摘要
目的:比较针刺放血疗法与常规西药治疗慢性荨麻疹的疗效差异。方法:将160例患者随机分为针刺放血组与氯雷他定组,每组80例。针刺放血组取穴曲池、内关、血海、三阴交,针刺用泻法,于肺俞、膈俞三棱针点刺放血并拔罐,隔日1次;氯雷他定组采用口服氯雷他定10mg,每日1次。4周后观察对比两组疗效。结果:针刺放血组愈显率为91.3%(73/80),氯雷他定组为81.3%(65/80),两组疗效相当(P>0.05);两组治疗后症状体征积分均较治疗前降低(10.14±1.95vs 2.12±0.32,10.30±1.82vs 3.21±0.28,both P<0.01),两组间治疗后比较差异无统计学意义(P>0.05);针刺放血组无明显不良反应,氯雷他定组出现轻微嗜睡感3例。结论:针刺放血疗法是治疗慢性荨麻疹的有效方法,疗效与西药氯雷他定相当且无不良反应发生。
Objective To observe differences of therapeutic effect between acupuncture combined with bloodlet- ting and regular western medication on chronic urticarial. Methods One hundred and sixty patients were randomly divided into an acupuncture bloodletting group and a loratadine group, 80 cases in each group. In the acupuncture bloodletting group, Quchi （LI 11）, Neiguan （PC 6）, Xuehai （SP 10） and Sanyinjiao （SP 6） were selected and ma- nipulated with reducing method, and pricking bloodletting with three-edge needle and cupping were given at Feishu （BL 13） and Geshu （BL 17）, once every other day. The oral administration of 10 mg loratadine was applied in the loratadine group, once a day. The therapeutic effect in two groups was observed and compared after four weeks. Results The cured and markedly effective rate was 91.3% （73/80） in the acupuncture bloodletting group, which was similar to 81.3% （65/80） in the loratadine group （P〉0.05）. The scores of symptom-sign in the two groups were reduced after treatment （10.14±1.95 vs 2.12±0.32, 10.30±1.82 vs 3.21±0.28, both P〈0. 01）, but there was no statistically significant difference between two groups after treatment （P^0.05）. There was no obvious adverse effect in the acupuncture bloodletting group while 3 cases of mild somnolence were reported in the loratadine group. Conclusion The acupuncture bloodletting is an effective method for chronic urticarial, which has similar effect to loratadine without adverse effect.
出处
《中国针灸》
CAS
CSCD
北大核心
2014年第1期41-43,共3页
Chinese Acupuncture & Moxibustion
关键词
荨麻疹
慢性
针刺疗法
刺血疗法
氯雷他定
urticarial, chronic
acupuncture therapy
pricking blood therapy
loratadine
