强脉冲光联合调冲消痤汤治疗冲任失调型痤疮临床研究  

Clinical Study of Intense Pulsed Light Combined with Tiaochong Xiaocuo Tang for Acne of Disharmony of Thoroughfare and Conception Vessels Type

作　　者：王法明[1] 李华[2] 丁晓媚[1] 黄飞波[1] 毛平安[1] WANG Faming;LI Hua;DING Xiaomei;HUANG Feibo;MAO Pingan

机构地区：[1]丽水市人民医院,浙江丽水323000 [2]浙江大学医学院附属邵逸夫医院皮肤科,浙江杭州310016

出　　处：《新中医》2021年第23期107-110,共4页New Chinese Medicine

基　　金：浙江省中医药科技计划项目(2018ZB077);丽水市科技计划项目(2019SJZC72)。

摘　　要：目的:观察强脉冲光联合调冲消痤汤治疗冲任失调型痤疮的临床疗效。方法:选取62例冲任失调型痤疮患者作为研究对象,随机分为对照组与观察组各31例。2组均采用温水清洁面部皮肤,并给予优质护理。在此基础上,对照组用强脉冲光治疗,观察组采用强脉冲光联合调冲消痤汤治疗,持续治疗2个月。比较2组临床疗效、不良反应发生情况及治疗前后皮损程度、中医证候积分。结果:治疗后,观察组总有效率93.55%,明显高于对照组80.65%(P<0.05)。与同组治疗前比较,治疗后2组皮损数量、范围、颜色、出油评分及皮肤瘙痒、面部色红、口干喜饮、尿黄、便秘、舌象异常等中医证候积分均降低(P<0.05);与对照组治疗后比较,观察组治疗后皮损数量、范围、颜色、出油评分及舌象异常中医证候积分均较低(P<0.05)。2组不良反应比较,差异无统计学意义(P>0.05)。结论:强脉冲光联合调冲消痤汤治疗冲任失调型痤疮有良好的临床疗效,可以减轻皮损程度,降低中医证候积分,且未明显增加不良反应发生率。Objective:To observe the clinical effect of intense pulsed light combined with Tiaochong Xiaocuo tang for acne of disharmony of the thoroughfare and conception vessels type.Methods:A total of 62 cases of patients with acne of disharmony of the thoroughfare and conception vessels type were selected as the research objects and randomly divided into the control group and the observation group,with 31 cases in each group.Both groups cleaned their facial skin with warm water and were given high-quality nursing.The control group was additionally treated with intense pulsed light,and the observation group was additionally treated with intense pulsed light combined with Tiaochong Xiaocuo tang.Both groups were treated for two months.The degrees of skin lesion and Chinese medicine syndrome scores before and after treatment as well as the clinical effects and adverse reactions in the two groups were compared.Results:After treatment,the total effective rate was 93.55%in the observation group,significantly higher than that of 80.65%in the control group(P<0.05).After treatment,the scores of number,range,color,and sebum secretion of skin lesion as well as the Chinese medicine syndrome scores of pruritus,red complexion,dry mouth,thirst,yellow urine,constipation and abnormal tongue manifestation in the two groups were decreased when compared with those before treatment(P<0.05);the scores of number,range,color,and sebum secretion of skin lesion as well as the Chinese medicine syndrome scores of abnormal tongue manifestation in the observation group were lower than those in the control group(P<0.05).There was no significant difference being found in the comparison of adverse reactions between the two groups(P>0.05).Conclusion:Intense pulse light combined with Tiaochong Xiaocuo tang has a good clinical effect on acne of disharmony of the thoroughfare and conception vessels type,which can alleviate the degree of skin lesion and reduce the Chinese medicine syndrome score,without increasing the incidence of adverse reactions.

关 键 词：痤疮 冲任失调 强脉冲光 调冲消痤汤 中医证候积分 皮损程度 

分 类 号：R758.733[医药卫生—皮肤病学与性病学]