皮肤针治疗肝肾不足型雄激素性脱发的疗效观察  

Observation on the efficacy of cutaneous acupuncture for androgenic alopecia of liver and kidney deficiency pattern

作　　者：肖鑫冉 陈唯依 余安胜[3] XIAO Xinran;CHEN Weiyi;YU Ansheng(First Hospital Affiliated to Yunnan University of Traditional Chinese Medicine,Kunming 650021,China;Shanghai Qigong Research Institute,Shanghai 200030,China;Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai 201203,China)

机构地区：[1]云南中医药大学第一附属医院,昆明650021 [2]上海市气功研究所,上海200030 [3]上海中医药大学附属曙光医院,上海201203

出　　处：《上海针灸杂志》2024年第6期669-674,共6页Shanghai Journal of Acupuncture and Moxibustion

基　　金：上海申康医院发展中心临床科技创新项目(HDC12016242)。

摘　　要：目的观察皮肤针治疗肝肾不足型雄激素性脱发的临床疗效。方法将64例肝肾不足型雄激素性脱发患者随机分为对照组和治疗组,每组32例。治疗组用皮肤针局部叩刺治疗,对照组用常规针刺治疗。分别观察两组患者治疗前、治疗4周后、治疗后的临床症状评分、中医证候积分和头皮温度的变化。比较两组临床疗效。结果治疗4周后和治疗后,两组临床症状评分均低于治疗前(P<0.05),两组临床症状评分组间比较差异无统计学意义(P>0.05),治疗组临床症状评分的治疗前后差值大于对照组(P<0.05)。两组治疗后中医证候积分低于同组治疗前(P<0.05),但组间比较差异无统计学意义(P>0.05)。治疗组头皮温度升高程度较对照组更为明显(P<0.05),两组同时段内治疗后头皮温度均高于治疗前(P<0.05),治疗组第12次和第24次治疗前后头皮温度差值大于对照组(P<0.05)。治疗4周后,治疗组总有效率为28.1%,对照组为21.9%;治疗后,治疗组总有效率为78.1%,对照组为68.8%;同时段组间比较,差异无统计学意义(P>0.05);两组治疗后的总有效率均高于同组治疗4周后(P<0.05)。结论皮肤针治疗肝肾不足型雄激素性脱发的临床疗效与常规针刺治疗相当,在改善临床症状和升高头皮温度方面优于常规针刺,可能通过改善头皮微循环而减轻临床症状。Objective To observe the clinical efficacy of cutaneous acupuncture for androgenic alopecia of liver and kidney deficiency pattern.Method Six-four patients with androgenic alopecia of liver and kidney deficiency pattern were randomized to a control group and a treatment group,with 32 cases in each group.The treatment group received local cutaneous acupuncture and the control group received conventional acupuncture.The clinical symptom and the TCM syndrome scores were recorded and scalp temperature was measured in the two groups before treatment,after four-week treatment and after treatment.The clinical therapeutic effects were compared between the two groups.Result After four-week treatment and after treatment,the clinical symptom scores decreased in the two groups compared with those before treatment(P<0.05).There was no statistically significant difference in the clinical symptom score between the two groups(P>0.05).The difference value of pre-and post-treatment clinical symptom scores was larger in the treatment group than that in the control group(P<0.05).After treatment,the TCM syndrome scores decreased in the two groups compared with those before treatment(P<0.05),but there was no statistically significant difference between the groups(P>0.05).Scalp temperature increased more significantly in the treatment group than that in the control group(P<0.05)and it increased in the two groups during the same period of time after treatment compared with that before treatment(P<0.05).The difference values of scalp temperatures at twelfth and twenty-fourth treatments compared with those before treatment were larger in the treatment group than those in the control group(P<0.05).The total efficacy rate was 28.1%in the treatment group and 21.9%in the control group after four-week treatment,and 78.1%in the treatment group and 68.8%in the control group after treatment(P<0.05).There was no statistically significant difference between the groups during the same period of time(P>0.05).The total efficacy rates were higher in th

关 键 词：针刺疗法 皮肤针疗法 梅花针疗法 脱发 雄激素 肝肾不足 

分 类 号：R246.2[医药卫生—针灸推拿学]