| 朱蓓蓓.不同负压及摩擦次数走罐治疗斑块状银屑病的临床疗效观察[J].实用中西医结合临床,2023,23(8): |
| 不同负压及摩擦次数走罐治疗斑块状银屑病的临床疗效观察 |
| Clinical observation of cupping with different negative pressure and friction times in the treatment of plaque psoriasis |
| 投稿时间：2023-02-10 修订日期：2023-04-18 |
| DOI： |
| 中文关键词: 关键词：负压及摩擦次数 走罐 斑块状银屑病 交互作用 |
| 英文关键词: KEY WORDS: Negative pressure and friction times Cupping therapy Plaque psoriasis Interaction |
| 基金项目:新疆医科大学科研创新基金项目：走罐负压及摩擦次数对寻常型斑块状银眉病 PASI 改变的析因设计随机对照研究（2019ZYY201819） |
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| 中文摘要: |
| 【摘要】目的 ：探索走罐治疗斑块状银屑病患者的最佳走罐负压及摩擦次数的组合。方法：将128例斑块状银屑病走罐的患者纳入试验，采取随机分组，分成4个试验组，每组32人。采用析因设计，两因素两水平分别是：走罐负压为0.01-0.02Mpa和0.03-0.04Mpa；摩擦次数为20次和30次。4组分别在走罐前及出院后进行PASI评分、疗效评判，在出院后3个月进行随访观察复发情况以及患者的满意度。结果：4组走罐后的PASI评分及疗效有差异，但无统计学意义，负压的主效应及负压与摩擦次数的交互作用差异有统计学意义（P＜0.001），负压的主效应差异无统计学意义（F=0.850，P=0.397）。结论：负压在0.03-0.04Mpa,摩擦次数20或30次的走罐治疗较为理想的选择，为临床提供了有效的依据。 |
| 英文摘要: |
| Abstract：Objectiv To explore the optimal combination of negative pressure and friction times of cupping for the treatment of spleen deficiency and dampness in plaque psoriasis patients. Methods 128 patients with plaque psoriasis of spleen deficiency and dampness were included in the experiment. Randomly divided into 4 experimental groups, 32 people in each group.Using factorial design, the two factors and two levels are as follows: cupping therapy negative pressure is divided into 0.01-0.02mpa and 0.03-0.04mpa, denoted by A1 and A2 respectively. The Times of friction are divided into 20 times and 30 times, represented by B1 and B2 respectively. Patients in 4 groups were treated with four methods of cupping therapy: experimental group 1(A1B1), experimental group 2 (A1B2), experimental group 3 (A2B1) and experimental group 4 (A2B2), and cupping therapy was performed once a day. All patients in 4 groups received general care and basic treatment of dermatology. PASI score and efficacy evaluation were performed before cupping therapy and after discharge. The follow-up of patients was conducted 3 months after discharge to observe the recurrence and patient satisfaction. Results PASI score and efficacy of the four groups after cupping therapy were different, but there was no statistical significance. The main effect of negative pressure and the interaction between negative pressure and friction times were statistically significant (P < 0.001), while the main effect of negative pressure was not statistically significant (F=0.850, P=0.397). Conclusion Cupping therapy with negative pressure of 0.03-0.04mpa and friction times of 20 or 30 times is an ideal choice, which provides an effective basis for clinical practice. |
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