本文選題：痤瘡 + 陰虛質(zhì)��； 參考：《廣州中醫(yī)藥大學(xué)》2013年碩士論文

【摘要】：研究目的 痤瘡作為最常見的損美性疾病之一,是一種毛囊皮脂腺的慢性炎癥性疾病。隨著我國進(jìn)入一個(gè)經(jīng)濟(jì)飛速發(fā)展的嶄新時(shí)代,生活工作節(jié)奏的加快、高糖、高脂及辛辣類食物的過多攝入、化妝品的過度使用、自然環(huán)境的污染、食品添加劑的泛濫等各種因素都使痤瘡的發(fā)病率呈現(xiàn)逐年上升的趨勢(shì)。 陰虛質(zhì)痤瘡是臨床常見的一種痤瘡證型。本課題采用臨床小樣本隨機(jī)對(duì)照研究,觀察和評(píng)估陰虛質(zhì)痤瘡在針刺治療的基礎(chǔ)上,加勞宮涌泉溫針灸后的療效,擴(kuò)寬臨床痤瘡治療思路,探討辨體辨病辯證三位一體的診療思維在損美性疾病防治中的作用。 研究方法 本研究選取2012年3月至2013年3月在廣州中醫(yī)藥大學(xué)第一附屬醫(yī)院針灸門診和皮膚科門診就診并確診為陰虛型痤瘡患者60例,隨機(jī)分為治療組(30例)和對(duì)照組(30例)。治療組：針刺：太沖、太溪、三陰交、肺俞、腎俞(均為雙側(cè))、勞宮、涌泉、膏肓俞穴位溫針灸(雙側(cè))。對(duì)照組：太沖太溪三陰交肺俞、腎俞(均為雙側(cè))。膏肓俞穴位溫針灸(雙側(cè))。治療組與對(duì)照組均為常規(guī)針剌每周2次,四周為一個(gè)療程。總共2個(gè)療程。治療前及治療后比較皮損積分等,采用SPSS19.0對(duì)所收集的數(shù)據(jù)進(jìn)行統(tǒng)計(jì)。 研究結(jié)果 1.治療組和對(duì)照組在治療后痤瘡皮損積分均下降,其中治療組治療前后比較,t=7.933,P=0.000；對(duì)照組治療前后比較,t=2.014,P=0.049；與治療前相比兩組在統(tǒng)計(jì)學(xué)上具有顯著性差異(P0.05),說明兩種方法都對(duì)痤瘡皮損狀況改善有治療效果。兩組治療后皮損積分比較,t=-5.37,P=0.000,皮損積分有統(tǒng)計(jì)學(xué)差異(P0.05),有顯著性差異,說明在改善痤瘡皮損積分方面治療組優(yōu)于對(duì)照組。 2.治療組和對(duì)照組在治療后陰虛體質(zhì)積分均下降,其中治療組治療前后比較,t=3.92,P=0.000；對(duì)照組治療前后比較,t=5.32,P=0.000；與治療前相比兩組在統(tǒng)計(jì)學(xué)上具有顯著性差異(P0.05),說明兩種方法都對(duì)陰虛體質(zhì)狀況改善有治療效果。兩組治療后陰虛體質(zhì)評(píng)定積分比較,t=1.413,P=0.163,P0.05無顯著性差異,說明在改善陰虛體質(zhì)方面治療組和對(duì)照組無明顯差異。 3.治療組總有效率93%,對(duì)照組總有效率70%,兩組總療效對(duì)比Z=-2.068,P=0.039,p0.05結(jié)果有顯著性差異,說明治療組綜合療效優(yōu)于對(duì)照組。 研究結(jié)論 1、在針刺基礎(chǔ)上配合勞宮涌泉溫針灸,相較于單純針刺的對(duì)照組,在痤瘡皮損改善上有更加明顯的效果；2、溫針灸勞宮涌泉配合針刺以及單純針刺對(duì)陰虛體質(zhì)的改善均有確切療效,但無顯著性差異；3、本研究在辨體一辨病一辨證的診療思維下,從改善疾病癥狀和糾正發(fā)生疾病的土壤(即體質(zhì))兩方面著重治療,其療效確切,在臨床上具有推廣價(jià)值。
[Abstract]:Objective Acne is a chronic inflammatory disease of hair follicle sebaceous gland. As our country enters a new era of rapid economic development, the pace of life and work accelerates, the excessive intake of high-sugar, high-fat and spicy foods, the overuse of cosmetics, and the pollution of the natural environment. The prevalence of food additives and other factors make the incidence of acne increased year by year. Yin deficiency acne is a common type of acne syndrome. In this study, a randomized controlled study of small clinical samples was conducted to observe and evaluate the therapeutic effect of acupuncture on acne due to yin deficiency, and to broaden the therapeutic thinking of acne after acupuncture and moxibustion with Yin-deficiency and Yin-deficiency, including Yin-deficiency acne, Yin-deficiency acne and Yin-deficiency acne. This paper discusses the role of diagnosis and treatment thinking in the prevention and treatment of beauty-damaging diseases by dialectical trinity of differentiation of body and disease. Methods from March 2012 to March 2013, 60 patients with acne of yin deficiency type were selected from the first affiliated Hospital of Guangzhou University of traditional Chinese Medicine. They were randomly divided into treatment group (30 cases) and control group (30 cases). Treatment group: acupuncture: Taichong, Taixi, Sanyinjiao, Fesu, Shenshu (all bilateral), Laogong, Yongquan, oinhuangshu point warm acupuncture (bilateral). Control group: Taichong Taixi Sanyinjiaofei