火针治疗皮脂腺囊肿临床疗效观察

发布时间：2018-10-12 17:29

【摘要】：目的:研究火针治疗皮脂腺囊肿的临床疗效及其对术口恢复的影响,为火针治疗皮脂腺囊肿提供临床依据。方法:将符合皮脂腺囊肿纳入标准的62例患者随机分为治疗组和对照组,每组各31人,治疗组采用火针点刺囊肿局部阿是穴和相应配穴的方法,囊肿局部阿是穴火针1次,体穴每周火针点刺1次,连续4周为1疗程,对照组采用常规手术切除囊肿,手术治疗1次,隔日换药1次,至伤口干洁愈合,治疗后3个月随访,观察有无复发等不良反应,研究两组患者治疗后及随访期患者囊肿消退率、术口恢复评分及优良率,采用SPSS20.0进行疗效评定。结果:1、一般资料比较,治疗前两组性别、证型对比用χ2检验,无统计学意义(P0.05),两组之间有可比性,两组患者年龄、病程对比用独立样本t检验,两者均无统计学意义(P0.05),两者均有可比性,治疗前试验组主要评价指标评分为6.80± 1.42,对照组主要评价指标为7.13±1.38,两组经独立样本t检验,差别无统计学意义(P0.05),两组之间具有可比性。2、试验过程中治疗组与对照组各脱失1例,最后每组入组各30例,两组治疗前、后,试验组主要评价指标评分分别为6.69±1.38、0.47±1.28,经配对样本t检验,差别有统计学意义(P0.05),对照组主要评价指标评分分别为7.10± 1.36、0.27±0.45,经配对样本t检验,差别有统计学意义(P0.05),说明两组治疗方法均有效,说明火针和手术疗法均可改善囊肿状态,治疗后两组组间比较,试验组主要评价指标评分为0.47±1.28,对照组主要评价指标评分为0.27±0.45,两组经独立样本t检验,差别无统计学意义(P0.05),火针疗法与手术疗法的疗效差异不大,在总体疗效方面,两组经秩和检验,差别无统计学意义(P0.05),说明两组治疗方法疗效相当。3、治疗后对两组术口恢复评分比较,试验组术口恢复评分为1.90±1.71,对照组术口恢复评分为3.07±1.82,两组经独立样本t检验,差别具有统计学意义(P0.05),说明火针治疗皮脂腺囊肿在术口恢复方面优于常规手术组,在术口恢复优良率方面,经秩和检验,差别具有统计学意义(P0.05),说明试验组对术口恢复总的优良率要好于对照组。结论:火针和常规手术疗法对皮脂腺囊肿疗效确切,在改善总体症状评分方面均有优势;火针疗法治疗皮脂腺囊肿术后术口愈合时间短、遗留疤痕及色素沉着少,明显优于常规手术组。
[Abstract]:Objective: to study the clinical effect of sebaceous gland cyst treated by fire needle and its effect on the recovery of sebaceous gland cyst, and to provide clinical basis for the treatment of sebaceous gland cyst by fire needle. Methods: 62 patients with sebaceous cysts were randomly divided into treatment group (n = 31) and control group (n = 31). Body acupoints were punctured once a week for 4 weeks as a course of treatment. The control group was treated with routine operation, treated once, changed dressing once every other day, until dry healing of the wound, followed up for 3 months after treatment, and observed whether there were any adverse reactions such as recurrence or not. The rate of cysts regression, operative recovery score and excellent and good rate after treatment and follow-up were studied in both groups. SPSS20.0 was used to evaluate the curative effect. Results: 1, general data comparison, before treatment the two groups gender, syndrome type contrast with 蠂 2 test, there is no statistical significance (P0.05), the two groups have comparability, two groups of patients age, course of disease with independent samples t test, There was no significant difference between the two groups (P0.05). The scores of the main evaluation indexes before treatment were 6.80 卤1.42 in the experimental group and 7.13 卤1.38 in the control group. The difference was not statistically significant (P0.05), the two groups were comparable. 2. In the course of the trial, the treatment group and the control group each lost 1 case, the last 30 cases in each group, the two groups before and after treatment, The scores of main evaluation indexes in the test group were 6.69 卤1.38 卤0.47 卤1.28 respectively, and the difference was statistically significant (P0.05) by paired sample t test. The main evaluation index scores of the control group were 7.10 卤1.36 卤0.27 卤0.45, respectively. The difference was statistically significant (P0.05), indicating that the two treatment methods are effective, indicating that fire acupuncture and surgical treatment can improve the status of cysts, the comparison between the two groups after treatment, The main evaluation index score of the trial group was 0.47 卤1.28, and that of the control group was 0.27 卤0.45.The difference between the two groups was not statistically significant (P0.05), but there was no significant difference between the two groups (P0.05). After rank sum test, there was no significant difference between the two groups (P0.05), indicating that the curative effect of the two groups was equal to 0.3, and the recovery score of the two groups was compared after treatment. The recovery score of the experimental group was 1.90 卤1.71, and that of the control group was 3.07 卤1.82. The difference between the two groups was statistically significant (P0.05), which indicated that the sebaceous gland cyst treated by fire acupuncture was superior to the conventional operation group in the recovery of the sebaceous gland cyst. The difference was statistically significant by rank sum test (P0.05), indicating that the total excellent and good rate of the treatment group was better than that of the control group. Conclusion: fire acupuncture and conventional surgical therapy are effective in treating sebaceous gland cysts and have advantages in improving the overall symptom score, the healing time is short, and the residual scars and pigmentation are less in the treatment of sebaceous gland cysts. It was obviously superior to the routine operation group.
【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】：2017
【分类号】：R246.7

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