中医综合疗法治疗肝郁气滞型黄褐斑38例-论文.pdf

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1、·34·JCAM．Apr．2014，Vo1．30，NO．4中医综合疗法治疗肝郁气滞型黄褐斑38例许斌，杨志波(1．武汉市第一医院，湖北武汉430022；2．湖南中医药大学，湖南长沙410208；3．湖南中医药大学第二附属医院，湖南长沙410005)摘要：目的：探讨中医综合疗法治疗肝郁气滞型黄褐斑的临床疗效。方法：将74例患者随机分为治疗组(／7,=38)和对照组(n=36)。治疗组予以逍遥散加减、中药药物面膜及穴位埋线的中医综合疗法，对照组口服维生素C片、维生素E丸并外擦复方SOD熊果苷酸霜，共观察2个月。由两名专业的皮肤科医生对每位患者治疗前后进行MASI评分，按照MASI下降率评价临床疗

2、效。结果：治疗组总有效率89．47％，对照组总有效率66．67％，经卡方检验，差异有统计学意义(P<0．05)；治疗后两组患者的MA．sI评分较治疗前均有改善(P<0．05)；治疗后两组MASI评分及MASI下降值相比，差异有统计学意义(P<0．05)。结论：中医综合疗法治疗肝郁气滞型黄褐斑临床疗效优于西医治疗，疗效确切。关键词：黄褐斑；肝郁气滞；中医疗法；MASI评分中图分类号：R246．3文献标识码：A文章编号：1005—0779(2014)004—0034—03ComprehensiveTreatmentofTraditionalChineseMedicineforChloasmaof

3、LiverDepressionandQiStagnationTypeamong74CasesXUBinr．YANGZhi—bo(1．WuhanNo．1Hospital，Wuhan430022，China；2．HunanUniversityofTCM，Changsha410208，China；3．HunartUniversityofChineseMedicine，TheSecondAffiliatedHospital，Changsha410005，China)Abstract：Objective：ToexploreclinicallycurativeeffectofTCMcomprehensi

4、vetherapyonChloasmawithliv—erandQistagnationtype．Methods：74patientsWererandomlydividedintotreatmentgroup(n=38)andcon—trolgroup(=36)．Treatmentgroupwasgivenfreeandunfetteredmaskpowder，Chinesemedicineandacu—puncturepointburylineofTCMcomprehensivetherapy，andthecontrolgroupreceivedoralvitaminC，vitamiflE

5、pillsandoutsidebrushcompoundSODarbutinsourcream．Thecoursewasobservedfortwomonths．TwoprofessionaldermatologistsgaveMASIscorestodetermineeachpatientbeforeandaftertreatment，withevalua—tionofclinicallycurativeeffectaccordingtoMASIdeclinerate．Results：Totaleffectivenessoftreatmentgroupwas89．47％，andthecon

6、trolgroupwas66．67％，bychi—squaretest，thedifferencewasstatisticallysignifi—cant(P<0．05)．MASIratingoftwogroupsofpatientsaftertreatmentwasimprovedcomparedwiththatbeforetreatment(P<0．05)；AftertreatmentcomparetwogroupsaccordingtoMASIscoreandMASIdeclineinval—ue，thedifferencewasstatisticallysignificant(P<0

7、．05)．Conclusion：Theclinicallycurativeeffectofintegrat—edtherapyoftraditionalChinesemedicineinthetreatmentot’ChloasmawithliverdepressionandQistagnationtypeissuperiortothewesternmedicinetreatment，whichisaneff