心理疏导联合NB-UVB、火针治疗面部白癜风的疗效观察  

Observation on the efficacy of psychological counseling combined with NB-UVB and fire-needle acupuncture in the treatment of facial vitiligo

作　　者：薛新国[1] XUE Xin-guo(Department of Dermatology,The People's Hospital of Xintai City(Affiliated Hospital of Qilu Medical University),Xintai 271200,China)

机构地区：[1]新泰市人民医院(齐鲁医药学院附属医院),271200

出　　处：《中国实用医药》2023年第17期129-132,共4页China Practical Medicine

摘　　要：目的探讨心理疏导联合窄谱中波紫外线(NB-UVB)、火针治疗面部白癜风的疗效。方法70例面部白癜风患者,根据随机数字表法分为观察组与对照组,每组35例。对照组应用NBUVB、火针治疗,观察组在对照组基础上加用心理疏导。比较两组临床疗效、不良事件发生情况及治疗前后的生活质量[皮肤病生活质量指数量表(DLQI)]、心理健康状况[抑郁自评量表(SDS)、焦虑自评量表(SAS)评分]。结果治疗12周后,观察组总有效率为97.1%,高于对照组的77.1%,差异具有统计学意义(P<0.05)。治疗12周后,对照组SDS、SAS评分与本组治疗前比较差异无统计学意义(P>0.05);观察组SDS、SAS评分低于本组治疗前,差异具有统计学意义(P<0.05)。治疗12周后,观察组SDS、SAS评分分别为(27.92±3.68)、(26.33±3.85)分,低于对照组的(37.92±5.62)、(35.82±4.03)分,差异具有统计学意义(P<0.05)。治疗12周后,两组DLQI评分均低于本组治疗前,且观察组DLQI评分(3.81±0.99)分低于对照组的(6.06±1.21)分,差异具有统计学意义(P<0.05)。两组不良事件发生率比较,差异无统计学意义(P>0.05)。结论采用心理疏导联合NB-UVB、火针治疗面部白癜风效果较好,能够提高患者的生活质量,改善患者的心理健康状况,且治疗方案安全性较高,具有较高的应用及推广价值。Objective To discuss the efficacy of psychological counseling combined with narrowband ultraviolet B(NB-UVB)and fire-needle acupuncture in the treatment of facial vitiligo.Methods A total of 70 patients with facial vitiligo were divided into observation group and control group according to the random numerical table,with 35 cases in each group.The control group was treated with NB-UVB and-needle acupuncture fire,and the observation group was treated with psychological counseling on the basis of the control group.The clinical efficacy,occurrence of adverse events,dermatology life quality index(DLQI),mental health status[selfrating depression scale(SDS)score and self-rating anxiety scale(SAS)score]before and after treatment of the two groups were compared.Results After 12 weeks of treatment,the total effective rate of the observation group was 97.1%,which was higher than that of 77.1%of the control group,and the difference was statistically significant(P<0.05).There was no statistically significant difference in SDS and SAS scores before treatment and after 12 weeks of treatment in the control group(P>0.05).SDS and SAS scores in the observation group after 12 weeks of treatment were lower than those before treatment in this group,and the differences were statistically significant(P<0.05).After 12 weeks of treatment,the SDS and SAS scores of the observation group were(27.92±3.68)and(26.33±3.85)points,which were lower than those of(37.92±5.62)and(35.82±4.03)points of the control group,and the differences were statistically significant(P<0.05).After 12 weeks of treatment,DLQI score in both groups were lower than that before treatment in this group;DLQI score of(3.81±0.99)points in the observation group was lower than that of(6.06±1.21)points in the control group.The differences were statistically significant(P<0.05).There was no statistically significant difference in the incidence of adverse events between the two groups(P>0.05).Conclusion Psychological counseling combined with NB-UVB and fire-needle acupunctur

关 键 词：心理疏导 窄普中波紫外线 火针 面部白癜风 

分 类 号：R275.9[医药卫生—中西医结合]