首页|刺络放血疗法联合养血定风汤治疗血虚风燥型慢性荨麻疹的疗效观察

刺络放血疗法联合养血定风汤治疗血虚风燥型慢性荨麻疹的疗效观察

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目的:探讨刺络放血疗法联合养血定风汤治疗血虚风燥型慢性荨麻疹的临床疗效.方法:选择 2021 年 7 月至 2023 年 9 月期间于本院就诊的血虚风燥型慢性荨麻疹患者 80 例作为研究对象.应用随机数字表法将患者分为对照组和研究组,每组各 40 例.对照组采用西药治疗;研究组在对照组基础上采用刺络放血疗法联合养血定风汤治疗.分析对比两组的临床疗效、中医证候积分、炎症因子水平、不良反应及复发率.结果:研究组的治疗总有效率显著高于对照组(P<0.05).治疗后,研究组的主证及次证评分均比对照组显著降低(P<0.05).研究组的不良反应发生率于对照组相比无显著差异(P>0.05).研究组的复发率显著低于对照组(P<0.05).治疗后,两组的CRP、IL-4、IL-17 水平均显著低于治疗前(P<0.05),且研究组的CRP、IL-4、IL-17 水平均显著低于对照组.结论:血虚风燥型慢性荨麻疹患者应用中医联合治疗,能提高治疗效果,改善患者临床症状,抑制炎症反应,降低复发率,且安全性较高.
Observation on curative effect of treating chronic urticaria with blood deficiency and wind-dryness by pricking collaterals and bloodletting therapy combined with Yangxue Dingfeng Decoction
Objective:To investigate the clinical effect of treating chronic urticaria with blood vacuity and wind-dryness by the therapy of pricking collaterals and bloodletting combined with Yangxue Dingfeng Decoction.Methods:From July 2021 to September 2023,80 patients with chronic urticaria with blood deficiency and wind-dryness were selected as the study objects.The patients were divided into control group and study group with 40 cases in each group.The control group was treated with western medicine.On the basis of the control group,the study group was treated with pricking collateral-blood letting therapy combined with Yangxue Dingfeng Decoction.The clinical efficacy,TCM syndrome score,inflammatory factor level,adverse reaction and recurrence rate of the two groups were analyzed and compared.Results:The total effective rate of the study group was significantly higher than that of the control group(P<0.05).After treatment,the scores of primary syndrome and secondary syndrome in the study group were significantly lower than those in the control group(P<0.05).The incidence of adverse reactions in the study group was not significantly different from that in the control group(P>0.05).The recurrence rate of the study group was significantly lower than that of the control group(P<0.05).After treatment,the levels of CRP,IL-4 and IL-17 in both groups were significantly lower than before treatment(P<0.05),and the levels of CRP,IL-4 and IL-17 in the study group were significantly lower than those in the control group.Conclusion:The combined treatment of traditional Chinese medicine for patients with chronic urticaria with blood deficiency and wind-dryness can improve the therapeutic effect,improve the clinical symptoms,inhibit the inflammatory response,and reduce the recurrence rate,with high safety.

Chronic urticariaBlood vacuity wind dryness typePricking collaterals and letting bloodYangxue Dingfeng DecoctionRecurrence rate

张雅雯、周宏鹤、秦骥

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郑州市第二中医院中医皮肤科,河南 郑州 450000

慢性荨麻疹 血虚风燥型 刺络放血 养血定风汤 复发率

2024

四川生理科学杂志
四川省生理科学会

四川生理科学杂志

影响因子:0.575
ISSN:1671-3885
年,卷(期):2024.46(9)
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