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滚针联合西药治疗原发性皮肤淀粉样变的疗效观察

Therapeutic efficacy of rolling needle combined with western medicine in the treatment of primary cutaneous amyloidosis

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目的 观察滚针联合阿维A胶囊口服及卤米松乳膏外用治疗原发性皮肤淀粉样变的临床疗效.方法 将 59 例原发性皮肤淀粉样变患者随机分为观察组(30 例)和对照组(29 例).观察组采用滚针联合阿维A胶囊口服及卤米松乳膏外用治疗;对照组仅口服阿维A胶囊及外用卤米松乳膏.观察两组治疗前、治疗2 周后、治疗 4周后和治疗后临床症状体征评分变化,并比较两组治疗 2 周后、治疗 4 周后和治疗后临床疗效,并比较两组不良反应发生率和治疗后3个月的复发率.结果 治疗2 周后,两组症状体征评分低于治疗前,且观察组低于对照组,差异有统计学意义(P<0.05);治疗 4 周后,两组症状体征评分低于治疗前和治疗 2 周后,且观察组低于对照组,差异有统计学意义(P<0.05);治疗后,两组症状体征评分低于治疗前、治疗 2 周后和治疗 4 周后,且观察组低于对照组,差异有统计学意义(P<0.05).观察组治疗4周后和治疗后总有效率高于对照组,差异有统计学意义(P<0.05).两组不良反应发生率比较,差异无统计学意义(P<0.05).观察组复发率低于对照组,差异有统计学意义(P<0.05).结论 滚针联合阿维A胶囊口服及卤米松乳膏外用能有效治疗原发性皮肤淀粉样变,可减少皮损面积,改善瘙痒和皮损苔藓化,降低复发率.
Objective To observe the clinical efficacy of rolling needle combined with oral administration of Acitretin capsule and topical application of Halometasone cream in the treatment of primary cutaneous amyloidosis.Method Fifty-nine patients with primary cutaneous amyloidosis were randomly divided into the observation group(30 cases)and the control group(29 cases).In the observation group,the patients were treated with rolling needle combined with oral administration of Acitretin capsule and topical application of Halometasone cream;in the control group,only oral administration of Acitretin capsule and topical Halometasone cream were administered.The changes of clinical signs and symptoms before treatment,after 2 weeks,after 4 weeks and after treatment were observed,and the clinical efficacy of the two groups were compared after 2 weeks,after 4 weeks and after treatment,and the incidence of adverse reactions and the recurrence rate of the two groups in 3 months after treatment were compared.Result After 2 weeks of treatment,the symptoms and signs scores of the two groups were lower than those before treatment,and those in the observation group was lower than those in the control group,with statistically significant differences(P<0.05);after 4 weeks of treatment,the symptoms and signs scores of the two groups were lower than those before and after 2 weeks of treatment,and those of the observation group was lower than those of the control group,with statistically significant differences(P<0.05);after treatment,the symptoms and signs scores of the two groups were lower than those before,after 2 weeks and after 4 weeks of treatment,and those of the observation group were lower than those of the control group,with statistically significant differences(P<0.05).The total effective rate of the observation group was higher than that of the control group after 4 weeks and after treatment,and the difference was statistically significant(P<0.05).The difference in the incidence of adverse reactions between the two groups was not statistically significant(P<0.05).The recurrence rate of the observation group was lower than that of the control group,and the difference was statistically significant(P<0.05).Conclusion Rolling needle combined with oral administration of Acitretin capsule and topical application of halometasone cream can effectively treat primary cutaneous amyloidosis,reduce skin lesion area,improve itching and skin lesion lichenification and reduce the recurrence rate.

Acupuncture therapyRolling needleAcupuncture-medication combinedAmyloidosis,Primary cutaneous

祁相焕、顿耿、耿庆娜、张文文、焦运慧、王哲新

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开封市人民医院,开封 475000

针刺疗法 滚针 针药并用 淀粉样变性,原发性皮肤病

2025

上海针灸杂志
福建省水利学会

上海针灸杂志

影响因子:1.273
ISSN:1005-0957
年,卷(期):2025.44(1)