基于中医辨证理论探讨黄褐斑光电治疗策略的分型适配性与精准干预  

Exploring the typological appropriateness and precise intervention of melasma phototherapy strategy based on Chinese medicine differentiation theory

作　　者：周莹洁 胡炜圣 林维嘉[2] 宣伃缇 黄宁 ZHOU Yingjie;HU Weisheng;LIN Weijia;XUAN Yuti;HUANG Ning(The Second Affiliated Hospital of Fujian University of Traditional Chinese Medicine,Fuzhou 350001,China;The First Affiliated Hospital of Xiamen University,Xiamen 361000,China;Xiamen Original Myomeplastic Medical Cosmetology Clinic,Xiamen 361000,China;College Key Laboratory of Dermatology of Integrated Traditional Chinese and Western Medicine,the Second Affiliated Hospital of Fujian University of Traditional Chinese Medicine,Fuzhou 350001,China)

机构地区：[1]福建中医药大学附属第二人民医院皮肤科,福建福州350001 [2]厦门大学附属第一医院皮肤科,福建厦门361000 [3]厦门原肌美塑医疗美容门诊部,福建厦门361000 [4]福建中医药大学附属第二人民医院中西医结合皮肤病福建省高校重点实验室,福建福州350001

出　　处：《医学研究与教育》2025年第1期46-52,共7页Medical Research and Education

基　　金：福建省自然科学基金项目(2021J01884);国家中医药管理局第二届国医大师传承工作室建设项目(闽卫中医函[2019]129号)。

摘　　要：黄褐斑作为常见皮肤病,因其多发、难治、易反复、影响美观,对患者造成较大负担。光电治疗作为重要的治疗手段之一,疗效突出,但也存在色素沉着、减退或脱失、病情复发等风险。因此,选择合适的光电治疗方案,有利于提高治疗的安全性、有效性。本研究旨在深入探讨中医辨证理论在黄褐斑光电治疗中的应用,根据不同皮损特征及临床症状,选择不同中医证型下黄褐斑光电治疗的方案,以期为光电治疗设备的精准选择提供思路。Melasma,as a common disfiguring skin disease,is a major burden to patients because it is frequent,difficult to treat,easy to recur,and affects aesthetics.Phototherapy,as one of the important treatment means,has outstanding efficacy,but it also has the risks of pigmentation,hypo pigmentation or loss of pigmentation,and recurrence of the disease.Therefore,choosing the appropriate photoelec-tric therapy program is conducive to improving the safety and effectiveness of treatment.The aim of this study is to deeply explore the application of Chinese medicine differentiation theory in the photoelectric treatment of melasma,and to judge the choice of photoelectric treatment plan for melasma under differ-ent Chinese medicine evidence types according to different lesion characteristics and clinical symptoms,with a view to providing a more precise and differentiatedchoice of photoelectric treatment equipment.

关 键 词：黄褐斑 中医辨证 光电治疗选择 

分 类 号：R2[医药卫生—中医学]