微针疗法联合中药内服治疗黄褐斑的临床疗效观察

发布时间：2018-06-16 08:30

本文选题：黄褐斑 + 微针疗法　；参考：《湖北中医药大学》2017年硕士论文

【摘要】：目的通过观察微针疗法联合中药内服治疗黄褐斑的临床疗效,研究对黄褐斑安全、有效的治疗方法,并为此法在临床的推广和运用奠定理论基础。方法本实验共70例患者参与研究,均为2015年1月—2016年5月就诊于湖北省中医院凤凰门诊美容科的黄褐斑患者,且均符合诊断标准及排除标准。采用电脑随机分组法将其分为治疗组和对照组,治疗组35例,采用微针疗法联合中药内服进行治疗,内服中药根据临床所诊断的证型进行辨证组方,用法:颗粒剂水冲服,一剂/日,早晚各服用一次。微针治疗每隔三周治疗一次。三个月为一个疗程。对照组同样35例,采用辨证中药内服联合2%氢醌乳膏(千白)局部外用治疗,其内服中药的辨证组方及用法同治疗组;2%氢醌乳膏于每晚洁面后取适量外擦在面部色斑处,按摩直至药物吸收,同样治疗三个月。两组患者在年龄、病程及辨证分型等基本资料方面,经统计学分析均无显著性差异(P0.05),具有可比性。治疗期间,对所有患者进行随访,了解并记录有无不良反应发生。一个疗程后,对两组患者治疗前后的皮损面积及颜色积分进行评定,并进行统计学分析,比较治疗组和对照组之间的疗效是否具有显著差异性。结果1、经治疗,治疗组临床疗效总有效率为94.29%,对照组总有效率为77.14%,两组对比差异具有显著统计学意义(P0.05);2、经治疗,治疗组对黄褐斑患者皮损面积、颜色的改善明显优于对照组,且两组差异具有统计学意义(P0.05)。治疗过程中及治疗后,两组均未发现不良反应。结论经治疗,两组患者的局部皮损情况及伴随症状均有所改善,但治疗组总有效率明显优于对照组,差异具有统计学意义(P0.05)。说明采用微针疗法联合中药内服治疗黄褐斑,临床疗效较好,可明显提高黄褐斑的临床疗效。
[Abstract]:Objective to study the safe and effective treatment of chloasma by observing the clinical effect of microacupuncture combined with traditional Chinese medicine in the treatment of chloasma, and to lay a theoretical foundation for the clinical application and popularization of the method. Methods A total of 70 patients with chloasma were enrolled in the study from January 2015 to May 2016 in the Department of Cosmetology, Phoenix Clinic of Hubei traditional Chinese Medicine Hospital, and all of them were in accordance with the diagnostic criteria and exclusion criteria. The patients in the treatment group were divided into treatment group and control group at random. 35 cases in the treatment group were treated with microacupuncture combined with traditional Chinese medicine. Take one dose / day each morning and evening. Microacupuncture is treated every three weeks. Three months is a course of treatment. The same 35 cases in the control group were treated by local and external use of 2% hydroquinone cream (Thousand white), the same as the treatment group, which took 2% hydroquinone cream every night after cleansing. Massage until the drug is absorbed, the same treatment for three months. There was no significant difference in age, course of disease and syndrome differentiation between the two groups by statistical analysis. During treatment, all patients were followed up to see if any adverse reactions had occurred. After a course of treatment, the area and color score of skin lesions were evaluated before and after treatment, and statistical analysis was carried out to compare the curative effect between the treatment group and the control group. Results 1. After treatment, the total effective rate of the treatment group was 94.29 and the total effective rate of the control group was 77.14. The difference between the two groups was statistically significant (P 0.05). After treatment, the area and color of the skin lesions in the treatment group were significantly better than those in the control group. The difference between the two groups was statistically significant (P 0.05). During and after treatment, no adverse reactions were found in both groups. Conclusion after treatment, the local skin lesions and associated symptoms of the two groups were improved, but the total effective rate of the treatment group was significantly better than that of the control group, and the difference was statistically significant (P 0.05). The results showed that the treatment of chloasma by microacupuncture combined with traditional Chinese medicine had better clinical effect and could improve the clinical efficacy of chloasma.
【学位授予单位】：湖北中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R275.9

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