中国中西医结合皮肤性病学杂志2025，Vol.24Issue(3)：199-204,6.
皮肤镜引导下改良火针刺法治疗多发性跖疣的随机对照研究
Randomized Controlled Study of Modified Fire Needle Puncture Under Dermoscope-guided in the Treatment of Multiple Plantar Warts
摘要
Abstract
Objective In order to observe the clinical effects of modified fire-needle acupuncture method guided by dermoscope in the treatment of multiple plantar warts,and to evaluate the technical advantages of this improved method compared with the traditional method.Methods A total of 70 patients with multiple plantar verruca treated in Hangzhou Third People's Hospital from June 2022 to June 2023 were randomly divided into an improvement group and a control group with 35 patients in each group.The improvement group was treated with modified fire acupuncture under the guidance of portable dermoscope.The control group was treated with traditional fire acupuncture.Both groups were treated once a week for three weeks as a course of treatment.The curative effect was statistically measured after two courses of treatment.The self-designed symptom score,dermatological life quality index(DLQI)score and typical skin lesion area of both groups were observed before and after treatment,and the safety of treatment,patient compliance and the recurrence of effective cases were evaluated.Results During the study,there were two cases in the improvement group and three cases in the control group missed,respectively,and 65 cases completed the whole process of the study.There were no statistical significances in the general information,self-designed symptom score,DLQI score and typical lesions area before treatment between the two groups(P＞0.05),which were comparable.The total effective rate of the improved group was higher than that of the control group(87.88％vs.65.63％,P＜0.05).Compared with before treatment,the self-designed symptom score,DLQI score and typical lesion area in both groups were significantly reduced or reduced after treatment(P＜0.05).After treatment,the self-desingned symptom score and DLQI score in the improved group were significantly lower than those in the control group(P＜0.05),and the typical lesions were also smaller than those in the control group(P＜0.05).There were no adverse reactions and treatment-related complications in both groups.The loss rate of the improved group was lower than that of the control group(5.71％vs.8.57％,P＞0.05),and the total loss rate of both groups was 7.14％.The recurrence rate in the improved group was lower than that in the control group(6.90％vs.28.57％,P＜0.05).Conclusion The treatment of multiple plantar warts with modified fire needle under the guidance of dermoscope is accurate and has outstanding clinical effect.Compared with the traditional fire acupuncture method,not only the wart removal is more thorough,but also the treatment safety is high,the recurrence rate of the wart is low,the patient compliance is good,and has certain technical advantages.关键词
火针/皮肤镜/阿是穴/多发性/跖疣Key words
Fire-needle acupuncture/Dermatoscope/A Shi point/Multiple/Plantar wart分类
医药卫生引用本文复制引用
徐纬,王松,叶文雄,陈娜,边可,杨萍..皮肤镜引导下改良火针刺法治疗多发性跖疣的随机对照研究[J].中国中西医结合皮肤性病学杂志,2025,24(3):199-204,6.基金项目
浙江省中医药科技计划项目(编号:2022ZB281). （编号:2022ZB281）
