美容针结合体针治疗黄褐斑临床疗效观察-针灸英语专业毕业论文.docxVIP

中 文 摘 要 目的：客观评价美容针结合体针治疗黄褐斑的有效性，为临床提供依据。 方法：参照中国中西医结合学会皮肤性病专业委员会色素病学组 2003 年制 定的《黄褐斑的临床诊断及疗效标准（2003 年修定稿）》，选择四川省第二中医 医院及四川悦好医学美容医院门诊黄褐斑患者 60 例，随机分为两组：治疗组（30 例）和对照组 （30 例）。治疗组为美容针针刺局部皮损并结合体针治疗，对照 组单纯体针治疗，观察两组临床症状和皮损改善情况。2 个月后判定两组的疗效。 结果：完成的 60 例病例中，完成实际治疗有效病例 60 例，无脱落病例。治 疗组临床治愈 14 例（46.67%），显效 11 例（36.67%），好转 3 例（10%），无效 2 例（6.66%），愈显率 83.34%，总有效率为 93.34%。对照组临床治愈 2 例（6.67%）， 显效 6 例（20%），好转 13 例（43.33%），无效 9 例（30%），愈显率 26.67%，总 有效率为 70%。治疗完成后治疗组皮损总积分 1.33±1.42，对照组皮损总积分 2.54±1.25，P=0.000.05 存在显著性差异，具有统计学意义。两组皮损面积及 颜色比较 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：美容针结合体针治疗黄褐斑安全、有效，在皮损面积及颜色方面的改 善均优于单纯体针治疗，并且在总体疗效上优于单纯体针治疗。 关键词：美容针 体针 黄褐斑 临床疗效 Abstract Objective: To observe the effect of the Facial Acupuncture with the Body Acupu ncture on the effect of chloasma and apply the evidence for clinic. Methods: According to the clinical diagnosis criteria of chloasma established by the Institute of integration of traditional Chinese and Western medicine, the Committee of the dermatovenereology, the Group of pigmentation of People’s Republic of China in 2003,a total of 60 chloasma patients from outpatient department of the second hospital of T.C.M of Sichuan Province and Sichuan Better and Better Medical Cosmetology Hospital were randomized into 2 groups: The treatment group(n=30)were treated with pricking the affected skin lesion with Facial Acupuncture，and pricking the traditional points with Body Acupuncture. The control group(n=30)were treated with only Body Acupuncture. 1 time every 2 days in the first month,then 2 times every week in the second month. We observed clinical manifestations and the change of skin lesion. After 2 months, we evaluated curative effect. Results: We finished 60 cases, all cases well completed. In treatment group,14 cases (46.67%) were cured, 11 cases (36.67%) were remarkably effective,3 cases(10.00%)were effective,2 cases were ineffective, the total effective rate and the rate of cured and remarkably eff