毫针刺法和A型肉毒毒素注射治疗眶周动力性皱纹的临床效果  

Clinical effects of botulinum toxin type A injection and acupuncture on periorbital wrinkles

作　　者：马涛[1] 翁瑞[1] 郑永生[1] 

机构地区：[1]首都医科大学附属北京同仁医院整形美容中心,100730

出　　处：《中华医学美学美容杂志》2016年第3期133-136,共4页Chinese Journal of Medical Aesthetics and Cosmetology

摘　　要：目的探讨毫针刺法和A型肉毒毒素注射治疗眶周动力性皱纹的临床效果。方法将2015年5—9月对24例眶周年轻化（除皱）的美容就医者分为毫针刺法组（针刺组）和A型肉毒毒素注射组（注射组），各12例。针刺组采用一次性针灸针，针刺穴位保留20min，1次／d，5次为1个疗程，疗程间隙2d，治疗2个疗程。注射组采用A型肉毒毒素20U8点注射，2周后采用皱纹评价标准评价两组眉间纹及眼角鱼尾纹的变化情况。根据治疗前后相片评价两组皮肤质地和面部表情异样感觉情况。结果针刺组和注射组治疗后眶周皱纹明显改善；注射组（0．67±0．67）分除皱效果明显优于针刺组（1．33±0．61）分（P〈0．05）；针刺组的皮肤质量改善和表情运动感觉明显优于注射组。结论眶周针刺治疗可以作为眶周除皱治疗的辅助手段，具有改善面部皮肤弹性和光泽及保持自然面部表情的优势。Objective To investigate the therapeutic effects of botulinum toxin type A injection and acupuncture on periorbital wrinkles. Methods From May to September in 2015, 24 patents were randomly divided into experimental and control group according to random number table： the patients in experimental group were treated with disposable acupuncture needles, 20 min for each treatment, once a day, five times each course for courses, 2 days interval between the two courses; the patients in control group were treated with 20 units of botulinum toxin type A injection. The therapeutic results were observed 2 weeks after the treatment by the third-party doctor according to skin wrinkles grading. Results The periorbital wrinkles in both groups improved remarkably, and the wrinkle grading in control group was significantly lower than that in the experimental group （0.67±0.67 vs 1.33±0.61, P〈0.05）. The skin quality and facial expression sensation in the experimental group improved signifi- cantly when compared with those in the control group. Conclusions Acupuncture can be used as a complementary treatment of periorbital wrinkles, and it improves the skin quality in terms of elasticity and color and keeps the natural facial expression sensation.

关 键 词：针灸 A型肉毒素 对比研究 

分 类 号：R62[医药卫生—整形外科] R779.6[医药卫生—外科学]