梅花针叩刺联合复方补乌糖浆对气滞血瘀型白癜风的临床疗效观察

发布时间：2018-01-01 13:24

本文关键词：梅花针叩刺联合复方补乌糖浆对气滞血瘀型白癜风的临床疗效观察　出处：《安徽中医药大学》2016年硕士论文　论文类型：学位论文

【摘要】：1目的观察梅花针叩刺联合复方补乌糖浆治疗气滞血瘀型白癜风的临床疗效和安全性,分析该联合疗法治疗气滞血瘀型白癜风的可行性和优势,为白癜风的临床治疗提供安全有效的治疗方法。2方法将55例白癜风患者按随机数字表法分为2组,其中治疗组27例,治疗上给予梅花针局部叩刺配合口服复方补乌糖浆联合疗法治疗;对照组28例,给予口服复方补乌糖浆治疗,两组均外涂复方卡力孜然酊。两组均治疗3个月,分别在治疗第1个月后、第2个月后和第3个月后各观察1次,共观察3次。分析比较两组患者治疗前后皮损面积、色素积分的变化和两组的临床疗效,并注意观察两组患者在治疗过程中出现的不良反应。得出的所有数据均采用SPSS17.0软件进行统计学分析。3结果(1)在治疗3个月后,治疗组痊愈3例,显效12例,有效率为55.56%;对照组痊愈1例,显效7例,有效率为28.57%,两组疗效比较,差异有统计学意义(p0.05),治疗组疗效优于对照组;(2)在治疗3个月后,治疗组患者白斑的面积均值为1.40±1.18(cm~2);对照组患者白斑面积的均值为2.48±1.87(cm~2),两组白斑面积大小比较,差异有统计学意义(p0.05);(3)在治疗3个月后,治疗组患者白斑的色素积分均值为1.93±0.94;对照组患者白斑的色素积分的均值为1.36±0.68,两组白斑色素积分比较,差异有统计学意义(p0.05);(4)在治疗过程中,治疗组有4人出现不良反应,对照组有3人出现不良反应,比较无统计学意义(p0.05)。4结论梅花针叩刺联合复方补乌糖浆对治疗气滞血瘀型白癜风有效,在改善患者白斑面积和白斑色素积分方面均优于单纯口服复方补乌糖浆的对照组,且无明显不良反应,值得临床进一步推广。
[Abstract]:Objective to observe the clinical efficacy and safety of plum blossom acupuncture combined with compound Buwu syrup in the treatment of vitiligo with qi stagnation and blood stasis, and to analyze the feasibility and advantages of the combined therapy in the treatment of vitiligo with Qi stagnation and blood stasis. Methods 55 patients with vitiligo were randomly divided into 2 groups, including 27 patients in treatment group. On the treatment, local tapping of plum blossom needle combined with oral compound Buwu syrup combined therapy; In the control group, 28 cases were treated with compound Buwu syrup, and the two groups were treated with compound Kalicumin tincture. The two groups were treated for 3 months, 1 month after treatment, 2 months after treatment and 3 months after treatment respectively. Three times were observed. The changes of skin lesion area and pigment score before and after treatment and the clinical efficacy of the two groups were analyzed and compared. The adverse reactions in the course of treatment were observed in both groups. All the data obtained were statistically analyzed by SPSS17.0 software. 3. Results 1) after 3 months of treatment. In the treatment group, 3 cases were cured, 12 cases were markedly effective, and the effective rate was 55.56%. In the control group, 1 case was cured, 7 cases were markedly effective, and the effective rate was 28.57%. The difference between the two groups was statistically significant (p 0.05). The curative effect of the treatment group was better than that of the control group. (2) after 3 months of treatment, the mean area of leukoplakia in the treatment group was 1.40 卤1.18 cm ~ (-2). The mean white spot area in the control group was 2.48 卤1.87 cm ~ (-2), and the difference between the two groups was statistically significant (p 0.05). 3) after 3 months of treatment, the average pigment score of leukoplakia in the treatment group was 1.93 卤0.94; The average value of pigment score of white spot in the control group was 1.36 卤0.68. The difference between the two groups was statistically significant (P 0.05). 4) in the course of treatment, there were 4 adverse reactions in the treatment group and 3 in the control group. Conclusion Plum blossom acupuncture combined with compound Buwu syrup is effective in the treatment of vitiligo with qi stagnation and blood stasis. It was better than the control group in improving the area of white spot and the integral of pigment of white spot in patients with compound Buwu syrup, and there was no obvious adverse reaction, so it is worth further popularizing in clinic.
【学位授予单位】：安徽中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R275.9

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