薄氏腹针治疗黄褐斑的临床研究(1)
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[摘要]目的：观察探讨薄氏腹针治疗黄褐斑的临床疗效及其机制。方法：90例女性黄褐斑患者随机分为腹针组、针刺组及对照组，每组30例，分别采用薄氏腹针、毫针、某品牌祛斑霜进行干预，结果数据采用SPSS17.0统计软件分析。结果：①临床观察发现，三组患者症状多数有不同程度的改善，但部分患者加重或无改善，且腹针疼痛程度较小甚至无痛，比较容易被患者接受，治疗过程中无明显不良反应出现；②腹针组皮损面积、颜色评分治疗前后均有显著性差异(P<0.05)，针刺组皮损面积评分治疗前后有显著性差异(P<0.05)、颜色评分治疗前后无显著性差异(P>0.05)，对照组皮损面积、颜色评分治疗前后均无显著性差异(P>0.05)，三组下降指数比较有显著性差异(P<0.05)，腹针组下降指数最明显；③三组临床疗效比较有显著差异(P<0.05)，腹针组疗效最显著。结论：薄氏腹针辨证治疗黄褐斑疗效显著，无明显不良反应。
[关键词]薄氏腹针；黄褐斑；针刺
[中图分类号]R758.4+2[文献标识码]A [文章编号]1008-6455(2011)07-1156-03
Clinical Study on Abdominal Acupuncture treatment of melasma
ZHANG Gui-feng1,2，HUANG Yong2，OU Wei-xiong1，TANG Shao-lan1，XIAO Wen-qiu1
(1.Chinese Medicine School of The Guangdong Province Xinxing County, Xinxing 527400，Guangdong,China；2.Southern Medical University)
Abstract: Objective To investigate the clinical efficacy of treatment of chloasma with Abdominal Acupuncture and its mechanism. Methods 90 female patients with melasma were randomly divided into A、 B、 C 3 group, n = 30, respectively Abdominal Acupuncture、acupuncture、freckle cream intervention, the results of data analysis using statistical software SPSS17.0.Results ①Clinical observations, 3 the majority of patients with different degrees of symptoms improved, but aggravate or no improvement in some patients, and less abdominal pain or painless needle more easily accepted by patients, treatment no significant adverse reactions occur; ②A group of lesion size, color score before and after treatment were significantly different(P<0.05),B group lesion area score before and after treatment were significantly different (P<0.05),color score before and after treatment no significant differences(P>0.05),C group lesion area, the color score before and after treatment showed no significant difference (P>0.05), 3 group index has declined significantly (P<0.05), A group of indices fell the most obvious;③The clinical effects of the 3 groups were significantly different (P<0.05), A group effect was significant. Conclusion Abdominal Acupuncture treatment of chloasma a significant effect, no significant adverse reactions.
Key words：Abdominal Acupuncture;chloasma;Acupuncture
黄褐斑，又称“黧黑斑”、“面尘”、“蝴蝶斑”等，是一种色素代谢障碍引起的面部色素沉着性疾病，属于难治性病症，也是皮肤科常见病之一。目前西药治疗黄褐斑疗效稳定性差，刺激性强，同时也有一定的毒副作用；临床研究表明中医药治疗黄褐斑有较好疗效，包括内服中草药、外用中草药、针刺经络及中西药结合治疗等，但也存在疗效不稳定、个体差异大等不足[1] ......
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