中医辨证分型配合火针治疗痤疮的疗效观察.doc

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1、中医辨证分型配合火针治疗痙疮的疗效观察［摘要］目的观察中庾辨证分型配合火针治疗座疮的疗效。方法选取2011年6月〜2014年11月我院收治的育龄期女性痙疮患者160例，随机分为中医组（中医辨证分型配合火针治疗，100例）和西药组（盐酸米诺环素配合安体舒通治疗，60例）两组，观察两组治疗3个月总有效率、6个月总有效率、治疗前后性激素IH、E2和症状积分的变化，并比较副作用。结果两组治疗3个月总有效率相似，差异无统计学意义（P〉0・05）；中医组6个月总冇效率明显高于西药组，差异冇统计学意义（P〈0・05）。中医组患者治疗后性激素LH、E2和症

2、状积分改善均优于西药组，差异有统计学意义（P〈0.05）。中医组副作用明显低于西药组，差异有统计学意义（P〈0・05）。结论中医辨证分型配合火针治疗痙疮的疗效确切，可有效改善患者性激素水平、临床症状，改善皮损情况，且近期疗效跟西药治疗相似，但远期疗效优于西药治疗，安全性高，值得推广。［关键词］中医；辨证分型；火针；座疮［中图分类号］R245.3［文献标识码］B［文章编号］1673-9701（2016）15-0119-04［Abstract］ObjectiveToobservethecurativeeffectofsyndromediffer

3、entiationoftraditionalChinesemedicine（TCM）combinedwithfireneedleintreatmentofacne.Methods160reproductive-agedfemalewithacnetreatedinourhospitalfromJune2011toNovember2014wereselectedandrandomlydividedintotheTCMgroup(n=l()0,TCMsyndromedifferentiation+fireneedle)andthewestern

4、medicinegroup(n=60,minocyclinehj^drochloride+antisterone)・Theoverallresponseratesat3monthsand6monthsaftertreatmentandchangesofLH,E2andsymptomscoresbeforeandaftertreatmentwereobservedandtheincidenceratesofsideeffectswerecompared・ResultsTherewasnosignificantdiffereneeintheov

5、eral1responserateat3monthsaftertreatmentbetweentwogroups(P>0.05).Theoverallresponserateat6monthsaftertreatmentwassignificantlyhigherintheTCMgroupthaninthewesternmedicinegroup(P<0.05)・TheimprovementofLH,E2andsymptomscoresintheTCMgroupwassignificantlysuperiortothatintheweste

6、rnmedicinegroup(P<0.05)・ConclusionSyndromedifferentiationoftraditionalChinesemedicinecombinedwithfireneedlehasdefiniteeffectintreatmentofacne,whichcaneffectivelyimprovethelevelsofsexhormone,clinicalsymptomsandskincondition.Theshort-termeffectofTCMplusfireneedleiscomparab1e

7、tothatofwesternmedicine,andthelong-termeffectissuperiortothatofwesternmedicinewithhighsafety.Therefore,TCMplusfireneedleisworthytobepromoted.[Keywords]TraditionalChinesemedicine；Syndromedifferentiation；Fireneedle；Acne座疮为毛囊皮脂腺慢性炎症疾病，多发于胸背、两颊、额头等皮脂腺分布丰富的部位，而青春期为痙疮多发年龄段，以细小粉刺

8、、丘疹或脓疱为表现，严重者可见结节和囊肿，有瘢痕和色素沉着。西陕治疗常用方法为雌激素和孕激素序贯疗法，但因副作用多，存在…定的局限性，疗效欠佳。座疮为中医上“肺风粉刺”范畴［1］