| Objective:According to existing clinical research and practical experience, on acupuncture and moxibustion treatment vulva, anal, perineal pruritus technology further clinical and applied research, technical evaluation of the efficacy and safety, produce a standardized scheme to facilitate clinical application.Method:Adopt a multi-center, open-label study of self-control. Cases from Wuhan City Hospital (Wuhan University) or 32 cases of Dermatology, perianal vulva, perineal pruritus patients, all cases are in compliance with the criteria, all of the finalists for the control group before the treatment, after treatment at all stages of the test group.All patients are taking a strong, perineum, curved bone, over, under the main points of the a-diff erent patterns and mathing (liver meridian with wind and too rushed; blood deficiency wind dryness and foot 3 lane, violent sea), and in accordance with the provisions of the combined with different symptoms of the point. Once daily treatment,12 times for a course of treatment, each 6 times as a phase of evaluation.Treatment before, during and after the third stage, the observation of patients of pruritus, consequential lesions, according to recognized criteria for quantization, and recorded in a printed report form (CRF). Observation is finished, according to the criteria are divided into recovery, pindolol on action, progress, invalid, healing and effective pindolol on action taken to, this is one of the calculations efficiently; compare the third stage score changes, and differences in statistical analysis, the evaluation of its clinical effectiveness; patients adverse reactions occur in the registration to the CRF, the end of the evaluation of their security.Results:1. The winning 36 patients, shedding 2 cases, the elimination of two cases, a total of 32 cases completed treatment, evaluation of 32 cases, of which 14 men, women, men and women sex not significantly different, age 30 to 50-year-old, mainly in the prime of life, the average course of 52.60, where short only 1 week, long up to 20 years to attack within 5 years. According to the liver via wind 15 cases, blood deficiency wind dryness in 17 cases, and location of distribution no difference.2. Grading results:2.1 Scores pruritus:all patients 6 times and scoring 12 times as respectively (3.22±1.34.) and (2.19±1.71), are significantly lower than before the treatment (6.06±1.46);2.2 Skin lesion score:all patients 6 times and scoring 12 times as respectively (2.44±1.74.) and (1.50±1.44), are significantly lower than before the treatment (4.38±2.21).2.3 Inspection:the stages of the total score used SPSS 13.0 software for paired t-test, the P value is less than 0.01, differences are statistically.3. Treatment of 6 times, recovered two cases, pindolol on action 3 cases, progress of 25 cases, invalid 2 cases, efficient 15.63%; in 12 times, recovery 10 cases, pindolol on action 9 cases, progress in 12 cases, invalid 1 cases, efficient 59.38%. On both efficient with SPSS 13.0 software X2, P<0.01, differences are statistically, for 12 over the treatment of 6 effect later.4.32 patients in the treatment process has only 2 cases appear hematoma or ecchymosis, and recovery after 2 or 3 days, on their own. And no other discomfort.Conclusion:Simple use of acupuncture in the treatment of the perineum, perianal method, vulvar pruritus, safe and effective. That is, avoid system medication side effects, and avoid direct contact with various kinds of topical drugs, it is usual to trigger or stimuli, get instant antipruritic effect, achieving systemic blood viscera, and symptoms. Pursuant to the vulva, anal, perineal pruritus, can individually use in combination with other therapies to improve clinical outcomes, can be used as a reference for use.
|
PDF Full Text Request