目的 观察自血疗法配合穴位埋线对寻常型银屑病的临床疗效和安全性.方法 把175例寻常型银屑病患者分为治疗组和对照组,治疗组90例,对照组85例.两组都口服复方甘草酸苷片,外用卤米松乳膏治疗.治疗组90例同时采用自血疗法和穴位埋线,取曲池、血海、太冲、肝俞、足三里,用自体静脉血进行穴位注射,每个穴位1mL,1周2次;同时每3周进行1次穴位埋线,取穴肺俞、脾俞、胆俞、膀胱俞、风门、阴陵泉,辩证取穴进行穴位埋线,12周为1疗程.结果 治疗组有效率80.0%,对照组有效率62.4%,两组对比差异有统计学意义(P<0.05).两组患者未见严重不良反应,治疗前和治疗结束时查患者血、大小便常规、肝肾功能均未见异常.结论 自血疗法配合穴位埋线治疗寻常型银屑病疗效好、值得推广.%Objective Clinical efficacy and safety observation of autohemotherapy combined with catgut implantation at acupoint for psoriasis vulgaris. Methods 175 cases of psoriasis vulgaris were divided into therapeutic group and control group,90 cases in the treatment group and 85 cases in the control group. Patients in the two groups were all administrated Compound Glycyr-rhizin tablets taken orally and Halometasone for external use. 90 cases in the therapeutic group were adoptedautohemotherapy and catgut implantation at acupoint simultaneously. Quchi,Xuehai,Taichong,Ganshu,Zusanli were taken as targets and injected autolo-gous venous blood,each point for 1ml,twice a week. In the meantime,catgut implantation at acupoint were adopted once every 3 weeks,Feishu,Pishu,Danshu,pangguangshu,Fengmen and yinlingquan as target acupoints. Acupoints were selected according to syndrome differentiation,12 weeks for 1 course. Results The response rate in therapeutic group was 80% and that in control group was 62. 4%,there being statistically significant difference between two groups(P<0. 05). There were no serious adverse re-actions in the two groups or abnormal results in routine blood,urea and stool tests as well as renal and liver function tests,before or at the end of the treatment. Conclusion Autohemotherapy combined with catgut implantation at acupoint is effective in treating psoriasis vulgaris,worthy of promotion.
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