疏肝清热-调理冲任法治疗女性青春期后痤疮疗效观察.docVIP

疏肝清热\调理冲任法治疗女性青春期后痤疮疗效观察[摘要]目的：观察疏肝清热、调理冲任法治疗女性青春期后痤疮的疗效。方法：将60例女性青春期后痤疮患者随机分为两组：对照组：25例，采用异维A酸治疗；治疗组：35例，予以中药方，两组均以4周为一个疗程。结果：痊愈率治疗组51.4%，对照组24.0%；总有效率治疗组97.1%,对照组80.0%。两组痊愈率与总有效率比较，差异均具有显著性意义（P＜0.05）。结论：疏肝清热、调理冲任法治疗女性青春期后痤疮疗效好、不良反应少，值得临床推广。 [关键词]青春期；痤疮；疏肝清热、调理冲任法 [中图分类号]R758.73+4 [文献标识码]A[文章编号]1008-6455（2011）02-0309-02 Observation on clinical effect of soothing liver and clearing heat,regulate chong and ren meridian on female adult acne WANG Ning-li，WU Jing-dong (Liaoning University of Traditional Chinese Medicine,Shenyang 110032 liaoning，China) Abstract：Objective To observe the effectivity soothing liver and clearing heat,regulate chong and ren meridian on female adult acne. Methods 60 female patients with acne after puberty, were randomly divided into two groups. The control group of 25 cases with western medicine, to Isotretinoin; the treatment group in the chinese prescription of 35 cases.4 weeks, both groups as a course of treatment. ResultsThe cure rate in treatment group was 51.4%,24.0% in the control group; total effective rate was 97.1% in treatment group and control group was 80.0%.Cure rate in both groups compared with the total efficiency, the differences were significant (P＜0.05).ConclusionSoothing liver and clearing heat,regulate chong and ren meridian after treatment of female adult acne good efficacy, adverse reactions and is worthy of promotion. Key words:female adult; acne;Soothing liver and clearing heat,regulate chong and ren meridian 痤疮属于中医“肺风”，“粉刺”范畴，由于多发在颜面部，影响美观，且愈后易留有凹陷性瘢痕和色素沉着，所以患者求治心切。祖国医学认为青春期痤疮是肺经血热引起的，主要与肺、脾、胃三脏关系密切。女性青春期后痤疮又称为“成人痤疮”，它的发生有其特殊病机，主要与肝、肾及冲任失调密切相关。2009年8月～2010年8月，笔者应用疏肝清热、调理冲任法治疗女性青春期后痤疮患者，取得了良好疗效，并且与异维A酸胶丸组做疗效比较，现将结果报道如下： 1资料和方法 1.1 临床资料：60例痤疮患者，均为辽宁中医药大学附属医院医疗美容科门诊就诊者,均符合《临床皮肤病学》[1]痤疮的诊断标准。中医辨证[2]为冲任不调型，临床表现为成年女性，面部痤疮皮损的发生和轻重与月经周期有明显关系。月经前面部皮疹明显增多、加重，月经后皮疹减少、减轻；或伴有月经不调，月经量少，经前心烦易怒，乳房胀痛不止，舌红苔薄黄，脉弦细数。将60例患者随机分为两组：治疗组35例，年龄25～40岁，平均为30.56岁,病程6个月～15年，平均4.22年；对照组25例,年龄25～42岁，平均为31.21岁,病程6个月～16年，