从心论治针刺法对寻常型痤疮的临床疗效观察

发布时间：2018-05-22 10:36

本文选题：针刺 + 从心论治　；参考：《广州中医药大学》2016年硕士论文

【摘要】：目的：观察评价治疗组(从心论治针刺法)和对照组(普通针刺法)中寻常型痤疮的治疗效果差异,以期为从心论治针刺法治疗痤疮提供临床参考依据。方法：从广东省中医院的传统疗法科、针灸科、皮肤科门诊收集符合研究条件的60例寻常型痤疮患者,随机分为两组,分别为治疗组和对照组,每组各30例。治疗组为面部局部选穴和随症配穴,配合从心论治针刺法穴组进行针刺；对照组为面部局部选穴结合随症配穴进行针刺。两组针刺基本选穴为阳白、四白、太阳、颧毼、承浆、阿是穴及中脘,随症配穴为曲池、合谷、气海、足三里、三阴交穴及太溪,从心论治针刺穴位包括神门、内关两穴。治疗频率为每周3次,共治疗4周。疗程结束后,观察记录治疗组和对照组治疗前、治疗后皮损积分减退情况,并对痊愈的患者4周后随访,对其复发人数进行统计。将所有数据收集、整理好,建立相关数据库,用SPSS19.0进行统计学分析。结果：1.研究结束后,对数据进行整理统计。治疗组共30例,包括痊愈4例、显效17例、有效4例及无效5例。对照组共30例,包括痊愈2例、显效11例、有效7例及无效10例。治疗组和对照组的疗效进行比较,结果显示差异有统计学意义(P＜0.05),说明治疗组疗效好于对照组。2.分别比较两组在治疗前、后的皮损积分,结果显示两组的差异具有统计学意义(P＜0.05),可认为两种针刺方法都有助于改善痤疮的皮损状态,对两组治疗前后皮损积分差值的比较,提示差异具有统计学意义(P＜0.05),虽然两组治疗后的皮损积分比较没有差异,但结合治疗组的皮损程度较对照组的严重,说明从心论治法对痤疮皮损程度的改善作用更大。3.对痊愈的患者随访4周。治疗组共4人,复发0人,对照组共2人,复发1人,统计结果显示两组复发率的差异无统计学意义(P＞0.05),说明两种针刺方法治疗寻常型痤疮后的复发率没有差别。统计结果显示,治疗组和对照组寻常型痤疮患者的皮损状态都有改善,但是治疗组疗效要优于对照组,说明从心论治针刺法对寻常型痤疮的皮损积分的改善有积极意义,值得临床推广。而两组随访后的复发率对比无差别,可认为此法仍需继续研究,以更好服务于临床。
[Abstract]:Objective: to observe and evaluate the therapeutic effect of acne vulgaris in the treatment group (acupuncture from the heart theory) and the control group (ordinary acupuncture method), and to provide the clinical reference for the treatment of acne by acupuncture from the heart. Methods: sixty patients with acne vulgaris were collected from traditional Chinese medicine department, acupuncture department and dermatology outpatient department of Guangdong traditional Chinese medicine hospital. They were randomly divided into two groups: treatment group and control group with 30 cases in each group. Treatment group for facial local point selection and with the syndrome points, combined with the heart treatment acupuncture group for acupuncture; the control group for facial local point selection combined with the syndrome of acupuncture points for acupuncture. The basic points of acupuncture were Yangbai, Sibai, Sun, zygomatica, Chengji, Ashi and Zhongwan, and the following acupoints were Quchi, Hegu, Qihai, Zusanli, Sanyinjiao and Taixi. The acupuncture points of acupuncture from the heart treatment included Shenmen and Neiguan. The frequency of treatment was 3 times a week for 4 weeks. After the course of treatment, the patients in the treatment group and the control group were observed and recorded the decrease of skin lesion score before and after treatment, and the patients who were cured were followed up for 4 weeks and the number of recurrence was counted. Collect and organize all data, set up related database, use SPSS19.0 for statistical analysis. The result is 1: 1. After the study, the data are collated and counted. There were 30 cases in the treatment group, including 4 cases of cure, 17 cases of remarkable effect, 4 cases of effective and 5 cases of failure. There were 30 cases in the control group, including 2 cases of cure, 11 cases of remarkable effect, 7 cases of effective and 10 cases of failure. The difference between the treatment group and the control group was statistically significant (P < 0.05), which indicated that the curative effect of the treatment group was better than that of the control group. The results showed that the difference between the two groups before and after treatment was statistically significant (P < 0.05). It can be concluded that the two acupuncture methods can help to improve the condition of acne lesions, and compare the difference between the two groups before and after treatment. The results indicated that the difference was statistically significant (P < 0.05). Although there was no difference in the score of skin lesion between the two groups, the degree of skin lesion in the combined treatment group was more serious than that in the control group. The cured patients were followed up for 4 weeks. There were 4 patients in the treatment group, 0 patients in the treatment group, 2 patients in the control group and 1 patient in the control group. The statistical results showed that there was no significant difference in the recurrence rate between the two groups (P > 0.05), indicating that there was no difference in the recurrence rate between the two methods after treatment of acne vulgaris. The statistical results showed that both the treatment group and the control group had improved skin lesions, but the curative effect of the treatment group was better than that of the control group. It is worth popularizing in clinic. However, there was no difference in the recurrence rate between the two groups after follow-up, so we should continue to study this method in order to better serve the 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】：2016
【分类号】：R246.7

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