KẾT QUẢ ĐIỀU TRỊ MÀY ĐAY MẠN TÍNH BẰNG PHƯƠNG PHÁP CẤY CHỈ TẠI BỆNH VIỆN DA LIỄU HÀ NỘI

Abstract

Objective: To evaluate the results of chronic urticaria treatment by thread embedding therapy at Hanoi Dermatology Hospital in 2024 and measure the quality of life of patients before and after thread embedding therapy treatment. Subjects and methods: A pre-post intervention study was conducted on 33 patients with chronic urticaria at Hanoi Dermatology Hospital during May-October 2024. The acupuncture points include Quchi, Xuehai, Zusanli, Neiguan, Wenliu, Hegu, Sanyinjiao, Feiyang, Gandu, and Fengchi. The thread embedding procedure was 4 times (each time 2 weeks apart); Monitor and evaluate clinical symptoms (itching, number of wheals, size, frequency, duration of lesions), severity (TSS), urticaria activity (UAS7), quality of life (CU-Q2oL), satisfaction, complications and recurrence. Results: After 4 and 8 weeks of treatment, all symptom indices decreased significantly (p<0.001 compared to before treatment), TSS decreased from 9.97±0.17 to 3.0±0.03 (p<0.001), UAS7 score decreased from 17.76±9.83 to 1.45±2.00 (p<0.001), CU-Q2oL score decreased from 40.10±6.40 to 5.42±8.76 (p<0.001). The rate of mild patients increased from 0% to 75.8%, with no more severe cases. After 8 weeks of treatment, 87.9% of patients were satisfied - very satisfied. The main complications were edema, pain and swelling at the implant site (51.5%). Recurrence occurred in 7.7% after 4 weeks and 20% after 8 weeks of stopping treatment. Conclusion: The thread embedding is safe and effective in significantly improving symptoms and quality of life for patients with chronic urticaria. Combining thread embedding in the treatment regimen for chronic urticaria is a good approach to achieve the goal of reducing symptoms and improving quality of life for patients.