Hao Li-Fang, Zhao Li-Xin, Wang Peng-Rui, Zhao Ting-Ting, Hao Zhi-Fei
Department of Acupuncture and Moxibustion, Shanxi Provincial Hospital of TCM, Taiyuan 030012, China.
Department of Internal Medicine, Shanxi Taiyuan Municipal Yingze District TCM Hospital.
Zhongguo Zhen Jiu. 2021 Sep 12;41(9):1017-20. doi: 10.13703/j.0255-2930.20200817-k0002.
To compare the therapeutic effect between cotton-moxibustion and compound flumetasone ointment, and observe the effect on quality of life in patients with chronic eczema.
A total of 66 patients with chronic eczema were randomized into an observation group (33 cases, 2 cases dropped off) and a control group (33 cases, 2 cases dropped off). In the observation group, cotton-moxibustion was adopted on target skin lesion, once a day, 3 cones a time. In the control group, external application of compound flumetasone ointment was given twice a day. The treatment for 3 weeks was required in the both groups. Before treatment and 1,2,3 weeks into treatment, scores of visual analogue scale (VAS), eczema area and severity index (EASI) and dermatology life quality index (DLQI) were observed, and the recurrence rate was evaluated in the follow-up one month after treatment.
Compared before treatment, the VAS scores of 1,2,3 weeks into treatment, the EASI and DLQI scores of 2,3 weeks into treatment were decreased in the both groups (<0.05), and those in the observation group were lower than the control group (<0.05). The follow-up recurrence rate in the observation group were lower than the control group (<0.05).
Cotton-moxibustion can effectively improve the pruritus symptom, skin lesion and quality of life in the patients with chronic eczema, the therapeutic effect is superior to the external application of compound flumetasone ointment.
比较棉灸与复方氟米松软膏的治疗效果,观察其对慢性湿疹患者生活质量的影响。
将66例慢性湿疹患者随机分为观察组(33例,脱落2例)和对照组(33例,脱落2例)。观察组在目标皮损处采用棉灸,每日1次,每次3壮。对照组外用复方氟米松软膏,每日2次。两组均需治疗3周。观察治疗前及治疗1、2、3周时的视觉模拟评分(VAS)、湿疹面积和严重程度指数(EASI)及皮肤病生活质量指数(DLQI),并在治疗后1个月随访评估复发率。
与治疗前比较,两组治疗1、2、3周时的VAS评分,治疗2、3周时的EASI及DLQI评分均降低(<0.05),且观察组低于对照组(<0.05)。观察组随访复发率低于对照组(<0.05)。
棉灸能有效改善慢性湿疹患者的瘙痒症状、皮肤损害及生活质量,治疗效果优于外用复方氟米松软膏。