穴位自血疗法联合中药膏封包治疗老年性皮肤瘙痒症疗效观察

doi:10.3969/j.issn.1003-9198.2025.02.015

摘要/Abstract

摘要： 目的观察自血疗法联合中药膏封包治疗老年性皮肤瘙痒症的疗效。方法选取2021年1月至2023年3月南京中医药大学附属医院门诊就诊的62例老年性皮肤瘙痒症病人,随机分为治疗组(32例)和对照组(30例)。治疗组病人采用自血疗法联合黄芩油膏封包治疗,对照组仅采用黄芩油膏封包治疗,共治疗4周。比较2组治疗前、治疗后1~4周的VAS评分、谢-川岛评分、动态瘙痒量表(DPS)评分、瘙痒病人生活质量(ItchyQoL)评分。结果治疗前2组VAS评分、谢-川岛评分、DPS评分、ItchyQoL评分差异均无统计学意义。治疗后2组每周的VAS评分、谢-川岛评分均逐渐降低(P<0.01),且治疗组明显低于对照组(P<0.01)。治疗后的第1周、第2周,2组DPS与治疗前比较,差异均无统计学意义(P＞0.05)。治疗后第3周开始,治疗组DPS较前2周明显增高,且高于对照组(P<0.01)。治疗4周后2组ItchyQoL评分均较治疗前明显降低(P<0.01),且治疗组明显低于对照组(P<0.01)。结论单纯黄芩油膏封包治疗或联合自血疗法治疗老年性皮肤瘙痒症均可以使病人的瘙痒症状和生活质量得到明显改善,但自血疗法加黄芩油膏封包起效更快,效果更好。

关键词: 自血疗法, 黄芩油膏, 瘙痒症, 老年人

Abstract: Objective To observe the effect of acupoint autohemotherapy combined with scutellaria baicalensis ointment in the treatment of pruritus in the elderly. Methods Sixty-two elderly patients with pruritus treated in the Affiliated Hospital of Nanjing University of Chinese Medicine from January 2021 to March 2023 were enrolled in this study and randomly divided into treatment group (32 cases) and control group (30 cases). The patients in the treatment group were treated with acupoint autohemotherapy combined with scutellaria baicalensis ointment, and the patients in the control group were treated with scutellaria baicalensis ointment only. The treatment lasted for 4 weeks. The scores of Visual Analogue Scale (VAS), Xie-Kawashima Itch Scale (Xie-Kawashima), Dynamic Pruritus Scale (DPS) and pruritus-specific quality of life instrument (ItchyQoL) were compared between the two groups before treatment and 1-4 weeks after treatment. Results There were no significant differences in the scores of VAS, Xie-Kawashima, DPS and ItchyQoL between the two groups before treatment. After treatment, the scores of VAS and Xie-Kawashima were gradually decreased in the two groups (P<0.01), especially in the treatment group (P<0.01).One and two weeks after treatment, the score of DPS in the two groups showed no significant difference compared with that before treatment (P＞0.05). From the third week after treatment, DPS score in the treatment group was significantly increased, and was higher than that in the control group (P<0.01). After 4 weeks of treatment, the score of ItchyQoL was significantly decreased in the two groups (P<0.01),especially in the treatment group (P<0.01). Conclusions Scutellaria baicalensis ointment can significantly improve the pruritus symptoms and quality of life in the elderly patients with senile pruritus. Acupoint autohemotherapy combined with scutellaria baicalensis Huangqin ointment shows a faster and better effect.

Key words: autohemotherapy, scutellaria baicalensis ointment, pruritus, aged

中图分类号:

姚彦, 王晓红. 穴位自血疗法联合中药膏封包治疗老年性皮肤瘙痒症疗效观察[J]. 实用老年医学, 2025, 39(2): 175-178.

YAO Yan, WANG Xiaohong. Curative effect of acupoint autohemotherapy combined with scutellaria baicalensis ointment in the treatment of pruritus in elderly[J]. Practical Geriatrics, 2025, 39(2): 175-178.

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