發(fā)布時(shí)間：2018-10-12 17:29

【摘要】：目的:研究火針治療皮脂腺囊腫的臨床療效及其對(duì)術(shù)口恢復(fù)的影響,為火針治療皮脂腺囊腫提供臨床依據(jù)。方法:將符合皮脂腺囊腫納入標(biāo)準(zhǔn)的62例患者隨機(jī)分為治療組和對(duì)照組,每組各31人,治療組采用火針點(diǎn)刺囊腫局部阿是穴和相應(yīng)配穴的方法,囊腫局部阿是穴火針1次,體穴每周火針點(diǎn)刺1次,連續(xù)4周為1療程,對(duì)照組采用常規(guī)手術(shù)切除囊腫,手術(shù)治療1次,隔日換藥1次,至傷口干潔愈合,治療后3個(gè)月隨訪,觀察有無復(fù)發(fā)等不良反應(yīng),研究兩組患者治療后及隨訪期患者囊腫消退率、術(shù)口恢復(fù)評(píng)分及優(yōu)良率,采用SPSS20.0進(jìn)行療效評(píng)定。結(jié)果:1、一般資料比較,治療前兩組性別、證型對(duì)比用χ2檢驗(yàn),無統(tǒng)計(jì)學(xué)意義(P0.05),兩組之間有可比性,兩組患者年齡、病程對(duì)比用獨(dú)立樣本t檢驗(yàn),兩者均無統(tǒng)計(jì)學(xué)意義(P0.05),兩者均有可比性,治療前試驗(yàn)組主要評(píng)價(jià)指標(biāo)評(píng)分為6.80± 1.42,對(duì)照組主要評(píng)價(jià)指標(biāo)為7.13±1.38,兩組經(jīng)獨(dú)立樣本t檢驗(yàn),差別無統(tǒng)計(jì)學(xué)意義(P0.05),兩組之間具有可比性。2、試驗(yàn)過程中治療組與對(duì)照組各脫失1例,最后每組入組各30例,兩組治療前、后,試驗(yàn)組主要評(píng)價(jià)指標(biāo)評(píng)分分別為6.69±1.38、0.47±1.28,經(jīng)配對(duì)樣本t檢驗(yàn),差別有統(tǒng)計(jì)學(xué)意義(P0.05),對(duì)照組主要評(píng)價(jià)指標(biāo)評(píng)分分別為7.10± 1.36、0.27±0.45,經(jīng)配對(duì)樣本t檢驗(yàn),差別有統(tǒng)計(jì)學(xué)意義(P0.05),說明兩組治療方法均有效,說明火針和手術(shù)療法均可改善囊腫狀態(tài),治療后兩組組間比較,試驗(yàn)組主要評(píng)價(jià)指標(biāo)評(píng)分為0.47±1.28,對(duì)照組主要評(píng)價(jià)指標(biāo)評(píng)分為0.27±0.45,兩組經(jīng)獨(dú)立樣本t檢驗(yàn),差別無統(tǒng)計(jì)學(xué)意義(P0.05),火針療法與手術(shù)療法的療效差異不大,在總體療效方面,兩組經(jīng)秩和檢驗(yàn),差別無統(tǒng)計(jì)學(xué)意義(P0.05),說明兩組治療方法療效相當(dāng)。3、治療后對(duì)兩組術(shù)口恢復(fù)評(píng)分比較,試驗(yàn)組術(shù)口恢復(fù)評(píng)分為1.90±1.71,對(duì)照組術(shù)口恢復(fù)評(píng)分為3.07±1.82,兩組經(jīng)獨(dú)立樣本t檢驗(yàn),差別具有統(tǒng)計(jì)學(xué)意義(P0.05),說明火針治療皮脂腺囊腫在術(shù)口恢復(fù)方面優(yōu)于常規(guī)手術(shù)組,在術(shù)口恢復(fù)優(yōu)良率方面,經(jīng)秩和檢驗(yàn),差別具有統(tǒng)計(jì)學(xué)意義(P0.05),說明試驗(yàn)組對(duì)術(shù)口恢復(fù)總的優(yōu)良率要好于對(duì)照組。結(jié)論:火針和常規(guī)手術(shù)療法對(duì)皮脂腺囊腫療效確切,在改善總體癥狀評(píng)分方面均有優(yōu)勢(shì);火針療法治療皮脂腺囊腫術(shù)后術(shù)口愈合時(shí)間短、遺留疤痕及色素沉著少,明顯優(yōu)于常規(guī)手術(shù)組。
[Abstract]:Objective: to study the clinical effect of sebaceous gland cyst treated by fire needle and its effect on the recovery of sebaceous gland cyst, and to provide clinical basis for the treatment of sebaceous gland cyst by fire needle. Methods: 62 patients with sebaceous cysts were randomly divided into treatment group (n = 31) and control group (n = 31). Body acupoints were punctured once a week for 4 weeks as a course of treatment. The control group was treated with routine operation, treated once, changed dressing once every other day, until dry healing of the wound, followed up for 3 months after treatment, and observed whether there were any adverse reactions such as recurrence or not. The rate of cysts regression, operative recovery score and excellent and good rate after treatment and follow-up were studied in both groups. SPSS20.0 was used to evaluate the curative effect. Results: 1, general data comparison, before treatment the two groups gender, syndrome type contrast with 蠂 2 test, there is no statistical significance (P0.05), the two groups have comparability, two groups of patients age, course of disease with independent samples t test, There was no significant difference between the two groups (P0.05). The scores of the main evaluation indexes before treatment were 6.80 鹵1.42 in the experimental group and 7.13 鹵1.38 in the control group. The difference was not statistically significant (P0.05), the two groups were comparable. 2. In the course of the trial, the treatment group and the control group each lost 1 case, the last 30 cases in each group, the two groups before and after treatment, The scores of main evaluation indexes in the test group were 6.69 鹵1.38 鹵0.47 鹵1.28 respectively, and the difference was statistically significant (P0.05) by paired sample t test. The main evaluation index scores of the control group were 7.10 鹵1.36 鹵0.27 鹵0.45, respectively. The difference was statistically significant (P0.05), indicating that the two treatment methods are effective, indicating that fire acupuncture and surgical treatment can improve the status of cysts, the comparison between the two groups after treatment, The main evaluation index score of the trial group was 0.47 鹵1.28, and that of the control group was 0.27 鹵0.45.The difference between the two groups was not statistically significant (P0.05), but there was no significant difference between the two groups (P0.05). After rank sum test, there was no significant difference between the two groups (P0.05), indicating that the curative effect of the two groups was equal to 0.3, and the recovery score of the two groups was compared after treatment. The recovery score of the experimental group was 1.90 鹵1.71, and that of the control group was 3.07 鹵1.82. The difference between the two groups was statistically significant (P0.05), which indicated that the sebaceous gland cyst treated by fire acupuncture was superior to the conventional operation group in the recovery of the sebaceous gland cyst. The difference was statistically significant by rank sum test (P0.05), indicating that the total excellent and good rate of the treatment group was better than that of the control group. Conclusion: fire acupuncture and conventional surgical therapy are effective in treating sebaceous gland cysts and have advantages in improving the overall symptom score, the healing time is short, and the residual scars and pigmentation are less in the treatment of sebaceous gland cysts. It was obviously superior to the routine operation group.
【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】：2017
【分類號(hào)】：R246.7

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