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1、成都中醫(yī)藥大學(xué)碩士研究生學(xué)位論文中文摘要目的:研究火針加艾灸治療痤瘡后色素沉著療效的有效性,尋求一種新型的、有效的、綠色的針灸綜合方法。方法:本研究采用隨機(jī)、對照、單盲的研究方案,將符合納入標(biāo)準(zhǔn)的70例患者隨機(jī)分為2組,治療組和對照組各35例。治療組給予火針加艾灸的針灸綜合方案,不消退者15天后可火針再點(diǎn)一次,艾灸每日2次,共治療60天。對照組不采取任何治療。觀察兩組治療前后色素程度、色素?cái)?shù)目、色素大小、色素顏色消退程度及變淡時(shí)間的變化。結(jié)果:(1)臨床療效:治療組痊愈16例,顯效5例,有效13例,愈顯效率61.7%、總有效率100%。對照組痊愈6例,顯效2例,有效23例,無效2
2、例,愈顯效率24.2%、總有效率93.9%。兩組療效相比較,經(jīng)非參數(shù)(Mann-Whitney)U檢驗(yàn),P<0.05。提示兩組有顯著性差異,認(rèn)為選用火針加艾灸的治療組療效明顯優(yōu)于對照組。(2)皮損積分評定:兩組患者治療后皮損各項(xiàng)積分變化經(jīng)非參數(shù)(M-W)檢驗(yàn),在色素程度、色素?cái)?shù)目、色素大小、情緒影響及總積分方面,均P<0.05。提示兩組有顯著性差異,說明治療組在治療后皮損評分值明顯降低。(3)色素消退評定:兩組患者治療后色素消退30%所需時(shí)間、色素消退程度及鮮紅色、黃褐色、淡褐色色素消失的時(shí)間經(jīng)非參數(shù)(M-W)檢驗(yàn),均P<0.05。提示兩組有顯著性差異,說明治療組色素變淡時(shí)間及消
3、退程度都明顯優(yōu)于對照組,治療組色素各顏色消失的時(shí)間明顯低于對照組。結(jié)論:火針加艾灸療法具有促進(jìn)痤瘡后色素消退的作用。關(guān)鍵詞:痤瘡;色素沉著;火針加艾灸;2成都中醫(yī)藥大學(xué)碩士研究生學(xué)位論文ABSTRACTObjective:toobservetheclinicaleffectivenessofFireneedleandMoxibustioninthetreatmentofpigmentationleftoverbyacne.Lookingforanew、effectiveandgreenintegratedapproachofacupuncture.Morden:Withthera
4、ndomization,controlledandsingle-blindresearchmethod,atotalof70patientsweredividedintotwogroups.Eachgroupwas35cases.ThetreatmentgroupwastreatedbyintegratedapproachofacupuncturethatFireneedleandMoxibustion.Whodidnotgoawaywouldbetreatedbyfireneedleafterfifteendays.Moxibustionwasusedtwotimesaday.
5、Atotaloftreatmentissixtydays.Thecontrolgroupdidnotakedanytreatment.Observethechangethatthedegree,thenumbers,asizeofpigment,thedegreeofpigmentfadedandthetimeofpigmentcolourweakedbeforeandafterthetreatment.Results:(1)clinicaleffect:Inthetreatmentgroup,therecoverypatientswere16cases,markedlyeffe
6、ctivepatientswere5cases,effectivepatientswere13cases.Recoveryandsignificantlyeffectiveratewas61.7%,andtherateoftotalefficiencywas100%.Inthecontrolgroup,therecoverypatientswere6cases,markedlyeffectivepatientswere2cases,effectivepatientswere23cases,invalidpatientswere2cases.Recoveryandsignifica
7、ntlyeffectiveratewas24.2%,andtherateoftotalefficiencywas93.9%.Theclinicalefficacybetweentowgroupsbynon-parametric(Mann-Whitney)test,P<0.05.Twogroupshadsignificantdifference.sothetreatmentgroupofFireneedleandMoxibustionwassignificantbetterthan