梅花罐療法配合針刺治療女性氣郁質(zhì)黃褐斑的療效觀察
發(fā)布時間：2018-08-24 12:04
【摘要】：目的:黃褐斑是機(jī)體內(nèi)部氣血失調(diào)的表現(xiàn),臨床多無不適癥狀,多因發(fā)生于顏面部的黃褐斑影響審美而尋求治療。在現(xiàn)代對美容越發(fā)重視的環(huán)境下,探索黃褐斑治療的有效方法,減輕黃褐斑色素沉著,降低其復(fù)發(fā)率至關(guān)重要。西醫(yī)尚無確切的治療方法,采取中醫(yī)治療手段是很有前景的。本課題采用常規(guī)針刺配合傅杰英教授常用的"梅花罐療法"為特色,即在普通針刺的基礎(chǔ)上,于特定穴位(中府、膻中、期門、日月)處拔5個火罐,同時用梅花針叩刺罐印顏色異常處(或紫、或黑、或暗、或紅)的針罐配合之綜合治療,通過觀察氣郁質(zhì)女性黃褐斑顏色、面積改善情況及氣郁質(zhì)積分變化,評價梅花罐治療女性氣郁質(zhì)黃褐斑的療效。方法:采用最新版本診斷及療效判定標(biāo)準(zhǔn),將納入的符合標(biāo)準(zhǔn)的60例女性黃褐斑患者,通過簡單隨機(jī)數(shù)字表隨機(jī)分為兩個組(治療組和對照組),每組各30例,其中治療組實施梅花罐療法配合普通針刺治療,對照組單純使用普通針刺治療,兩組均結(jié)合生活作息指導(dǎo)及情緒疏導(dǎo)。其中普通針刺選穴如下:褐三針(太陽、顴骼、下關(guān))、肝俞、足三里、三陰交、合谷、太沖、行間、面部阿是穴。梅花罐選穴如下:中府、膻中、日月、期門,并在罐印顏色異常(或紫、或暗、或鮮紅)處用梅花針輕刺激,以皮膚潮紅為度。通過一周3次,4周一療程,堅持3個療程治療后通過運(yùn)用統(tǒng)計軟件(SPSS22.0)比較治療前后兩組療效、黃褐斑皮損改善及氣郁體質(zhì)積分變化,判定梅花罐法治療女性氣郁質(zhì)黃褐斑的臨床效果。成果:治療前一般資料(包括年齡、病程、皮損積分、體質(zhì)積分等)比較無統(tǒng)計學(xué)意義(P0.05),具有可比性。治療組剔除1例,對照組脫落1例,堅持完成治療的58例,經(jīng)過統(tǒng)計得:治療組基本治愈2例,顯效18例,好轉(zhuǎn)6例,無效3例,總有效率為89.66%;對照組基本治愈1例,顯效14例,好轉(zhuǎn)6例,無效8例,總有效率為72.41%,兩組療效經(jīng)比較,差異有統(tǒng)計學(xué)意義(P0.05)。在黃褐斑皮損改善方面,兩組在治療后皮損積分較治療前均有下降,但治療組積分下降較對照組明顯,經(jīng)比較,差異有統(tǒng)計學(xué)意義(P0.05)。在氣郁體質(zhì)改善方面,兩組在治療后氣郁體質(zhì)評分較治療前均有不同程度下降,但治療組評分下降較對照組明顯,經(jīng)比較,差異有統(tǒng)計學(xué)意義(P0.05)。說明治療組無論在治療氣郁質(zhì)黃褐斑的療效,還是對黃褐斑皮損和氣郁體質(zhì)改善均優(yōu)于對照組。結(jié)論:本觀察最后得出:梅花罐是一種確實有效的改善氣郁質(zhì)從而進(jìn)一步改善女性黃褐斑的治療手段,操作簡單、經(jīng)濟(jì)實惠、易于推廣。對于提高治療黃褐斑效果及改善氣郁體質(zhì)屬標(biāo)本同治的新方法,為制定規(guī)范化治療黃褐斑的中醫(yī)診療方案提供臨床依據(jù)。
[Abstract]:Objective: chloasma is an internal disorder of qi and blood. In the modern environment where more and more attention is paid to beauty, it is very important to explore an effective method for the treatment of chloasma, to reduce the pigmentation of chloasma and to reduce the recurrence rate of chloasma. There is no definite treatment method in western medicine, and it is very promising to adopt traditional Chinese medicine treatment method. This subject adopts the "plum flower cupping therapy", which is commonly used by Professor Fu Jieying, and is characterized by routine acupuncture, that is, on the basis of common acupuncture, 5 cupping vessels are drawn at specific acupoints (Zhongfu, Tanzhong, Shimen, Sun and Yue). At the same time, the combined treatment of needle and pot in abnormal color (purple, black, dark or red) with plum flower needle was used to observe the color of chloasma, the improvement of area and the change of integral of air tuber. To evaluate the efficacy of plum pot in the treatment of female chloasma. Methods: 60 female chloasma patients were randomly divided into two groups (treatment group and control group) with 30 cases in each group by using the latest version of diagnostic and curative effect criteria, and 60 female chloasma patients who met the criteria were randomly divided into two groups (treatment group and control group). Among them, the treatment group was treated with plum flower cupping combined with general acupuncture, while the control group was treated with simple ordinary acupuncture. The two groups were combined with daily life guidance and emotional guidance. One of the common acupuncture points as follows: Brown three needles (sun, zygomatica, Xiaguan), Ganshu, Zusanli, Sanyinjiao, Hegu, Taichong, interline, facial Ashi. Plum pot selection as follows: Zhongfu, Tanzhong, Sun Moon, period door, and in the pot printing color abnormal (or purple, or dark, or bright red) with plum needle light stimulation, to the degree of flushing skin. After three courses of treatment, statistical software (SPSS22.0) was used to compare the curative effect of the two groups before and after the treatment, the improvement of chloasma skin lesion and the change of physical integral of qi depression. To evaluate the clinical effect of plum flower cupping in the treatment of female chloasma. Results: the general data before treatment (including age, course of disease, skin lesion score, physique score, etc.) were not statistically significant (P0.05), comparable. In the treatment group, 1 case was eliminated, 1 case was lost in the control group, 58 cases persisted in completing the treatment. The statistics showed that 2 cases were basically cured, 18 cases were markedly effective, 6 cases were improved, 3 cases were ineffective, the total effective rate was 89.66% in the treatment group, and 1 case was basically cured in the control group. The total effective rate was 72.41. The difference between the two groups was statistically significant (P0.05). In the improvement of melasma skin lesions, the two groups in the treatment of skin lesion scores were lower than before treatment, but the treatment group score decreased significantly than the control group, the difference was statistically significant (P0.05). In the improvement of qi depression constitution, the scores of qi depression in the two groups were lower than before, but the scores of the treatment group were significantly lower than that of the control group, the difference was statistically significant (P0.05). The results showed that the treatment group was superior to the control group in the treatment of chloasma, the skin lesion of chloasma and the improvement of qi depression constitution. Conclusion: plum pot is an effective treatment for chloasma, which is simple, economical and easy to popularize. It can improve the effect of treating chloasma and improve the common treatment of Qi stagnation constitution. It provides a clinical basis for the establishment of standardized treatment of chloasma.
