健脾益肾法配合梅花针治疗斑秃的临床疗效观察-中医外科学专业论文.docxVIP

成都中医 成都中医药大学硕士学位论文 万方数据 万方数据 中文摘要 目的：观察注重从健脾益肾的辨证角度出发并配合梅花针叩刺治疗斑 秃的临床疗效，探讨本理论的可行性、实用性及在临床中的指导意义，为 临床提供新的辨证思路与治疗方法。 方法：按照随机对照原则，将 80 例患者分为两组。治疗组 40 例，口 服自拟健脾益肾生发汤配合梅花针局部叩刺；对照组 40 例，口服复方甘草 酸苷胶囊（潍坊中狮制药有限公司生产）配合外用米诺地尔溶液（斯必申）。 连续治疗 4 周、8 周后，观察疗效，通过对治疗前后靶皮损再生程度、靶皮 损再生毛发长度及皮损个数的比较参照斑秃疗效标准进行判断，采 SPSS17.0 软件统计分析，最后作出疗效判定。 结果：临床观察显示，治疗组总有效率为 87.5％，对照组总有效率为 75％，两组治疗前后均有改善，治疗组总有效率 优于对照组总有效率 （P0.05）,两组有明显的差异性。治疗过程对照组一例患者出现轻微不良 反应，过程中无患者退出试验。 结论： 1. 从注重健脾益肾的辨证角度出发并配合梅花针叩刺治疗斑秃具有可 行性及实用性，为临床提供新的辨证思路及治疗方法； 2. 自拟健脾益肾生发汤治疗斑秃疗效确切、使用安全，具有临床推广 性； 3. 中药内服配合梅花针治疗斑秃明显优于对照组。 关键词： 斑秃 健脾益肾 梅花针 临床研究 1 Abstract Objective: To evaluate the clinical efficacy of focusing on starting and with plum-blossom needle treatment of alopecia areata from the dialectical point of view Jianpiyishen , discuss the practical applicability and clinical guiding significance of the present theory, and add advanced clinical diagnostic thoughts of disease differentiation and therapeutic methods. Methods: This study recruits 80 psoriasis patients. They are randomly divided into treatment group (n=40, receiving oral Self-developed jianpiyishenshengfatang and plum-blossom needle treatment) and control group (n=40, receiving oral gancaosuangan capsules ( Lion Weifang Pharmaceutical Co. ) and outside minoxidil solution treatment.After 4 and 8 weeks’ treatment, clinical efficacy is observed .Data is analyzed by SPSS17.0. Results: Effective rate in the treatment group and control group is 85.0% and 70% respectively. Total effective rate in the treatment group is significantly higher than the control group (p0.05). This study shows no obvious adverse reaction and no subject withdraws the study. 2 Conclusion: The method of treating alopecia areata basing on jianpiyisheng and plum-blossom needle is feasible, which provides a new clinical thought of syndrome differentiation and therapeutic method. The efficacy of the treatment of alopecia areata with Self-developed jianpiyishenshengfatang is definite, safe and promoting friendly