火针治疗面部毛细血管扩张症的临床效果  

Clinical effect of fire needle in the treatment of patients with facial telangiectasia

作　　者：郑方 祝露露 李美红 杨峥 ZHENG Fang;ZHU Lulu;LI Meihong;YANG Zheng(The First Department of Acupuncture,Shaanxi Provincial Hospital of Chinese Medicine,Shaanxi Province,Xi’an710003,China;Department of Dermatology,Shaanxi Provincial Hospital of Chinese Medicine,Shaanxi Province,Xi’an710003,China)

机构地区：[1]陕西省中医医院针灸一科,陕西西安710003 [2]陕西省中医医院皮肤科,陕西西安710003

出　　处：《中国医药导报》2021年第36期99-102,共4页China Medical Herald

基　　金：陕西省重点研发计划一般项目(2020SF-339)。

摘　　要：目的观察火针治疗面部毛细血管扩张症(FT)的临床效果。方法选取2019年10月至2021年6月陕西省中医医院针灸一科和皮肤科收治的44例FT患者为观察对象,根据随机数字表法将其分为火针组和对照组,每组22例。火针组采用火针点刺面部扩张的毛细血管,对照组采用强脉冲光照射面部毛细血管扩张区域,两组疗程均为1个月。比较两组治疗前后面部情况及面部美学分区评分、面部毛细血管形态评分;比较两组治疗后和随访3个月的疗效。结果治疗后,两组可见毛细血管扩张区域及支数减少,皮肤情况也得到改善。治疗后,两组面部美学分区评分、面部毛细血管形态评分均低于治疗前,差异有统计学意义(P<0.05),两组间比较,差异无统计学意义(P>0.05)。两组随访3个月疗效与治疗后比较,差异无统计学意义(P>0.05),两组间比较,差异无统计意义(P>0.05)。结论火针治疗面部毛细血管扩张症效果肯定,与强脉冲光照射相近,远期效果稳定,可在临床推广。Objective To observe the clinical effect of fire needle in the treatment of patients with facial telangiectasia(FT).Methods A total of 44 patients with FT admitted to the First Department of Acupuncture and Dermatology of Dermatology in Shaanxi Provincial Hospital of Chinese Medicine from October 2019 to June 2021 were selected as the observation subjects,and they were divided into the fire needle group and the control group according to the random number table method,with 22 patients in each group.In the fire needle group,the facial telangiectasia was punctured with fire needle,and in the control group,the facial telangiectasia was irradiated with intense pulse light.The treatment course of both groups was one month.The facical situation,facial aesthetic zoning score,and facial capillary morphology score were compared between the two groups before and after treatment.The clinical effect two groups were compared after treatment and followed up for three months.Results After treatment,the area and number of telangiectasia were reduced,and the skin condition was improved.After treatment,the facial aesthetic zoning score and facial capillary morphology score of the two groups were lower than before,with statistically significant differences(P<0.05),but there was no statistically significant difference between the two groups(P>0.05).There was no statistically significant difference between the two groups after 3-month follow-up and after treatment(P>0.05),and there was no statistically significant difference between the two groups(P>0.05).Conclusion The therapeutic effect of fire needle in the treatment of facial telangiectasia is positive,the therapeutic effect is similar to that of intense pulse light irradiation,and the long-term effect is stable,which can be promoted in clinical practice.

关 键 词：面部 毛细血管扩张 火针 面部美学分区 

分 类 号：R276[医药卫生—中医五官科学]