腺（TG）、对屏尖（AT）、肺（CO）、脾（CO）、肛门（HX）加用王不留行籽耳穴贴压法，嘱患者每天按压各耳穴。假穴组在相同耳穴处贴敷不含王不留行籽的胶布，不给予按压操作。两组均每3天进行1次耳穴贴压治疗。以2周治疗为1个疗程，根据情况给予1~2个疗程的治疗。比较两组治疗前后肛周瘙痒程度、皮损面积、皮损形态及皮肤病生活质量指数（DLQI）评分和临床疗效。观察治疗期间两组1年随访的不良反应及复发率。
治疗后，两组患者的瘙痒程度、皮损面积、皮损形态及DLQI评分均较治疗前明显降低（均P<0.05）。耳穴贴压治疗组的各项结果均优于假穴组（均P<0.05）。耳穴贴压治疗组的治愈率、显效率及总有效率均明显优于假穴组[52.3%（23/44）比19.0%（8/42），97.7%（43/44）比76.2%（32/42），均P<0.05]。耳穴贴压治疗组的复发率明显低于假穴组[7.0%（3/43）比37.5%（12/32），P<0.05]。两组治疗期间均未发现严重不良反应。
耳穴贴压疗法联合西药能有效缓解慢性肛周湿疹的瘙痒及局部皮损，提高生活质量，降低复发率。
