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針刺結合艾灸治療黃褐斑的療效觀察
楊密, 韓美子, 黎明修
天津中醫藥大學附屬??滇t院中醫科, 天津 300193
摘要:
[目的] 觀察針刺結合艾灸治療黃褐斑的臨床療效。[方法] 選取的80例黃褐斑患者在2020年12月—2022年3月期間診治于天津中醫藥大學附屬??滇t院中醫科,采取隨機分配,治療組40例和對照組40例,治療期間脫落4例,最終納入患者76例,治療組39例,對照組37例。治療組選取針刺結合艾灸,對照組選取口服維生素C和E,兩組均連續治療觀察4周。觀察其治療前后皮損面積、皮損顏色積分,并比較臨床愈顯率以及RGB(偏振光)色斑指數。[結果] 治療組治療后皮損面積積分為(0.92±0.13)分,低于對照組的(1.58±0.83)分,差異具有統計學意義(P<0.05);皮損顏色積分為(0.81±0.32)分,低于對照組的(1.95±0.58)分,差異具有統計學意義(P<0.05);觀察組治療愈顯率(89.74%)明顯高于對照組(67.56),差異具有統計學意義(P<0.05);治療組RGB色斑指數(34.27±2.76),低于對照組的色斑指數(46.31±2.68),差異具有統計學意義(P<0.05)。[結論] 針刺結合艾灸可以安全有效的改善黃褐斑,提高患者的生活質量。
關鍵詞:  黃褐斑  針刺  艾灸
DOI:10.11656/j.issn.1673-9043.2023.02.08
分類號:R758.42
基金項目:中醫優勢病種培育項目[ZY(2018-2020)-ZYBZ-46]。
Observation on the curative effect of acupuncture combined with moxibustion on melasma
YANG Mi, HAN Meizi, LI Mingxiu
Department of Traditional Chinese Medicine, Baokang Hospital Affiliated to Tianjin University of Chinese Medicine, Tianjin 300193, China
Abstract:
[Objective] To observe the clinical effect of acupuncture combined with moxibustion on chloasma.[Methods] A total of 80 chloasma patients diagnosed and treated in the outpatient department of Acupuncture and Moxibustion in Baokang Hospital affiliated to Tianjin University of Traditional Chinese Medicine from February 2020 to March 2022 were randomly divided into treatment group and control group, with 40 cases in each group and 4 cases lost during treatment. Finally, 76 cases were included, 39 cases in the treatment group and 37 cases in the control group. The treatment group was treated with acupuncture combined with moxibustion, and the control group was treated with oral vitamin C and E for 4 weeks.The skin area and skin color score before and after treatment were observed, and the clinical improvement rate and RGB(polarized light) color spot index were compared.[Results] The skin area score of the treatment group was (0.92±0.13) points, lower than that of the control group (1.58±0.83) points, and the difference was statistically significant (P<0.05).The skin color score was (0.81±0.32) points, lower than that of the control group (1.95±0.58) points, and the difference was statistically significant (P<0.05). The improvement rate of observation group (89.74%) was significantly higher than that of control group (67.56), and the difference was statistically significant (P<0.05). The RGB speckle index of the treatment group (34.27±2.76) was lower than that of the control group (46.31±2.68), the difference was statistically significant (P<0.05).[Conclusion] Acupuncture combined with moxibustion can safely and effectively improve the quality of life of patients with chloasma.
Key words:  chloasma  acupuncture  moxibustion
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