火针配合艾灸治疗结节囊肿性痤疮的临床观察

发布时间：2019-01-25 07:59

【摘要】：研究目的：本研究重点在于观察火针配合艾灸治疗结节囊肿性痤疮临床疗效以及火针配合艾灸治疗结节囊肿性痤疮的安全性。本次研究以临床观察所得到的数据和结果作为依据,为临床针灸结合治疗结节囊肿性痤疮提供一种思路。研究方法：(1)本次研究计算需要88例结节囊肿性痤疮患者,并把收集的受试者其随机分为对照组及治疗组两组。(2)治疗组采取火针配合艾灸的治疗方法,对照组采取阿达帕林凝胶联合夫西地酸乳膏的治疗方法。(3)研究结束后将临床观察治疗前、后所得到的数据用Excel记录后进行量化处理,再应用统计软件SPSS17.0进行统计分析。研究结果：本次研究共收集符合要求的病例88例,无剔除病例,脱落3例。两组患者的性别、年龄、病程及治疗前病情轻重程度进行比较,具有可比性(P0.05)。(1)经28天治疗后治疗组、对照组总有效率分别为90.5%,65.1%。治疗组及对照组临床疗效方面比较具有明显差异(P0.05)。并且将两组治疗后结节数目、囊肿数目的、皮损质地、皮损肿痛、皮损颜色的评分进行比较,治疗组在结节囊肿数目减少方面及皮损质地、皮损肿痛皮损改善方面明显优于对照组,两组比较有统计学意义(P0.05)。但是在改善皮损颜色方面治疗组、对照组比较无明显差异(P0.05)。(2)治疗组及对照组两组在减少结节数目、囊肿数目及改善皮损的质地、肿痛、颜色上两组比较均有不同程度的下降(P0.05),说明本次研究所采用的两种治疗方案都对结节囊肿性痤疮均有一定的临床疗效。(3)2个月后对两组治疗有效的患者进行随访,治疗组、对照组复发例数分别为5例、8例,将两组复发率进行比较具有明显统计学差异(P0.05),说明火针配合艾灸组在远期疗效上明显优于对照组。研究结论：火针配合艾灸及疗法及外用夫西地酸乳膏配合阿达帕林凝胶疗法都可以减少皮结节数目、囊肿数目以及改善皮损质地、颜色、肿痛等临床症状,但在总疗效方面前者优于后者。在远期疗效方面比较,火针配合艾灸远期疗效优于对照组阿达帕林凝胶联合夫西地酸乳膏。
[Abstract]:Objective: to observe the clinical efficacy of fire needle combined with moxibustion in the treatment of nodular cystic acne and the safety of fire needle combined with moxibustion in the treatment of nodular cystic acne. Based on the data and results obtained from clinical observation, this study provides a way to treat nodular cystic acne with acupuncture and moxibustion. Methods: (1) 88 patients with nodular cystic acne were calculated and randomly divided into two groups: control group and treatment group. (2) the treatment group was treated with fire needle combined with moxibustion. The control group was treated with adaphalin gel combined with fossidine acid cream. (3) the data obtained before and after clinical observation were quantitatively processed with Excel records after the end of the study. Then the statistical software SPSS17.0 is used for statistical analysis. Results: 88 cases were collected, 3 cases dropped out. Sex, age, course of disease and severity of the disease before treatment were compared between the two groups (P0.05). (1) after 28 days of treatment, the total effective rate of the control group was 90.5 and 65.1, respectively. There was significant difference in clinical efficacy between the treatment group and the control group (P0.05). The number of nodules, the number of cysts, the texture of the lesions, the swelling and pain of the lesions, the color of the lesions were compared between the two groups. In the treatment group, the number of nodule cysts and the texture of the lesions were decreased. The improvement of skin lesions was better than that of the control group, and there was statistical significance between the two groups (P0.05). However, there was no significant difference between the two groups in improving the color of lesions in the treatment group (P0.05). (2). The number of nodules, the number of cysts and the texture, swelling and pain of the lesions were reduced in the treatment group and the control group. The color of the two groups were decreased in different degrees (P0.05). The results showed that both of the two treatments were effective in the treatment of nodular cystic acne. (3) two months later, the patients in the treatment group and control group were followed up, 5 cases in the treatment group and 8 cases in the control group. The recurrence rate of the two groups was significantly different (P0.05), indicating that the long-term efficacy of fire acupuncture plus moxibustion group was significantly better than that of the control group. Conclusion: fire needle combined with moxibustion and therapy and external application of Fusidi acid cream combined with adalin-gel therapy can reduce the number of cutaneous nodules, the number of cysts, and improve the texture, color, swelling and pain of skin lesions and other clinical symptoms. But the former is superior to the latter in the total curative effect. The long term curative effect of fire needle combined with moxibustion was better than that of the control group.
【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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