祛湿健发汤联合梅花针扣刺治疗脾虚湿滞型脂溢性脱发的临床效果(1)
[摘要] 目的 探討祛湿健发汤联合梅花针扣刺治疗脾虚湿滞型脂溢性脱发的临床效果。 方法 采用随机数字表法将2016年7月～2018年1月北京中医医院顺义医院收治的90例脂溢性脱发患者分为对照组(45例)和研究组(45例)。对照组采用常规治疗，研究组在对照组基础上加用祛湿健发汤联合梅花针扣刺治疗，两组患者连续治疗6个月。比较两组患者临床总有效率，治疗前后中医证候积分，发中铁(Fe)、钙(Ca)、锌(Zn)及铜(Cu)元素水平以及复发率。 结果 研究组总有效率明显高于对照组，差异有统计学意义(P < 0.05)。研究组治疗后瘙痒、油腻、脱发及鳞屑中医证候积分显著低于对照组，两组患者治疗后积分均明显低于治疗前，差异有统计学意义(P < 0.05或P < 0.01)。研究组治疗后发中Fe、Ca、Zn及Cu元素水平显著高于对照组，两组治疗后元素水平均明显高于治疗前，差异有统计学意义(P < 0.05或P < 0.01)。随访期间，研究组的复发率明显低于对照组，差异有统计学意义(P < 0.05)。 结论 祛湿健发汤联合梅花针扣刺治疗脾虚湿滞型脂溢性脱发的临床效果显著，能够明显改善症状，提高发中微量元素水平，且复发率低。
[关键词] 脂溢性脱发;脾虚湿滞型;祛湿健发汤;梅花针扣刺
[中图分类号] R275.9 [文献标识码] A [文章编号] 1673-7210(2019)09(a)-0126-04
[Abstract] Objective To explore the clinical efficacy of Qushi Jianfa Decoction combined with plum-blossom needle in the treatment of alopecia seborrheica with syndrome of dampness stagnancy due to spleen deficiency. Methods Ninety patients with seborrheic alopecia admitted to Shunyi Hospital of Beijing Traditional Chinese Medicine Hospital from July 2016 to January 2018 were divided into control group (45 cases) and research group (45 cases) by random number table method. The patients in the control group were treated with conventional treatment， while the patients in the research group were treated with Qushi Jianfa Decoction combined with plum-blossom needle puncture on the basis of the control group. The two groups were treated continuously for 6 months. The clinical total effective rate， the Chinese medicine syndrome scores before and after treatment， the element levels of iron (Fe)， calcium (Ca)， zine (Zn) and copper (Cu) in the hair and recurrence rate of two groups were compared. Results The total effective rate of research group was significantly higher than that of the control group， the difference was statistically significant (P < 0.05). After treatment， the Chinese medicine syndrome scores of pruritus， greasy， hair loss and scaly in the research group were significantly lower than those in the control group， and the scores of the two groups were significantly lower than those before treatment， the differences were statistically significantly (P < 0.05 or P < 0.01). After treatment， the levels of Fe， Ca， Zn and Cu in the hair in the research group were significantly higher than those in the control group， and the levels of elements after treatment in the two groups were significantly higher than those before treatment， the differences were statistically significant (P < 0.05 or P < 0.01). During the follow-up period， the recurrence rate of the research group was significantly lower than that of the control group， the difference was statistically significant (P < 0.05). Conclusion The clinical curative effect of Qushi Jianfa Decoction combined with plum-blossom needle in the treatment of alopecia seborrhoeica with syndrome of dampness stagnancy due to spleen deficiency is significant， which can significantly improve symptoms， increase the level of trace elements in hair， and has a low recurrence rate., http://www.100md.com(张雪松 周冬梅)
[关键词] 脂溢性脱发;脾虚湿滞型;祛湿健发汤;梅花针扣刺
[中图分类号] R275.9 [文献标识码] A [文章编号] 1673-7210(2019)09(a)-0126-04
[Abstract] Objective To explore the clinical efficacy of Qushi Jianfa Decoction combined with plum-blossom needle in the treatment of alopecia seborrheica with syndrome of dampness stagnancy due to spleen deficiency. Methods Ninety patients with seborrheic alopecia admitted to Shunyi Hospital of Beijing Traditional Chinese Medicine Hospital from July 2016 to January 2018 were divided into control group (45 cases) and research group (45 cases) by random number table method. The patients in the control group were treated with conventional treatment， while the patients in the research group were treated with Qushi Jianfa Decoction combined with plum-blossom needle puncture on the basis of the control group. The two groups were treated continuously for 6 months. The clinical total effective rate， the Chinese medicine syndrome scores before and after treatment， the element levels of iron (Fe)， calcium (Ca)， zine (Zn) and copper (Cu) in the hair and recurrence rate of two groups were compared. Results The total effective rate of research group was significantly higher than that of the control group， the difference was statistically significant (P < 0.05). After treatment， the Chinese medicine syndrome scores of pruritus， greasy， hair loss and scaly in the research group were significantly lower than those in the control group， and the scores of the two groups were significantly lower than those before treatment， the differences were statistically significantly (P < 0.05 or P < 0.01). After treatment， the levels of Fe， Ca， Zn and Cu in the hair in the research group were significantly higher than those in the control group， and the levels of elements after treatment in the two groups were significantly higher than those before treatment， the differences were statistically significant (P < 0.05 or P < 0.01). During the follow-up period， the recurrence rate of the research group was significantly lower than that of the control group， the difference was statistically significant (P < 0.05). Conclusion The clinical curative effect of Qushi Jianfa Decoction combined with plum-blossom needle in the treatment of alopecia seborrhoeica with syndrome of dampness stagnancy due to spleen deficiency is significant， which can significantly improve symptoms， increase the level of trace elements in hair， and has a low recurrence rate., http://www.100md.com(张雪松 周冬梅)