埋线配合艾灸及放血疗法治疗雄激素源性脱发42例临床观察  

Efficacy of Catgut Embedding, Moxibustion and Bleeding Therapy on Androgenetic Alopecia: A Clinical Observation of 42 Cases

作　　者：高建英[1] 杨阳[2] 刘海金[3] 谢亚彬 赵辉[1] 吴彩凤[4] 

机构地区：[1]保定市第二医院,河北保定071051 [2]河北医科大学中医学院,河北石家庄050091 [3]解放军第二五二医院,河北保定071051 [4]中国中医科学院西苑医院,北京100091

出　　处：《中医药导报》2013年第10期55-57,共3页Guiding Journal of Traditional Chinese Medicine and Pharmacy

基　　金：河北省中医药管理局科研计划项目(2011142)

摘　　要：目的:观察埋线配合艾灸及放血疗法治疗雄激素源性脱发的临床疗效。方法:将84例本病患者按照随机数字表分为对照组和治疗组各42例。对照组予非那雄胺口服。治疗组采取在双侧肾关穴、明黄穴及足三里穴埋线,并温灸盒艾灸少腹部及脱发局部放血的治疗方法。两组治疗时间均为3个月,并随访6个月。观察患者治疗前及治疗1、3、6个月后血清睾酮(T)、雌二醇(E2)的水平及T/E2。结果:治疗1个月后两组疗效比较,差异无统计学意义(P>0.05);治疗3个月及6个月后两组疗效比较,差异有统计学意义(P≤0.05),治疗组疗效优于对照组。治疗1个月后两组患者的T、E2及T/E2比较,差异均无统计学意义(P>0.05);治疗3、6个月后比较,治疗组血清睾酮(T)、及T/E2均低于对照组(P<0.05),E2高于对照组(P<0.05)。结论:埋线配合艾灸及放血疗法治疗雄激素源性脱发有确切的疗效。Objective： To observe the clinical effect of the therapy of catgut embedding, moxibustion and bleeding on an- drogenetic alopecia .Methods： 82 patients with androgenetic alopecia were randomized into treatment and control group accord- ing to their sequence, 42 cases in each group. Patients were treated with finasteride tablet in control group. And patients were treated with the therapy of catgut embedding on shenguan point, minghuang point and zusanli point, then, with the ther- apy of moxibustion on hypogastrium, finally, bleeding on the head with no hair. Patients in two groups were treated for 3 months, and followed up for 6 months. The serum testosterone level （T）, blood serum estradiol level （E2） and the ratio of T/ E2 were tested before the treatment and at the first, third and sixth month after treatment. Results： The difference on clinical efficacy at the first month after the treatment showed no significance （P〉0.05）; but the clinical efficacy in the treatment was better than that of the contrul, at the third and sixth month after treatment, with statistical significance （P〈~0.05）; The differ- ence on serum testosterone level （T）, blood serum estradiol level （E2） and the ratio of T/ E2 at the first month after the treatment showed no significance （P〉0.05）; the serum testosterone level （T）, and the ratio of T/ E2 in the treatment was low- er than that of the control at the third and sixth month after treatment, with statistical significance （P〈0.05）, and the blood serum estradiol level（E2） higher than that of the control group （P〈0.05）. Conclusion： The therapy of catgut embedding, moxi- bustion and bleeding on androgenetic alopecia can provide definite clinical efficacy for AGA.

关 键 词：埋线 温灸盒艾灸 放血 气海穴区 关元穴区 雄激素源性脱发 

分 类 号：R275[医药卫生—中医皮科]