梅花罐疗法配合针刺治疗女性气郁质黄褐斑的疗效观察
发布时间：2018-08-24 12:04
【摘要】：目的:黄褐斑是机体内部气血失调的表现,临床多无不适症状,多因发生于颜面部的黄褐斑影响审美而寻求治疗。在现代对美容越发重视的环境下,探索黄褐斑治疗的有效方法,减轻黄褐斑色素沉着,降低其复发率至关重要。西医尚无确切的治疗方法,采取中医治疗手段是很有前景的。本课题采用常规针刺配合傅杰英教授常用的"梅花罐疗法"为特色,即在普通针刺的基础上,于特定穴位(中府、膻中、期门、日月)处拔5个火罐,同时用梅花针叩刺罐印颜色异常处(或紫、或黑、或暗、或红)的针罐配合之综合治疗,通过观察气郁质女性黄褐斑颜色、面积改善情况及气郁质积分变化,评价梅花罐治疗女性气郁质黄褐斑的疗效。方法:采用最新版本诊断及疗效判定标准,将纳入的符合标准的60例女性黄褐斑患者,通过简单随机数字表随机分为两个组(治疗组和对照组),每组各30例,其中治疗组实施梅花罐疗法配合普通针刺治疗,对照组单纯使用普通针刺治疗,两组均结合生活作息指导及情绪疏导。其中普通针刺选穴如下:褐三针(太阳、颧骼、下关)、肝俞、足三里、三阴交、合谷、太冲、行间、面部阿是穴。梅花罐选穴如下:中府、膻中、日月、期门,并在罐印颜色异常(或紫、或暗、或鲜红)处用梅花针轻刺激,以皮肤潮红为度。通过一周3次,4周一疗程,坚持3个疗程治疗后通过运用统计软件(SPSS22.0)比较治疗前后两组疗效、黄褐斑皮损改善及气郁体质积分变化,判定梅花罐法治疗女性气郁质黄褐斑的临床效果。成果:治疗前一般资料(包括年龄、病程、皮损积分、体质积分等)比较无统计学意义(P0.05),具有可比性。治疗组剔除1例,对照组脱落1例,坚持完成治疗的58例,经过统计得:治疗组基本治愈2例,显效18例,好转6例,无效3例,总有效率为89.66%;对照组基本治愈1例,显效14例,好转6例,无效8例,总有效率为72.41%,两组疗效经比较,差异有统计学意义(P0.05)。在黄褐斑皮损改善方面,两组在治疗后皮损积分较治疗前均有下降,但治疗组积分下降较对照组明显,经比较,差异有统计学意义(P0.05)。在气郁体质改善方面,两组在治疗后气郁体质评分较治疗前均有不同程度下降,但治疗组评分下降较对照组明显,经比较,差异有统计学意义(P0.05)。说明治疗组无论在治疗气郁质黄褐斑的疗效,还是对黄褐斑皮损和气郁体质改善均优于对照组。结论:本观察最后得出:梅花罐是一种确实有效的改善气郁质从而进一步改善女性黄褐斑的治疗手段,操作简单、经济实惠、易于推广。对于提高治疗黄褐斑效果及改善气郁体质属标本同治的新方法,为制定规范化治疗黄褐斑的中医诊疗方案提供临床依据。
[Abstract]:Objective: chloasma is an internal disorder of qi and blood. In the modern environment where more and more attention is paid to beauty, it is very important to explore an effective method for the treatment of chloasma, to reduce the pigmentation of chloasma and to reduce the recurrence rate of chloasma. There is no definite treatment method in western medicine, and it is very promising to adopt traditional Chinese medicine treatment method. This subject adopts the "plum flower cupping therapy", which is commonly used by Professor Fu Jieying, and is characterized by routine acupuncture, that is, on the basis of common acupuncture, 5 cupping vessels are drawn at specific acupoints (Zhongfu, Tanzhong, Shimen, Sun and Yue). At the same time, the combined treatment of needle and pot in abnormal color (purple, black, dark or red) with plum flower needle was used to observe the color of chloasma, the improvement of area and the change of integral of air tuber. To evaluate the efficacy of plum pot in the treatment of female chloasma. Methods: 60 female chloasma patients were randomly divided into two groups (treatment group and control group) with 30 cases in each group by using the latest version of diagnostic and curative effect criteria, and 60 female chloasma patients who met the criteria were randomly divided into two groups (treatment group and control group). Among them, the treatment group was treated with plum flower cupping combined with general acupuncture, while the control group was treated with simple ordinary acupuncture. The two groups were combined with daily life guidance and emotional guidance. One of the common acupuncture points as follows: Brown three needles (sun, zygomatica, Xiaguan), Ganshu, Zusanli, Sanyinjiao, Hegu, Taichong, interline, facial Ashi. Plum pot selection as follows: Zhongfu, Tanzhong, Sun Moon, period door, and in the pot printing color abnormal (or purple, or dark, or bright red) with plum needle light stimulation, to the degree of flushing skin. After three courses of treatment, statistical software (SPSS22.0) was used to compare the curative effect of the two groups before and after the treatment, the improvement of chloasma skin lesion and the change of physical integral of qi depression. To evaluate the clinical effect of plum flower cupping in the treatment of female chloasma. Results: the general data before treatment (including age, course of disease, skin lesion score, physique score, etc.) were not statistically significant (P0.05), comparable. In the treatment group, 1 case was eliminated, 1 case was lost in the control group, 58 cases persisted in completing the treatment. The statistics showed that 2 cases were basically cured, 18 cases were markedly effective, 6 cases were improved, 3 cases were ineffective, the total effective rate was 89.66% in the treatment group, and 1 case was basically cured in the control group. The total effective rate was 72.41. The difference between the two groups was statistically significant (P0.05). In the improvement of melasma skin lesions, the two groups in the treatment of skin lesion scores were lower than before treatment, but the treatment group score decreased significantly than the control group, the difference was statistically significant (P0.05). In the improvement of qi depression constitution, the scores of qi depression in the two groups were lower than before, but the scores of the treatment group were significantly lower than that of the control group, the difference was statistically significant (P0.05). The results showed that the treatment group was superior to the control group in the treatment of chloasma, the skin lesion of chloasma and the improvement of qi depression constitution. Conclusion: plum pot is an effective treatment for chloasma, which is simple, economical and easy to popularize. It can improve the effect of treating chloasma and improve the common treatment of Qi stagnation constitution. It provides a clinical basis for the establishment of standardized treatment of chloasma.