Yu, Shenshu (bilateral). Oinhuangshu point warming acupuncture (bilateral). Treatment group and control group were routine acupuncture twice a week, four weeks as a course of treatment. A total of 2 courses of treatment. SPSS 19.0 was used to analyze the data collected before and after treatment. Results 1. The scores of acne lesions in the treatment group and the control group were decreased after treatment, among which the treatment group was compared with the control group before and after treatment, and the control group was compared with that of the control group before and after treatment, and the control group was compared with the control group before and after treatment, and the control group was compared with the control group before and after treatment. Compared with before treatment the two groups had significant statistical difference (P0.05) indicating that the two methods to improve the status of acne lesions have therapeutic effect. There was significant difference in the score of skin lesion between the two groups (P0.05), which indicated that the treatment group was better than the control group in improving the score of acne lesions. 2. The scores of body constitution of the treatment group and the control group decreased after treatment, among which the treatment group was compared with that of the treatment group before and after treatment, and the control group was compared with that of the control group before and after treatment, and the control group was compared with that of the control group before and after treatment. Compared with before treatment, the two groups had significant statistical difference (P0.05), indicating that the two methods have therapeutic effect on improving the physical condition of Yin deficiency. There was no significant difference between treatment group and control group in improving Yin deficiency constitution. The total effective rate of the treatment group was 933.The total effective rate of the control group was 70. There was a significant difference between the two groups in the total curative effect. The results showed that the comprehensive curative effect of the treatment group was better than that of the control group. Conclusion 1, on the basis of acupuncture combined with Lao Gong Yong Quan warm acupuncture, compared with the control group of pure acupuncture, there is a more obvious effect on the improvement of acne lesions; 2. Warming acupuncture and moxibustion with acupuncture in combination with acupuncture and simple acupuncture have definite curative effect on the improvement of Yin deficiency constitution, but there is no significant difference. This study is based on the thinking of diagnosis and treatment of differentiation of body, disease and syndrome. From the aspects of improving the symptom of disease and correcting the soil (constitution), the curative effect is definite, and it is worth popularizing in clinic.
【學(xué)位授予單位】：廣州中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2013
【分類號(hào)】：R246.7

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