Clinical Research On Superficial Insertion Of Filiform-fire Needle Combined With Acupuncture On Chronic Eczema

ObjectiveChronic eczema is a common diease in dermatology,which is characterized by localised skin rash with thickening,coarse moss-like lesion,abnormal dark color or chromatosis,sometimes covered by scratches and scabs.Patients with chronic eczema complain mainly of the affliction to appearance and skin itching,with recurrent attacks and constant suffering.Medicines are featured by short-term effect while their side effects are difficult to avoid.Other therapies haven't been widely used in clinical practice owing to the high prices.Filiform-fire needle and acupuncture are both effective in the treatment of eczema,which is proven by the evidences from articles and researches.The superficial insertion of filiform-fire needle combined with acupuncture is a integrated therapy with characteristics of both two.This research focuses on the clinical validity and practicability of the therapy so as to ascertain it as safe,effective and painless in the treatment of chronic eczema.Further evidence for clinical practice and other researches will be provided based on the results of this research.MethodsAccording to the diagnostic standard,inclusion standard and exclusion standard,during this time from May,2016 to February,2017,60 patients with chronic eczema are selected from the in-patient and out-patient departments of the first affiliated hospital with Guangzhou University of TCM and-Guangzhou NO.2 TCM Hospital.Some of them are volunteers for this research among students.All the 60 patients are randomly divided into the treatment group and the control group,with 30 patients in a group respectively.The patients in treatment group receives the therapy of the superficial insertion of filiform-fire needle combined with acupuncture,while the patients in control group are required to use Halometasone cream regularly.The observation index include the following three:EASI scale,VAS scale and EPQOLS scale.The total treatment costs 8 weeks,which are divided into 4 courses(2 weeks as a course).Patients are treated 3 times a week and after the first,second,third and fourth courses,all the patients should be interviewed and the effects should be evaluated by scores of the three scales.the recording scores are analysed by SPSS17.0.ResultsThe effects are classified into 4 grades:cure,obvious effective,effec tive,ineffective.Treatment group:cure 0,obvious effective 13,effective 16,ineffective 1;effective rate:43.33%and total effective rate:96.67%.Control group:cure 0,obvious effective 4,effective 24,ineffective 2;effective rate:13.33%and total effective rate:93.33%.The effective rates of the two groups are statistically significant,with that of the treatment group higher than that of the control group.The total effective rates have no statistical significance.Totally speaking,the effect of the treatment group is better than that of the control group.In both groups,the scores of EASI have a obvious reduction after every course,which indicates that the clinical effects of alleviating symptoms are constant and stable during the total treatment.The differences between the EASI scores of the two groups have no statistical significance after the first two courses.After the last two courses,the statistical significance come out,which means the advantage of the therapy can not be detected until sufficient time is spent.The differences between the VAS scores of the two groups are statistical significant after every course,which means the clinical effects of diminishing itching sensation are constant and stable during the total treatment.The differences between the EPQOLS scores of the two groups are statistical significant after every course,which means the clinical effects of improving life quality are constant and stable during the total treatment-The patients are interviewed after the treatment,with an interval of a month,and concurrent attacks occur in both groups.The concurrence rates have no statistical significance.ConclusionConclusively,the clinical effect of the superficial insertion of filiform-fire needle combined with acupuncture is better than that of using Halometasone cream,which is obviously seen in the late period of chronic eczema treatment.The superficial insertion of filiform-fire needle combined with acupuncture is a valuable therapy for eczema by alleviating symptoms,diminishing itching sensation and improving life quality.However,this therapy fails to prevent concurrence,which needs further research and improvement.