【学位授予单位】：广州中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R246.7
本文编号：2200772
[Abstract]:Objective: chloasma is an internal disorder of qi and blood. In the modern environment where more and more attention is paid to beauty, it is very important to explore an effective method for the treatment of chloasma, to reduce the pigmentation of chloasma and to reduce the recurrence rate of chloasma. There is no definite treatment method in western medicine, and it is very promising to adopt traditional Chinese medicine treatment method. This subject adopts the "plum flower cupping therapy", which is commonly used by Professor Fu Jieying, and is characterized by routine acupuncture, that is, on the basis of common acupuncture, 5 cupping vessels are drawn at specific acupoints (Zhongfu, Tanzhong, Shimen, Sun and Yue). At the same time, the combined treatment of needle and pot in abnormal color (purple, black, dark or red) with plum flower needle was used to observe the color of chloasma, the improvement of area and the change of integral of air tuber. To evaluate the efficacy of plum pot in the treatment of female chloasma. Methods: 60 female chloasma patients were randomly divided into two groups (treatment group and control group) with 30 cases in each group by using the latest version of diagnostic and curative effect criteria, and 60 female chloasma patients who met the criteria were randomly divided into two groups (treatment group and control group). Among them, the treatment group was treated with plum flower cupping combined with general acupuncture, while the control group was treated with simple ordinary acupuncture. The two groups were combined with daily life guidance and emotional guidance. One of the common acupuncture points as follows: Brown three needles (sun, zygomatica, Xiaguan), Ganshu, Zusanli, Sanyinjiao, Hegu, Taichong, interline, facial Ashi. Plum pot selection as follows: Zhongfu, Tanzhong, Sun Moon, period door, and in the pot printing color abnormal (or purple, or dark, or bright red) with plum needle light stimulation, to the degree of flushing skin. After three courses of treatment, statistical software (SPSS22.0) was used to compare the curative effect of the two groups before and after the treatment, the improvement of chloasma skin lesion and the change of physical integral of qi depression. To evaluate the clinical effect of plum flower cupping in the treatment of female chloasma. Results: the general data before treatment (including age, course of disease, skin lesion score, physique score, etc.) were not statistically significant (P0.05), comparable. In the treatment group, 1 case was eliminated, 1 case was lost in the control group, 58 cases persisted in completing the treatment. The statistics showed that 2 cases were basically cured, 18 cases were markedly effective, 6 cases were improved, 3 cases were ineffective, the total effective rate was 89.66% in the treatment group, and 1 case was basically cured in the control group. The total effective rate was 72.41. The difference between the two groups was statistically significant (P0.05). In the improvement of melasma skin lesions, the two groups in the treatment of skin lesion scores were lower than before treatment, but the treatment group score decreased significantly than the control group, the difference was statistically significant (P0.05). In the improvement of qi depression constitution, the scores of qi depression in the two groups were lower than before, but the scores of the treatment group were significantly lower than that of the control group, the difference was statistically significant (P0.05). The results showed that the treatment group was superior to the control group in the treatment of chloasma, the skin lesion of chloasma and the improvement of qi depression constitution. Conclusion: plum pot is an effective treatment for chloasma, which is simple, economical and easy to popularize. It can improve the effect of treating chloasma and improve the common treatment of Qi stagnation constitution. It provides a clinical basis for the establishment of standardized treatment of chloasma.
【学位授予单位】：广州中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R246.7
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