不同频次耳穴刺络结合耳穴贴压治疗寻常型痤疮疗效观察  

Clinical observation on different frequency of auricular bloodletting combined with auricular point sticking for acne vulgaris

作　　者：高亚玉 张曼 佘延芬 陈豪 宋晓丹 张明健 刘今 范玺胜 张俊茶 师旭亮 GAO Ya-yu;ZHANG Man;SHE Yan-fen;CHEN Hao;SONG Xiao-dan;ZHANG Ming-jian;LIU Jin;FAN Xi-sheng;ZHANG Jun-cha;SHI Xu-liang(College of Acupuncture-Moxibustion and Tuina,Hebei University of CM,Shijiazhuang 050200,China;International Joint Research Center for Advantageous Diseases of Acupuncture and Moxibustion in Hebei Province,Shijiazhuang 050200)

机构地区：[1]河北中医学院针灸推拿学院,石家庄050200 [2]河北省中医针灸优势病症国际联合研究中心,石家庄050200

出　　处：《中国针灸》2022年第6期629-633,共5页Chinese Acupuncture & Moxibustion

基　　金：河北省高等教育教学改革研究与实践项目:2019GJJG279;河北省科技创新能力提升计划项目:KTZ2019013;2018年省级中医药发展资金中医药重大科研专项:20181002;国家中医药管理局第四批全国中医优秀人才研修项目:国中医药人教发[2017]24号。

摘　　要：目的:观察耳穴刺络结合耳穴贴压不同治疗频次对寻常型痤疮临床疗效的影响。方法:将90例寻常型痤疮患者随机分为治疗1组(30例,脱落2例)、治疗2组(30例,脱落4例)和治疗3组(30例,脱落5例)。治疗1组、治疗2组及治疗3组分别接受每周1、2、3次耳尖刺络结合耳穴贴压(肺、神门、内分泌和肾上腺)治疗,每日1次,均治疗4周为一疗程,共3个疗程。分别于治疗前及治疗1、2、3个疗程后记录3组患者全球痤疮分级系统(GAGS)评分、皮损积分、痤疮特异性生活质量量表(QoL-Acne)评分;于治疗3个疗程后评定3组疗效,于治疗后1个月随访评定复发率。结果:与治疗前比较,3组患者治疗后各时间点GAGS评分、皮损积分均降低(P<0.05),治疗3组患者治疗1个疗程后及3组患者治疗2、3个疗程后QoL-Acne评分均升高(P<0.05);3组GAGS评分、皮损积分及QoL-Acne评分组间比较,差异均无统计学意义(P>0.05)。3组有效率及复发率比较,差异均无统计学意义(P>0.05)。结论:不同频次耳穴刺络结合耳穴贴压疗效相当,均能改善寻常型痤疮皮损症状,提高患者生活质量,且均具有累积效应及良好的远期疗效。Objective To observe the clinical efficacy of different treatment frequency of auricular bloodletting combined with auricular point sticking for acne vulgaris.Methods A total of 90 patients with acne vulgaris were randomized into a treatment group 1(30 cases,2 cases dropped off),a treatment group 2(30 cases,4 cases dropped off)and a treatment group 3(30 cases,5 cases dropped off).Combination therapy of auricular bloodletting and auricular point sticking at Fei(CO_(14)),Shenmen(TF_(4)),Neifenmi(CO_(18))and Shenshangxian(TG_(2)p)were given once a week,twice a week and 3 times a week in the treatment group 1,the treatment group 2 and the treatment group 3 respectively,4 weeks were as one course and totally 3 courses were required in the 3 groups.Before treatment and after 1,2,3 courses of treatment,the scores of global acne grading system(GAGS),skin lesion and quality of life-acne(Qo L-Acne)were observed,the clinical efficacy was evaluated after 3 courses of treatment and the recurrence rate was evaluated in follow-up of 1 month after treatment in the 3 groups.Results Compared before treatment,the scores of GAGS and skin lesion were decreased at each time point in the 3 groups(P<0.05),the Qo L-Acne scores were increased after 1 course of treatment in the treatment group 3 and after 2,3 courses of treatment in the 3 groups(P<0.05).There were no statistical differences in scores of GAGS,skin lesion and Qo L-Acne among the 3 groups(P>0.05).There were no statistical differences in effective rate and recurrence rate among the 3 groups(P>0.05).Conclusion Different frequency of auricular bloodletting combined with auricular point sticking have similar efficacy in treating acne vulgaris,all can improve the skin lesion and quality of life in patients with acne vulgaris,and have a cumulative effect and good long-term curative effect.

关 键 词：寻常型痤疮 耳穴刺络 耳穴贴压 治疗频次 随机对照试验 

分 类 号：R246.7[医药卫生—针灸推拿学]