| Objective:This study focuses on the treatment of wind heat chronic urticaria through the strong stimulation of plum blossom needle,tapping Fengmen and Xuehai acupoints(both sides)combined with cupping and bloodletting,observe and compare the curative effect with desloratadine tablets,to provide new clinical ideas for the treatment of this disease.Methods:Take 70 patients who conformed to the inclusion criteria were randomly divided into treatment group and control group,with 35 cases in each group.In the treatment group,the plum blossom needle was used to strongly stimulate and tap the percussion of bilateral Fengmen and Xuehai acupoints.The tapping range would be within a radius of1.5cm,centering the acupoint.When the topical skin was bright red and bleeding,wipe the blood with a sterile dry cotton swab and continue tapping.This was repeated for 5 ～ 7 times.After the last tapping and bleeding,the sterilized vacuum cupping device was applied immediately.The cup retention time was determined by the amount of bleeding of the patient,which shall not exceed 10 minutes.Clean off the blood after removing the cup,then disinfect the treated site and cover it with sterile gauze.This method requires1 treatment every 4 days,7times as a full of treatment,lasting a total of 28 days.The control group was treated with desloratadine tablets.The DLQI,UCT,UAS and symptom scores of the two groups were observed and compared.The curative effect and recurrence rate of the two methods were compared by statistical analysis.Results :1.A total of 70 cases were completed in this trial.There was no significant difference between the two groups in gender,age,course of disease and other general data,as well as DLQI score,symptom score and UAS score before treatment(P>0.05);2.After treatment,the DLQI score and symptom score of the two groups were significantly reduced(P<0.05),indicating that two treatment methods can improve the quality of life and reduce the symptoms of urticaria;The changes of DLQI and total symptom score in the treatment group were significantly better than those in the control group(P<0.05)which means in respect to life quality improvement and symptom reduction for the patients with chronic urticaria,the results of the treatment group is superior to that of the control group.3.After treatment,the total effective rate of the treatment group was 91.42% and that of the control group was 65.71%.According to the comparison of the total effective rates of the two groups,P<0.05,it shows that the total effective rate of the treatment group is higher than that of the control group.4.After treatment,the UCT score of the treatment group was much higher than that of the control group(P<0.05),indicating that the control of the disease in the treatment group was better than that in the control group.5.After treatment,the UAS scores of the two groups were compared(P<0.05),indicating that the effect of reducing clinical symptoms in the treatment group was better than that in the control group;After comparing the UAS7 of the two groups for four weeks,it is found that the control group is better than the treatment group in the first week of treatment(P<0.05),the two groups are roughly the same in the second week(P>0.05),and the curative effect of the treatment group is better than the control group after the third and fourth weeks(P<0.05),indicating that the curative effect of the treatment group is the same as that of the control group after two weeks,and the curative effect of reducing clinical symptoms of the treatment group is better than that of the control group after four weeks.While comparing with UAS28,although the treatment group was better than the control group(P<0.05),there was no difference in frequency statistics(P>0.05).6.After treatment,the recurrence rate was 6.9% in the treatment group and 47.6% in the control group.According to the comparison of the recurrence rate between the two groups,P<0.05,it shows that the recurrence rate in the treatment group is lower than that in the control group.Conclusions:1.Compared with desloratadine tablets,plum blossom needle strong stimulation,tapping Fengmen and Xuehai points(both sides)combined with cupping and bloodletting can more effectively improve the clinical symptoms and quality of life of chronic urticaria more than desloratadine tablets;2.Compared with desloratadine tablets,plum blossom needle strong stimulation,tapping Fengmen and Xuehai points(both sides)combined with cupping and bloodletting can more effectively avoid the recurrence of chronic urticaria;3.The total effective rate of desloratadine tablet in the treatment of chronic urticaria is higher than that of plum blossom needle strong stimulation,tapping Fengmen and Xuehai points(both sides)combined with cupping and bloodletting. |
PDF Full Text Request