火针治疗中-重度寻常型痤疮临床研究-中医学(针灸英语)专业论文.docxVIP

成都中医药大学硕士学位论文 成都中医药大学硕士学位论文 PAGE PAGE 10 中文摘要 目的：通过对火针治疗痤疮的操作技术进行临床评价研究，形成安全、有 效的，并适合于农村基层的操作技术规范和指南。 方法：将 260 例中-重度痤疮患者随机分为治疗组（130 例）和对照组 （130 例）。治疗组为火针点刺局部皮损，每 4 天治疗 1 次，共 5 次。对照组外用克林 霉素磷酸酯凝胶（早上使用 1 次）和外用他扎罗汀乳膏（晚上使用 1 次），观察 两组临床症状和皮损改善情况。3 周后判定两组的疗效。 结果：完成的 82 例病例中，完成实际治疗有效病例 78 例（治疗组脱失 1 例，对照组脱失 3 例）。治疗组临床治愈 12 例（30.0%），显效 22 例（55%），有 效 6 例（15%），无效 0 例（0%），愈显率 85%，总有效率为 100%。对照组 38 例完 成实验，临床治愈 0 例（0%），显效 6 例（15.79%），有效 28 例（73.68%），无效 4 例（10.53%），愈显率 15.79%，总有效率为 83.4%。治疗完成后治疗组皮损综 合积分 12.38±12.95，对照组皮损综合积分 28.16±19.44，P=0.000.05 存在 显著性差异，具有统计学意义。两组各皮损粉刺、丘疹、脓疱、结节、囊肿比较 P 均0.05，有显著性差异，具有统计学意义。两个月随访两组皮损综合积分水 平比较有显著性差异（P0.05）。两组均无明显不良反应。 结论：火针治疗中-重度痤疮明显优于药物治疗。临床疗效肯定，副作用小， 不容易复发，具有推广价值。 关键词：火针 痤疮 临床疗效 Abstract Objective:To evaluate the clinical effect of vulgaris acne treat by fire needle ,and to form operation technical standards and guidelines ,which is safe,effective and be suited to rural region . Methods:260 patients were randomly dived into treatment group and control group.The treatment group(n=130) were treated with pricking the affected skin lesion with fire needle.Treatment 1 time every 4 days,and take 5 times.The control group(n=130)were treated with and Clindamycin phosphate gel(in morning) and Tazarotene(in evening).1 time every day. We observed clinical manifestations and the change of skin lesion. After 3 weeks ,we evaluated curative effect. Results: we finish 82 cases.while 79 cases well completed(1 lost in treatment group and 3 lost in control group ).12 cases (30.00%) were cured, 22 cases (55.00%) were remarkably effective,6 cases(15.00%)were effective,the total effective rate and the rate of cured and remarkably effective was 100% and 85% respectively.The control group completed 38.0 cases(0.00%)were cured,6 cases (15.79%)were remarkably effective,28 cases (73.68%) were effective,and 4 cases (10.53%) were ineffective.The total effective rate and the rate of cured and remarkably effective was 83.4% and 15.79%.After treatment,the number of skin lesi