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自血穴位注射治疗寻常痤疮疗效观察 预览

Observations on the Efficacy of Acupuncture Point Injection of Autologous Blood for Acne Vulgaris
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摘要 目的评价自血穴位注射治疗寻常痤疮的临床疗效。方法将90例符合纳入标准的属于中度Ⅱ级、Ⅲ级寻常痤疮患者采用随机数字表法分为自血组、针刺组和西药组,每组30例。自血组于患者双侧足三里穴位注射自体肘正中静脉血;针刺组针刺曲池、合谷、肺俞、血海、足三里;西药组口服罗红霉素胶囊。观察3组总有效率及治疗前后皮损积分及皮肤病生活质量量表评分(DLQI)。结果针刺组总有效率(78.6%)显著高于西药组(66.7%)(P<0.05),自血组总有效率(89.3%)显著高于针刺组和西药组,差异有统计学意义(P<0.05,P<0.01)。治疗后皮损积分比较,针刺组[(12.35±1.35)分]显著低于西药组[(19.39±1.54)分](P<0.05),自血组[(9.31±1.26)分]显著低于针刺组和西药组,差异有统计学意义(P<0.05,P<0.01)。治疗后皮肤病生活质量量表评分比较,自血组[(3.28±1.15)分]低于针刺组[(8.73±2.46)分]和西药组[(10.54±2.35)分],差异有统计学意义(P<0.05)。结论自血穴位注射治疗寻常痤疮能够明显减轻痤疮患者的皮损程度,改善痤疮患者的生活质量,减少复发率,疗效可靠。 Objective To assess the clinical efficacy of acupuncture point injection of autologous blood for acne vulgaris. Method Ninety patients meeting the inclusion criteria of moderate grade Ⅱ and grade Ⅲ acne vulgaris were allocated, using a random number table, to autologous blood, acupuncture and Western medicine groups, 30 cases each. The autologous blood group received injections of bilateral points Zusanli (ST36) with autologous blood from the median cubital vein;the acupuncture group, acupuncture at points Quchi (LI11), Hegu (LI4), Feishu (BL13), Xuehai (SP10) and Zusanli;the Western medicine group, oral administration of erythromycin capsules. In the three groups, the total efficacy rate was observed, and the skin injury score and the Dermatology Life Quality Index (DLQI) score were recorded before and after treatment. Result The total efficacy rate was significantly higher in the acupuncture group (78.6%) than in the Western medicine group (66.7%)(P<0.05) and significantly higher in the autologous blood group (89.3%) than in the acupuncture and Western medicine groups with statistically significant differences (P<0.05, P< 0.01). A post-treatment comparison showed that the skin injury score was significantly lower in the acupuncture group [(12.35±1.35)] than in the Western medicine group [(19.39±1.54)](P<0.05) and significantly lower in the autologous blood group [(9.31±1.26)] than in the acupuncture and Western medicine groups with statistically significant differences(P<0.05, P<0.01). After treatment, the Dermatology Life Quality Index score was significantly lower in the autologous blood group [(3.28±1.15)] than in the acupuncture group [(8.73±2.46)] and the Western medicine group[(10.54±2.35)] with statistically significant differences (P<0.05). Conclusion Acupuncture point injection of autologous blood can significantly reduce the skin injury, improve the quality of life and decrease the recurrence rate with a reliable therapeutic effect in patients with acne vulgaris.
作者 彭拥军 朱冰梅 姚彦 王和生 沈菲 吴旭 PENG Yong-jun;ZHU Bing-mei;YAO Yan;WANG He-sheng;SHEN Fei;WU Xu(Nanjing University of TCM Hospital,Nanjing 210029,China;West China Hospital,Sichuan University,Chengdu 610041,China)
出处 《上海针灸杂志》 2019年第4期429-432,共4页 Shanghai Journal of Acupuncture and Moxibustion
基金 江苏省六大人才高峰资助课题(2013-WSN-045) 江苏高校优势学科建设工程资助项目(YS2012ZYX402) 江苏省普通高校研究生实践创新计划项目(SJLX15_0449) 第六批全国老中医药专家学术经验继承工作继承人项目.
关键词 痤疮 寻常 针刺疗法 水针 穴位注射 皮损积分 皮肤病生活质量量表评分 Acne vulgaris Acupuncture therapy Hydro-acupuncture Acupuncture point injection Skin injury score Dermatology Life Quality Index score
作者简介 彭拥军(1977—),男,主任医师,博士生导师,博士后,Email:pengyongjun2004@126.com;通信作者:朱冰梅(1964—),女,教授,博士后合作导师,Email:zhubm@njucm.edu.cn.
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