【學(xué)位授予單位】：廣州中醫(yī)藥大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2017
【分類號】：R246.7
本文編號：2200772
[Abstract]:Objective: chloasma is an internal disorder of qi and blood. In the modern environment where more and more attention is paid to beauty, it is very important to explore an effective method for the treatment of chloasma, to reduce the pigmentation of chloasma and to reduce the recurrence rate of chloasma. There is no definite treatment method in western medicine, and it is very promising to adopt traditional Chinese medicine treatment method. This subject adopts the "plum flower cupping therapy", which is commonly used by Professor Fu Jieying, and is characterized by routine acupuncture, that is, on the basis of common acupuncture, 5 cupping vessels are drawn at specific acupoints (Zhongfu, Tanzhong, Shimen, Sun and Yue). At the same time, the combined treatment of needle and pot in abnormal color (purple, black, dark or red) with plum flower needle was used to observe the color of chloasma, the improvement of area and the change of integral of air tuber. To evaluate the efficacy of plum pot in the treatment of female chloasma. Methods: 60 female chloasma patients were randomly divided into two groups (treatment group and control group) with 30 cases in each group by using the latest version of diagnostic and curative effect criteria, and 60 female chloasma patients who met the criteria were randomly divided into two groups (treatment group and control group). Among them, the treatment group was treated with plum flower cupping combined with general acupuncture, while the control group was treated with simple ordinary acupuncture. The two groups were combined with daily life guidance and emotional guidance. One of the common acupuncture points as follows: Brown three needles (sun, zygomatica, Xiaguan), Ganshu, Zusanli, Sanyinjiao, Hegu, Taichong, interline, facial Ashi. Plum pot selection as follows: Zhongfu, Tanzhong, Sun Moon, period door, and in the pot printing color abnormal (or purple, or dark, or bright red) with plum needle light stimulation, to the degree of flushing skin. After three courses of treatment, statistical software (SPSS22.0) was used to compare the curative effect of the two groups before and after the treatment, the improvement of chloasma skin lesion and the change of physical integral of qi depression. To evaluate the clinical effect of plum flower cupping in the treatment of female chloasma. Results: the general data before treatment (including age, course of disease, skin lesion score, physique score, etc.) were not statistically significant (P0.05), comparable. In the treatment group, 1 case was eliminated, 1 case was lost in the control group, 58 cases persisted in completing the treatment. The statistics showed that 2 cases were basically cured, 18 cases were markedly effective, 6 cases were improved, 3 cases were ineffective, the total effective rate was 89.66% in the treatment group, and 1 case was basically cured in the control group. The total effective rate was 72.41. The difference between the two groups was statistically significant (P0.05). In the improvement of melasma skin lesions, the two groups in the treatment of skin lesion scores were lower than before treatment, but the treatment group score decreased significantly than the control group, the difference was statistically significant (P0.05). In the improvement of qi depression constitution, the scores of qi depression in the two groups were lower than before, but the scores of the treatment group were significantly lower than that of the control group, the difference was statistically significant (P0.05). The results showed that the treatment group was superior to the control group in the treatment of chloasma, the skin lesion of chloasma and the improvement of qi depression constitution. Conclusion: plum pot is an effective treatment for chloasma, which is simple, economical and easy to popularize. It can improve the effect of treating chloasma and improve the common treatment of Qi stagnation constitution. It provides a clinical basis for the establishment of standardized treatment of chloasma.
【學(xué)位授予單位】：廣州中醫(yī)藥大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2017
【分類號】：R246.7
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