首页|期刊导航|中医临床研究|星状神经节穴位埋线联合梅花针治疗慢性湿疹的疗效观察

星状神经节穴位埋线联合梅花针治疗慢性湿疹的疗效观察OA

Clinical efficacy observation of acupoint catgut embedding at stellate ganglion and other points combined with plum-blossom needling in the treatment of chronic eczema

中文摘要英文摘要

目的:本研究旨在评估穴位埋线疗法结合梅花针干预对慢性湿疹的治疗效果,为临床治疗慢性湿疹提供更安全有效的治疗方案.方法:选取 2024 年 8 月-2025 年 8 月山西省针灸医院收治的 80 例慢性湿疹患者作为观察对象,采用随机数字表法分为观察组和对照组,观察组40 例,对照组 38 例(研究过程中对照组有 2 例患者因个人原因脱落,最终完成研究的有38例).对照组予常规西药,观察组予星状神经节等埋线配合梅花针叩刺.治疗 8 周.记录治疗前后两组患者湿疹面积及严重程度指数(eczema area and severity index,EASI)评分、皮肤病生活质量量表(dermatology quality of life scale,DQOLS)评分、瘙痒视觉模拟评分法(visual analog scale for pruritus,VAS-P)评分,检测外周血嗜酸性粒细胞(eosinophil,EOS)指标.EOS 作为反映过敏及炎症状态的重要指标,用于评估治疗对机体炎性反应的影响.结果:对照组的总有效率显著低于观察组.两组受试者的 EASI 评分、EOS 数值及 VAS 评分均下降,与治疗前的差异有统计学意义(P<0.05),且观察组上述指标下降幅度显著大于对照组,生活质量改善程度优于对照组.结论:星状神经节埋线联合梅花针疗法临床效果显著.该联合疗法通过协同作用于神经调节、内分泌平衡及免疫功能可有效抑制炎性反应,减轻皮肤瘙痒症状,缩小湿疹皮损面积,同时显著改善患者生活质量.其作用机制可能与多途径改善局部微循环、调节机体免疫状态有关,为慢性湿疹的临床治疗提供了新思路.

Objective:This study aims to evaluate the therapeutic efficacy of acupoint embedding at stellate ganglion and other points combined with plum-blossom needling therapy in the treatment of chronic eczema,providing a safer and more effective integrative treatment approach for clinical management of chronic eczema.Methods:A total of 80 patients diagnosed with chronic eczema and admitted to Shanxi Provincial Acupuncture Hospital between August 2024 and August 2025 were selected as study subjects.Patients were randomly assigned using a random number method into two groups:40 patients in the observation group and 40 in the control group.During the study,2 patients in the control group withdrew for personal reasons,leaving 38 patients who completed the study in the control group.The control group received conventional Western medicine,while the observation group underwent acupoint embedding at stellate ganglion and other points combined with plum-blossom needling therapy.Eczema Area and Severity Index(EASI),Dermatology Quality of Life Scale(DQOLS),and pruritus Visual Analog Scale(VAS)scores were recorded before and after 8 weeks of treatment;peripheral blood eosinophil(EOS)counts were also assessed.EOS,as a key marker reflecting allergic and inflammatory status,was utilized to evaluate the effect of treatment on the inflammatory response.Results:The total effective rate in the control group was significantly lower than that in the observation group.Both groups exhibited statistically significant reductions in EASI scores,EOS counts,and VAS scores(P<0.05).Furthermore,the observed reductions in the aforementioned indices were significantly greater in the observation group than in the control group,with improvements in quality of life exceeding those in the control group.Conclusion:Acupoint embedding at the stellate ganglion and other points combined with plum-blossom needling therapy exhibits a significant clinical efficacy.This combined therapy,through synergistic effects on neural regulation,endocrine balance,and immune function,effectively inhibits inflammatory responses,alleviates pruritus symptoms,reduces the area of eczema lesions,and significantly improves patient quality of life.It's mechanism of action may involve multipathway enhancement of local microcirculation and modulation of systemic immune status,thereby providing a novel and effective approach for the clinical treatment of chronic eczema.

郝燕楠;王芳;杨凯宇;王巧;孟立强

山西中医药大学第二临床学院,山西 太原,030000山西中医药大学第二临床学院,山西 太原,030000山西省中医院,山西 太原,030000山西中医药大学第二临床学院,山西 太原,030000山西中医药大学附属针灸推拿医院,山西 太原,030000

医药卫生

慢性湿疹星状神经节穴位埋线梅花针临床疗效

Chronic eczemaStellate ganglionAcupoint catgut embeddingPlum-blossom needlingClinical efficacy

《中医临床研究》 2026 (10)

33-37,5

10.3969/j.issn.1674-7860.2026.10.006

评论