| ObjectiveStudies in patients with different syndromes filamentous warts gender, age, efficacy, psychological fear index, pain index distribution, quality of life, left and right side skin lesions, disease location, complications, time indicators, adverse reactions and sequelae to expect as silk warts treatment provides more simple and effective method of treatment.MethodsCollected between1January2013to February2014and28at the First Affiliated Hospital of Guangzhou University of Traditional Chinese Medicine and Acupuncture Clinic filiform warts dermatology clinic patients, a total of90cases. Production survey, conducted by outpatient scheduling order number, fill the patient met the inclusion criteria relevant information on the patient after induction syndrome type, patient records before and after the fire needle therapy using relevant indicators. Statistics using spssll.5statistical analysis software, does not meet the normal distribution with a rank sum test, measurement data with normal distribution with a t test, count data using crosstabs chi-square test.Results90cases, men who are Spleen Dampness33cases,4cases of blood stasis; women who are Spleen Dampness24cases,29cases of blood stasis type, X2=0.178, p=0.417>0.05, the difference was not statistically significant.90cases, men who are Spleen Dampness33cases,4cases of blood stasis; women who are Spleen Dampness24cases,29cases of blood stasis type, X2=0.178, p=0.417>0.05, the difference was not statistically significant.90cases, regardless of the type or the Department of spleen dampness stagnation type, were able to cure all, the total efficiency of100%. Two syndromes patients before treatment psychological fear index difference was not statistically significant; groups of patients after treatment were compared with the pre-treatment is relatively self, fear of psychological indices were reduced by t-test, p<0.05, the difference statistically meaning; After two psychological syndromes patients fear index difference was not statistically significant. Two syndromes patients before treatment difference was not statistically significant pain index; two syndromes in patients before and after treatment, respectively, than their treatment is relatively pain index decreased by t test, spleen wet treatment of pain in patients before and after resistance-type index comparison, p<0.01, statistically significant difference; around blood stasis type pain scores compared to patients treated, p<0.05, statistically significant differences; difference between the two treatment of pain syndromes in patients with no statistical indices significance. Two syndromes was no significant difference between patients with pre-treatment quality of life; two syndromes in patients after treatment were compared with the relative treatment before their quality of life were improved by t test, spleen dampness type of pain before and after treatment index comparison, p<0.05, statistically significant difference; around blood stasis type index compared to the treatment of pain in patients, p<0.01, statistically significant differences; difference between the quality of life of patients after treatment of the two syndromes without statistics significance.90cases, the skin lesions are on the left50cases,40cases on the right, accounting for55.56%and44.44%respectively, both left and right side of the skin lesions syndromes compared, X2=0.178, p=0.425>0.05difference was not statistically significant.90cases, the diseased parts of the head and neck in78cases, six cases of armpit part four cases torso section, two cases of upper part of lower limb Ministry0cases, the two syndromes compared to diseased parts, X2=0.181, p=0.478>0.05, the difference was not statistically significant. In90cases, there are32cases of diabetes, accounting for35.56%, and the remaining58cases without complications, two syndromes complications compared, X2=0.176, p=0.453>0.05, the difference was not statistically significant. Spleen dampness began to scab time was2.98±1.05days, all of the scab off time was12.02±2.51days; stagnation began to scab time was2.88±1.01days, all of the scab off time was11.02±3.49days; two syndromes start time and scab scab off all the time difference was not statistically significant.90patients,85 patients were local skin redness, itching somewhat,94.44%, without any treatment after spontaneous remission, two syndromes difference was not statistically significant skin reactions.90cases of patients with warts filiform acupuncture treatment after the fire had no fainting, bleeding, infection.90cases of patients with warts filiform acupuncture treatment after the fire had no legacy depressed scars, hypertrophic scars and pigmentation.ConelusionThe fire needle acupuncture therapy in this research paper reflects a significant improvement in the treatment of filamentous warts. In the study of this topic to observe the process, to deeply understand the disease and the patient often personal habits and living environment, diet closely, many patients before treatment and more immunocompromised