火针结合艾灸治疗稳定期局限性白癜风的临床研究

发布时间：2018-04-03 10:27

本文选题：稳定期局限性白癜风　切入点：火针　出处：《成都中医药大学》2016年硕士论文

【摘要】：目的：本临床试验采取随机对照的方式,观察火针结合艾灸治疗稳定期局限性白癜风的临床疗效。方法：将纳入的70例病例,随机分成两组,治疗组35例采取“火针结合艾灸”疗法；对照组35例采取外用“卤米松乳膏”疗法,两组均以3个月为1个疗程,1个疗程结束后,对两组疗效进行评定。依照《黄褐斑和白癜风的诊疗标准》判定疗效。对比两组治疗前后皮损面积、皮损色素分的变化,统计分析两组的治疗效果。以上观察结果应用SPSS17.0统计软件进行分析。结果：1、治疗组与对照组的基线比较,分布均衡,无统计学差异,具有可比性(P0.05)。2、综合疗效比较,治疗组与对照组的总有效率无统计学差异(P0.05)；但治疗组的愈显率优于对照组,有统计学差异(P0.05)。3、治疗后两组患者皮损复色面积组间比较有显著统计学差异(P0.01)。4、治疗前后,两组患者皮损面积组内比较有显著统计学差异(P0.01)。5、治疗后两组患者皮损色素分比较无统计学差异(P0.05)。6、两组在疗程结束3个月后随访,其皮损复发率无统计学差异(P0.05)。结论：1、火针结合艾灸与卤米松乳膏治疗稳定期局限性白癜风均有较好疗效。2、火针结合艾灸治疗稳定期局限性白癜风在缩小皮损面积方面较卤米松乳膏疗效显著。3、火针结合艾灸疗法在治疗稳定期局限性白癜风上疗效显著、安全可控、成本低廉、操作简便、不良反应少,是对激素不良反应的一种良好替代。
[Abstract]:Objective: to observe the clinical effect of fire acupuncture combined with moxibustion in the treatment of stable local vitiligo.Methods: 70 cases were randomly divided into two groups: the treatment group (35 cases) was treated with "fire acupuncture combined with moxibustion", the control group (35 cases) was treated with "halomasone cream", the two groups were treated with 3 months as a course of treatment and 1 course of treatment was completed.The curative effect of the two groups was evaluated.According to the criteria for diagnosis and treatment of chloasma and vitiligo, the curative effect was evaluated.The changes of skin lesion area and pigment score before and after treatment were compared and the therapeutic effects were statistically analyzed.The above observation results were analyzed by SPSS17.0 statistical software.Results: compared with the control group, the baseline distribution of the treatment group was balanced and there was no statistical difference. There was no significant difference in the total effective rate between the treatment group and the control group (P 0.05), but the effective rate of the treatment group was better than that of the control group, and there was no significant difference in the total effective rate between the treatment group and the control group (P 0.05).There was a significant difference between the two groups in the area of skin lesion color after treatment (P 0.01. 4). Before and after treatment, there was a significant difference between the two groups before and after treatment, and there was a significant difference between the two groups before and after treatment.ConclusionThe combination of fire needle and moxibustion and halomethasone cream has better curative effect on stable limited vitiligo. Fire needle combined with moxibustion has a better effect on reducing the area of skin lesion than halomethasone cream.The effect of fire acupuncture combined with moxibustion therapy on the treatment of localized vitiligo in stable period is remarkable.Safe and controllable, low cost, simple operation and less adverse reaction, it is a good substitute for steroid adverse reaction.
【学位授予单位】：成都中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R246.7

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