毫火针结合放血疗法治疗肺胃热盛型面部脂溢性皮炎的临床研究

发布时间：2018-05-31 23:39

本文选题：毫火针 + 放血疗法　；参考：《成都中医药大学》2016年硕士论文

【摘要】：目的：探讨毫火针结合放血疗法治疗肺胃热盛型面部脂溢性皮炎的临床疗效。方法：采用随机对照试验研究方法,把符合标准的面部脂溢性皮炎患者70例,随机分为治疗组和对照组,各35例。设立毫火针结合放血疗法为治疗组,3天治疗1次。药物外用(地奈德乳膏)为对照组,2次／日。两组治疗周期均为两周,并于治疗后4周随访。观察指标为治疗组和对照组的皮损、症状情况评分,于治疗前、治疗2周、完成治疗后4周分别记录；同时记录治疗前后患者皮肤病生活质量量表评分,运用相关量表评价比较,期望通过比较疗效、症状、生活质量改善等方面,从而探讨毫火针结合放血疗法治疗面部脂溢性皮炎的临床疗效。结果：1.治疗组与对照组的基线相比较,分布比较均衡,具有可比性。2.组内比较：两组治疗前后症状总积分、各症状积分,皮肤病生活质量积分及两组治疗前与治疗结束后4周症状总积分、各症状积分比较有统计学差异(P0.01)；3.组间比较：(1)两组治疗后症状总积分及两组治疗结束后4周症状总积分比较差异无统计学意义(P0.05)。(2)两组治疗后各症状积分比较差异有统计学意义(P0.05)。在斑丘疹、斑片面积及瘙痒方面,治疗组优于对照组,在鳞屑及糜烂渗出方面,对照组优于治疗组。(3)两组治疗结束后4周各症状积分除斑丘疹两组差异无统计学意义(P0.05),其余症状比较差异均有统计学意义(P0.05)。在斑片面积及瘙痒方面,治疗组优于对照组,在鳞屑及糜烂渗出方面,对照组优于治疗组。(4)两组治疗后皮肤病生活质量积分比较差异有统计学意义(P0.01),治疗组优于对照组。(5)两组治疗后总有效率差异无统计学意义(P0.05)。(6)两组治疗结束4周后复发率评价差异有统计学意义(P0.05),治疗组优于对照组。(7)两组安全性及依从性均良好(P0.05)。结论：1.毫火针结合放血疗法治疗肺胃热盛型面部脂溢性皮炎疗效确切,与常规西药治疗的总体疗效相当。2.毫火针结合放血疗法治疗面部脂溢性皮炎是一种安全有效、且复发率低的非药物治疗方法。
[Abstract]:Objective: to investigate the clinical effect of the treatment of seborrheic dermatitis of lung and stomach heat. Methods: 70 patients with seborrheic dermatitis were randomly divided into treatment group and control group. The treatment group was treated once for 3 days. The drug was used as control group twice a day. The two groups were followed up for 4 weeks. The indexes of observation were skin lesions and symptom scores of the treatment group and the control group. Before treatment, 2 weeks after treatment, 4 weeks after the treatment, the score of quality of life of patients with skin diseases was recorded before and after treatment. The clinical effect of seborrheic dermatitis on facial seborrheic dermatitis was discussed by comparison of curative effect symptom and quality of life. The result is 1: 1. Compared with the baseline of the control group, the distribution of the treatment group was more balanced and comparable. 2. 2. Intra-group comparison: total symptom score, quality of life score of skin disease and total symptom score before treatment and 4 weeks after treatment were compared between the two groups, and there was significant difference between the two groups in the symptom score before and after treatment (P 0.01). There was no significant difference between the two groups in the total symptom score after treatment and the total symptom score at 4 weeks after treatment. The treatment group was superior to the control group in terms of macular papules, macular area and pruritus, and was superior to the control group in scales and erosion and exudation. The control group was superior to the treatment group (P < 0.05). There was no significant difference between the two groups in every symptom score except macular papules at 4 weeks after treatment, but there were significant differences in the other symptoms between the two groups (P 0.05). In the area of spot area and pruritus, the treatment group was superior to the control group in scale and erosive exudation, Control group is better than treatment group.) there is significant difference in quality of life score of dermatosis between two groups after treatment (P 0.01), treatment group is superior to control group. 5) there is no significant difference in total effective rate after treatment in two groups (P 0.05, P 0.05, P 0. 05, P 0. 05, P 0. 05, P 0. 05, P 0. 05, P 0. 05, P 0. 05). There was significant difference in the recurrence rate between the two groups (P 0.05). The safety and compliance of the treatment group was better than that of the control group (P 0.05). Conclusion 1. The curative effect of acupuncture combined with bloodletting therapy on seborrheic dermatitis of face with lung and stomach heat is exact, which is equivalent to the general curative effect of routine western medicine. 2. It is safe and effective to treat seborrheic dermatitis of facial seborrheic dermatitis.
【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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