劳宫涌泉温针灸在阴虚质痤疮治疗中的疗效观察

发布时间：2018-06-22 14:34

本文选题：痤疮 + 阴虚质　；参考：《广州中医药大学》2013年硕士论文

【摘要】：研究目的痤疮作为最常见的损美性疾病之一,是一种毛囊皮脂腺的慢性炎症性疾病。随着我国进入一个经济飞速发展的崭新时代,生活工作节奏的加快、高糖、高脂及辛辣类食物的过多摄入、化妆品的过度使用、自然环境的污染、食品添加剂的泛滥等各种因素都使痤疮的发病率呈现逐年上升的趋势。阴虚质痤疮是临床常见的一种痤疮证型。本课题采用临床小样本随机对照研究,观察和评估阴虚质痤疮在针刺治疗的基础上,加劳宫涌泉温针灸后的疗效,扩宽临床痤疮治疗思路,探讨辨体辨病辩证三位一体的诊疗思维在损美性疾病防治中的作用。研究方法本研究选取2012年3月至2013年3月在广州中医药大学第一附属医院针灸门诊和皮肤科门诊就诊并确诊为阴虚型痤疮患者60例,随机分为治疗组(30例)和对照组(30例)。治疗组：针刺：太冲、太溪、三阴交、肺俞、肾俞(均为双侧)、劳宫、涌泉、膏肓俞穴位温针灸(双侧)。对照组：太冲太溪三阴交肺俞、肾俞(均为双侧)。膏肓俞穴位温针灸(双侧)。治疗组与对照组均为常规针剌每周2次,四周为一个疗程。总共2个疗程。治疗前及治疗后比较皮损积分等,采用SPSS19.0对所收集的数据进行统计。研究结果 1.治疗组和对照组在治疗后痤疮皮损积分均下降,其中治疗组治疗前后比较,t=7.933,P=0.000；对照组治疗前后比较,t=2.014,P=0.049；与治疗前相比两组在统计学上具有显著性差异(P0.05),说明两种方法都对痤疮皮损状况改善有治疗效果。两组治疗后皮损积分比较,t=-5.37,P=0.000,皮损积分有统计学差异(P0.05),有显著性差异,说明在改善痤疮皮损积分方面治疗组优于对照组。 2.治疗组和对照组在治疗后阴虚体质积分均下降,其中治疗组治疗前后比较,t=3.92,P=0.000；对照组治疗前后比较,t=5.32,P=0.000；与治疗前相比两组在统计学上具有显著性差异(P0.05),说明两种方法都对阴虚体质状况改善有治疗效果。两组治疗后阴虚体质评定积分比较,t=1.413,P=0.163,P0.05无显著性差异,说明在改善阴虚体质方面治疗组和对照组无明显差异。 3.治疗组总有效率93%,对照组总有效率70%,两组总疗效对比Z=-2.068,P=0.039,p0.05结果有显著性差异,说明治疗组综合疗效优于对照组。研究结论 1、在针刺基础上配合劳宫涌泉温针灸,相较于单纯针刺的对照组,在痤疮皮损改善上有更加明显的效果；2、温针灸劳宫涌泉配合针刺以及单纯针刺对阴虚体质的改善均有确切疗效,但无显著性差异；3、本研究在辨体一辨病一辨证的诊疗思维下,从改善疾病症状和纠正发生疾病的土壤(即体质)两方面着重治疗,其疗效确切,在临床上具有推广价值。
[Abstract]:Objective Acne is a chronic inflammatory disease of hair follicle sebaceous gland. As our country enters a new era of rapid economic development, the pace of life and work accelerates, the excessive intake of high-sugar, high-fat and spicy foods, the overuse of cosmetics, and the pollution of the natural environment. The prevalence of food additives and other factors make the incidence of acne increased year by year. Yin deficiency acne is a common type of acne syndrome. In this study, a randomized controlled study of small clinical samples was conducted to observe and evaluate the therapeutic effect of acupuncture on acne due to yin deficiency, and to broaden the therapeutic thinking of acne after acupuncture and moxibustion with Yin-deficiency and Yin-deficiency, including Yin-deficiency acne, Yin-deficiency acne and Yin-deficiency acne. This paper discusses the role of diagnosis and treatment thinking in the prevention and treatment of beauty-damaging diseases by dialectical trinity of differentiation of body and disease. Methods from March 2012 to March 2013, 60 patients with acne of yin deficiency type were selected from the first affiliated Hospital of Guangzhou University of traditional Chinese Medicine. They were randomly divided into treatment group (30 cases) and control group (30 cases). Treatment group: acupuncture: Taichong, Taixi, Sanyinjiao, Fesu, Shenshu (all bilateral), Laogong, Yongquan, oinhuangshu point warm acupuncture (bilateral). Control group: Taichong Taixi Sanyinjiaofei Yu, Shenshu (bilateral). Oinhuangshu point warming acupuncture (bilateral). Treatment group and control group were routine acupuncture twice a week, four weeks as a course of treatment. A total of 2 courses of treatment. SPSS 19.0 was used to analyze the data collected before and after treatment. Results 1. The scores of acne lesions in the treatment group and the control group were decreased after treatment, among which the treatment group was compared with the control group before and after treatment, and the control group was compared with that of the control group before and after treatment, and the control group was compared with the control group before and after treatment, and the control group was compared with the control group before and after treatment. Compared with before treatment the two groups had significant statistical difference (P0.05) indicating that the two methods to improve the status of acne lesions have therapeutic effect. There was significant difference in the score of skin lesion between the two groups (P0.05), which indicated that the treatment group was better than the control group in improving the score of acne lesions. 2. The scores of body constitution of the treatment group and the control group decreased after treatment, among which the treatment group was compared with that of the treatment group before and after treatment, and the control group was compared with that of the control group before and after treatment, and the control group was compared with that of the control group before and after treatment. Compared with before treatment, the two groups had significant statistical difference (P0.05), indicating that the two methods have therapeutic effect on improving the physical condition of Yin deficiency. There was no significant difference between treatment group and control group in improving Yin deficiency constitution. The total effective rate of the treatment group was 933.The total effective rate of the control group was 70. There was a significant difference between the two groups in the total curative effect. The results showed that the comprehensive curative effect of the treatment group was better than that of the control group. Conclusion 1, on the basis of acupuncture combined with Lao Gong Yong Quan warm acupuncture, compared with the control group of pure acupuncture, there is a more obvious effect on the improvement of acne lesions; 2. Warming acupuncture and moxibustion with acupuncture in combination with acupuncture and simple acupuncture have definite curative effect on the improvement of Yin deficiency constitution, but there is no significant difference. This study is based on the thinking of diagnosis and treatment of differentiation of body, disease and syndrome. From the aspects of improving the symptom of disease and correcting the soil (constitution), the curative effect is definite, and it is worth popularizing in clinic.
【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】：2013
【分类号】：R246.7

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