| ObjectiveThe study is to provide a feasible treatment method and theoretical basis for the clinical treatment of spleen deficiency and dampness accumulation type of chronic eczema by observing and comparing the clinical efficacy of Tongyuan acupuncture and conventional acupuncture in the treatment of chronic eczema(spleen deficiency and dampness accumulation type),and objectively evaluated the effectiveness,advantages and safety of Tongyuan acupuncture in the treatment of such disease.MethodsTotally of 66 patients were included in this study,who were mainly from the outpatient and inpatient departments of Dermatology and Acupuncture Department of Bao’an Hospital of Traditional Chinese Medicine in Shenzhen City,Guangdong Province.They were randomly divided into treatment group(Tongyuan acupuncture group)and control group(conventional acupuncture group),33 cases evenly in each group.Both of two groups received acupuncture twice a week,one hour each time,two weeks as a course of treatment After two courses of treatment,according to the eczema area and severity index(EASI)score,visual analogue scale(VAS),dermatology life quality index(DLQI)evaluation,self rating Anxiety Scale(SAS)score and other indicators,the curative effect difference between the two groups observed.Results1.A total of 5 patients fell off during the treatment process,of which 61 patients were finally included in the treatment group for analysis and reporting.2.The gender,age,course of disease,and pre-treatment scale scores(EASI,VAS,DLQI,SAS scores)of the two groups of patients were statistically analyzed,and the P values were all greater than 0.05,which can explain the gender and age of the two groups of patients,course of disease,condition,etc.are comparable.3.Analyze the scale scores of the two groups of patients before and after treatment,and compare them within the group:The EASI,VAS,DLQI and SAS scores before and after treatment in the treatment group treated by Tongyuan acupuncture have statistical differences(P<0.05);the control group adopts routine in acupuncture therapy,the EASI,VAS,DLQI,SAS scores after treatment were also statistically different from those before treatment(P<0.05),indicating that the two acupuncture methods have a positive effect on the treatment of chronic eczema.Comparison between groups:After treatment,the improvement of EASI,VAS,DLQI,and SAS scores of the treatment group was statistically different than that of the control group(P<0.05),indicating that the Tongyuan acupuncture method can improve the area and severity of eczema,pruritus,and life quality of patients.The quality and degree of anxiety are better than conventional acupuncture.Efficacy difference analysis:The difference in VAS,DLQI and S AS scores between the two groups of patients before and after treatment was statistically different(P<0.05),and the difference in EASI score was not statistically different(P>0.05).It further shows that the Tongyuan acupuncture method is better than the control group in improving the degree of pruritus,quality of life and anxiety.The noteworthy score difference shows that the Tongyuan acupuncture method improves the SAS score significantly,indicating that the Tongyuan acupuncture method can improve patients’ anxiety compared with conventional acupuncture,it has a more significant curative effect.4.Analyze the effective rate of treatment of the two groups,the total effective rate of the treatment group using Tongyuan acupuncture method is 93.55%,among which the cure rate,apparent rate,and effective rate are 3.20%,29.03%,and 61.29%respectively;the total effective rate of the control group using conventional acupuncture therapy was 83.33%,among which the cure rate,apparent rate,and effective rate were 0,10.00%,and 73.33%,respectively.The two groups had significant differences in total effective rate(P<0.05).Conclusion1.When using acupuncture therapy to treat chronic eczema of spleen deficiency and dampness type,both the Tongyuan acupuncture method and conventional acupuncture therapy can achieve definite clinical effects.2.Tongyuan acupuncture is better than conventional acupuncture in improving EASI score,VAS score,DLQI score,SAS score,and can better improve patient anxiety.3.Tongyuan acupuncture is effective,safe and effective in the treatment of chronic eczema(spleen deficiency and dampness type),and it is worthy of being used and promoted in clinical treatment. |
