针灸联合玉容化瘀汤治疗黄褐斑临床研究

摘要

Objective:To observe the curative effect of acupuncture combined with Yurong Huayu decoction in the treatment of chloasma.Methods:72 cases of patients with melasma were enrolled in this study,all patients were divided randomly into respectively control group and observation group,the control goup was treated with Yu-rong Huayu decoction,the observation group was given acupuncture treatment based on the treatment in control group,after two courses of treatment at the same time,observed before and after treatment,clinical symptoms of patients with clinical evaluation.Follow up for 6 months,the clinical symptoms of two groups including chloasma area,color and symptoms and recurrence were observed and statistically analyzed,including the incidence of new spots and deep lesions.Results:The total effective rate of the control group was 75.00%,the total effective rate of the observation group was 91.67%,and the clinical efficacy evaluation of the observation group was superior to that of the control group,difference was statistically significant(P<0.05).After treatment,the chloasma area,color and symptom severity of the observation group were lighter than that of the control group,the difference between the two groups was statistically significant(P<0.05).After treatment,all the symptoms of the two groups were im-proved,and the contrast between the two groups was statistically significant(P<0.05).After 6 months of follow-up,the area,color and consciousness of the Chloasma in the observation group were better than those in the control group,and the two groups were compared with P<0.05.In the observation group,the rate of recurrent new spots was 5.56%,the relapse rate of the original spots was 11.11%,the recurrence rate of the control group was 22. 22%,the relapse rate of the original spots was 36.11%,the relapse rate and the relapse rate of the original spots were lower in the observation group than those in the control group(P<0.05).Conclusion:Acupuncture combined Yurong Huayu decoction in the treatment of chloasma,good curative effect.%目的:观察针灸联合自拟玉容化瘀汤治疗黄褐斑的疗效.方法:选取72例黄褐斑患者纳入本次研究,将全部患者按随机法均分后分别纳入对照组与观察组,对照组给予单纯自拟玉容化瘀汤治疗,观察组在对照组治疗的基础上给予针灸治疗,治疗两个疗程后,评估临床疗效同时观察治疗前、后患者临床症状的改善情况.随访6个月,观察并统计两组患者临床症状包括黄褐斑的面积、颜色、自觉症状以及复发情况,包括出现新斑、原斑变深的发生率.结果:对照组总有效率为75.00%,观察组总有效率为91.67%,观察组临床疗效评估结果优于对照组(P<0.05).治疗后观察组黄褐斑面积、颜色及自觉症状的严重程度轻于对照组,组间对比差异具有统计学意义(P<0. 05);治疗后两组各项症状均见改善,组内对比差异具有统计学意义(P<0.05).随访6个月,观察组黄褐斑的面积、颜色、自觉症状均优于对照组,两组对比差异具有统计学意义(P<0.05).观察组复发新斑率5.56%,原斑复发变深率为11.11%;对照组复发新斑率22.22%,原斑复发变深率为36.11%;观察组复发新斑率、原斑复发变深率均低于对照组,差异具有统计学意义(P<0.05).结论:针灸联合玉容化瘀汤治疗黄褐斑效果确切、良好.