發(fā)布時間：2018-05-22 10:36

  本文選題：針刺 + 從心論治��； 參考：《廣州中醫(yī)藥大學》2016年碩士論文

【摘要】：目的：觀察評價治療組(從心論治針刺法)和對照組(普通針刺法)中尋常型痤瘡的治療效果差異,以期為從心論治針刺法治療痤瘡提供臨床參考依據(jù)。方法：從廣東省中醫(yī)院的傳統(tǒng)療法科、針灸科、皮膚科門診收集符合研究條件的60例尋常型痤瘡患者,隨機分為兩組,分別為治療組和對照組,每組各30例。治療組為面部局部選穴和隨癥配穴,配合從心論治針刺法穴組進行針刺；對照組為面部局部選穴結(jié)合隨癥配穴進行針刺。兩組針刺基本選穴為陽白、四白、太陽、顴毼、承漿、阿是穴及中脘,隨癥配穴為曲池、合谷、氣海、足三里、三陰交穴及太溪,從心論治針刺穴位包括神門、內(nèi)關(guān)兩穴。治療頻率為每周3次,共治療4周。療程結(jié)束后,觀察記錄治療組和對照組治療前、治療后皮損積分減退情況,并對痊愈的患者4周后隨訪,對其復(fù)發(fā)人數(shù)進行統(tǒng)計。將所有數(shù)據(jù)收集、整理好,建立相關(guān)數(shù)據(jù)庫,用SPSS19.0進行統(tǒng)計學分析。結(jié)果：1.研究結(jié)束后,對數(shù)據(jù)進行整理統(tǒng)計。治療組共30例,包括痊愈4例、顯效17例、有效4例及無效5例。對照組共30例,包括痊愈2例、顯效11例、有效7例及無效10例。治療組和對照組的療效進行比較,結(jié)果顯示差異有統(tǒng)計學意義(P＜0.05),說明治療組療效好于對照組。2.分別比較兩組在治療前、后的皮損積分,結(jié)果顯示兩組的差異具有統(tǒng)計學意義(P＜0.05),可認為兩種針刺方法都有助于改善痤瘡的皮損狀態(tài),對兩組治療前后皮損積分差值的比較,提示差異具有統(tǒng)計學意義(P＜0.05),雖然兩組治療后的皮損積分比較沒有差異,但結(jié)合治療組的皮損程度較對照組的嚴重,說明從心論治法對痤瘡皮損程度的改善作用更大。3.對痊愈的患者隨訪4周。治療組共4人,復(fù)發(fā)0人,對照組共2人,復(fù)發(fā)1人,統(tǒng)計結(jié)果顯示兩組復(fù)發(fā)率的差異無統(tǒng)計學意義(P＞0.05),說明兩種針刺方法治療尋常型痤瘡后的復(fù)發(fā)率沒有差別。統(tǒng)計結(jié)果顯示,治療組和對照組尋常型痤瘡患者的皮損狀態(tài)都有改善,但是治療組療效要優(yōu)于對照組,說明從心論治針刺法對尋常型痤瘡的皮損積分的改善有積極意義,值得臨床推廣。而兩組隨訪后的復(fù)發(fā)率對比無差別,可認為此法仍需繼續(xù)研究,以更好服務(wù)于臨床。
[Abstract]:Objective: to observe and evaluate the therapeutic effect of acne vulgaris in the treatment group (acupuncture from the heart theory) and the control group (ordinary acupuncture method), and to provide the clinical reference for the treatment of acne by acupuncture from the heart. Methods: sixty patients with acne vulgaris were collected from traditional Chinese medicine department, acupuncture department and dermatology outpatient department of Guangdong traditional Chinese medicine hospital. They were randomly divided into two groups: treatment group and control group with 30 cases in each group. Treatment group for facial local point selection and with the syndrome points, combined with the heart treatment acupuncture group for acupuncture; the control group for facial local point selection combined with the syndrome of acupuncture points for acupuncture. The basic points of acupuncture were Yangbai, Sibai, Sun, zygomatica, Chengji, Ashi and Zhongwan, and the following acupoints were Quchi, Hegu, Qihai, Zusanli, Sanyinjiao and Taixi. The acupuncture points of acupuncture from the heart treatment included Shenmen and Neiguan. The frequency of treatment was 3 times a week for 4 weeks. After the course of treatment, the patients in the treatment group and the control group were observed and recorded the decrease of skin lesion score before and after treatment, and the patients who were cured were followed up for 4 weeks and the number of recurrence was counted. Collect and organize all data, set up related database, use SPSS19.0 for statistical analysis. The result is 1: 1. After the study, the data are collated and counted. There were 30 cases in the treatment group, including 4 cases of cure, 17 cases of remarkable effect, 4 cases of effective and 5 cases of failure. There were 30 cases in the control group, including 2 cases of cure, 11 cases of remarkable effect, 7 cases of effective and 10 cases of failure. The difference between the treatment group and the control group was statistically significant (P < 0.05), which indicated that the curative effect of the treatment group was better than that of the control group. The results showed that the difference between the two groups before and after treatment was statistically significant (P < 0.05). It can be concluded that the two acupuncture methods can help to improve the condition of acne lesions, and compare the difference between the two groups before and after treatment. The results indicated that the difference was statistically significant (P < 0.05). Although there was no difference in the score of skin lesion between the two groups, the degree of skin lesion in the combined treatment group was more serious than that in the control group. The cured patients were followed up for 4 weeks. There were 4 patients in the treatment group, 0 patients in the treatment group, 2 patients in the control group and 1 patient in the control group. The statistical results showed that there was no significant difference in the recurrence rate between the two groups (P > 0.05), indicating that there was no difference in the recurrence rate between the two methods after treatment of acne vulgaris. The statistical results showed that both the treatment group and the control group had improved skin lesions, but the curative effect of the treatment group was better than that of the control group. It is worth popularizing in clinic. However, there was no difference in the recurrence rate between the two groups after follow-up, so we should continue to study this method in order to better serve the clinic.
【學位授予單位】：廣州中醫(yī)藥大學
【學位級別】：碩士
【學位授予年份】：2016
【分類號】：R246.7

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