| 摘要: |
| [目的] 观察针刺结合艾灸治疗黄褐斑的临床疗效。[方法] 选取的80例黄褐斑患者在2020年12月—2022年3月期间诊治于天津中医药大学附属保康医院中医科，采取随机分配，治疗组40例和对照组40例，治疗期间脱落4例，最终纳入患者76例，治疗组39例，对照组37例。治疗组选取针刺结合艾灸，对照组选取口服维生素C和E，两组均连续治疗观察4周。观察其治疗前后皮损面积、皮损颜色积分，并比较临床愈显率以及RGB（偏振光）色斑指数。[结果] 治疗组治疗后皮损面积积分为（0.92±0.13）分，低于对照组的（1.58±0.83）分，差异具有统计学意义（P<0.05）；皮损颜色积分为（0.81±0.32）分，低于对照组的（1.95±0.58）分，差异具有统计学意义（P<0.05）；观察组治疗愈显率（89.74%）明显高于对照组（67.56），差异具有统计学意义（P<0.05）；治疗组RGB色斑指数（34.27±2.76），低于对照组的色斑指数（46.31±2.68），差异具有统计学意义（P<0.05）。[结论] 针刺结合艾灸可以安全有效的改善黄褐斑，提高患者的生活质量。 |
| 关键词: 黄褐斑 针刺 艾灸 |
| DOI：10.11656/j.issn.1673-9043.2023.02.08 |
| 分类号:R758.42 |
| 基金项目:中医优势病种培育项目[ZY（2018-2020）-ZYBZ-46]。 |
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| Observation on the curative effect of acupuncture combined with moxibustion on melasma |
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YANG Mi, HAN Meizi, LI Mingxiu
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Department of Traditional Chinese Medicine, Baokang Hospital Affiliated to Tianjin University of Chinese Medicine, Tianjin 300193, China
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| 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 |