due to the above reasons, then the wart virus infection resulting in partial redundant Health. Therefore, in addition to the treatment of the subject of research and study, the performer should analyze and understand the causes of the formation of the disease in patients, how to teach patients should avoid the recurrence of symptoms, in order to truly prevent recurrence of the diseaseFor filamentous warts treatment, at home and abroad are few studies in the country mainly used for the treatment of the disease ionizing surgery, microwave therapy, frozen in liquid nitrogen, coagulation,5-aminolevulinic acid photodynamic, carbon dioxide laser method, although a certain effect, but expensive, still under development in China’s medical situation is difficult to spread and recurrence rate. Filiform warts and abroad for treatment, mainly to take surgery, topical imiquimod, and even laser combined antiviral chemotherapy drugs (such as cytarabine) and biological preparations, current medical technology and medical resources are scarce country can not be implemented. The research, the fire needle operation compared to conventional laser treatment or freezing method on modern medicine is more convenient, and considerable effect. Little or no adverse reactions. Easy to carry and fire needle, without the use of expensive equipment can be used in the general outpatient operation. Also when the fire needle therapy to the affected area due to the high temperature rapid shovel thorns, can help wound after carbonation, carbonation is not only easy bleeding, high temperatures can reduce the risk of lesion caused by infection due to improper care. Compared to the low-temperature burning laser easy bleeding, nursing inconvenience, higher costs in terms of equipment, fire needle therapy has more advantagesHowever, due to the promotion of fire needle is not common, many patients have heard " fire needle " word will appear psychological expectations of fear and exclusion, often need to communicate with patients after most patients will be able to explain assured treatment. In this thesis, a common situation for this comparative analysis done before. The results showed that patients fear decreased significantly (p<0.01) after treatment than before treatment psychological index. Compare the pain index was significantly lower (p<0.01) compared with pre-treatment pain scores in patients after treatment. These two indicators are clearly stated for the majority of patients with high fear of the unknown and the expected pain before treatment, this results in favor of physicians communicate with patients more clearly reduce the fear of patients expected to Learn more contribute to a smooth operation.Also found during the operation in the treatment of patients with blood stasis resistance compared to patients with type Spleen wet warts born in filamentous pedicle take place relatively tough. Operation often requires more shovel thorns. And a small portion of patients with blood stasis think pain was significantly lower than expected. I believe that patients with blood stasis due qi stagnation, stasis stagnation mostly empirical and therefore made more tough, wet and spleen in patients with type resistance due to temper weakness, mouth slack Cou often more soft. Therefore, more attention should be operating practices in the operation to minimize the patient’s pain and quickly completed. However, the operation causes pain or discomfort in patients with main points:(1) When using hemostatic clamp pinching filiform warts can cause pain in patients.2shovel stabbed process will result in significant pain when the patient is not enough neat. Nip it in the use of tools to consider the use of hollow-type clamps hold objects with the warts and reduce the direct pick-clamp. And conclude on the operation of the needle points better able to reduce the patient’s pain:a fire needle continued heat could hold100to200degrees for3to5seconds.2Cut shovel needle sharp blade surface can effectively cut off parts of the pedicle neoplastic pick at.3Always when needle operation fast, steady, accurateIn addition, through this paper summarizes the patients suffering from the disease in the majority of female patients over the age of six, a good site based in the head and neck, mostly in the spleen dampness syndromes But good results regardless of syndromes are to fire needle therapy, are obtained without other concurrent symptoms. Due mostly based on the patient’s own evaluation of symptoms and signs, no objective physical and chemical indicators, with a certain degree of subjectivity, may have some impact on the collection of information on the overall results have a certain error. And the lack of quantitative data processing and environmental considerations regions, temporarily unable to perform statistical evidence-based medicine, and I hope in the future to continue the clinical and research conducted in-depth discussion on this issue in order to find a more rapid and effective treatment modalities. |
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