穴位埋线联合阿达帕林凝胶治疗脾胃湿热型寻常性痤疮临床研究
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R753.73+3

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Clinical Study on Acupoint Catgut Embedment Combined with Adapalene Gel for Acne Vulgaris of Spleen-Stomach Damp-Heat Type
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    摘要:

    目的:观察穴位埋线联合阿达帕林凝胶治疗脾胃湿热型寻常性痤疮的临床疗效及对痤疮综合分级 系统(GAGS) 评分的影响。方法:选取60 例脾胃湿热型寻常性痤疮患者作回顾性分析,根据治疗方式不同分 为对照组和观察组各30 例。对照组给予阿达帕林凝胶外用治疗,观察组在对照组基础上加用穴位埋线治疗。 比较2 组临床疗效、不良反应发生率、复发率,以及治疗前后中医证候评分、GAGS 评分。结果:观察组总有 效率为90.00%,对照组为83.33%,2 组比较,差异有统计学意义(P<0.05)。治疗前,2 组红色丘疹脓疱、皮 肤油腻、口臭口苦、纳呆、舌红苔黄腻等中医证候评分比较,差异无统计学意义(P>0.05);治疗后,2 组上 述各项中医证候评分均较治疗前降低(P<0.05),且观察组各项评分均低于对照组(P<0.05)。治疗前,2 组 GAGS 评分比较,差异无统计学意义(P>0.05);治疗后,2 组GAGS 评分均较治疗前下降(P<0.05),且观 察组GAGS 评分低于对照组(P<0.05)。治疗期间,观察组不良反应发生率为6.66%,对照组为16.66%,2 组 比较,差异有统计学意义(P<0.05)。随访3 个月,观察组复发率为10.00%,对照组为23.33%,2 组比较, 差异有统计学意义(P<0.05)。结论:穴位埋线联合常规西药治疗脾胃湿热型寻常性痤疮可提高疗效,降低中 医证候及GAGS 评分,降低不良反应发生率和复发率。

    Abstract:

    Abstract:Objective:To observe the clinical effect of acupoint catgut embedment in point combined with Adapalene Gel on acne vulgaris of spleen-stomach damp-heat type and its effects on scores of Global Acne Grading System (GAGS). Methods: The clinical data of 60 patients with acne vulgaris of spleenstomach damp-heat type were selected for retrospective analysis and divided into the control group and the observation group according to different treatment methods, with 30 cases in each group. The control group was given the external application of Adapalene Gel, and the observation group was additionally treated with acupoint catgut embedment based on the treatment of the control group. The clinical effects, adverse reactions and recurrence rates, as well as traditional Chinese medicine (TCM) syndrome scores and GAGS scores for skin lesions were compared between the two groups before and after treatment. Results:The total effective rate was 90.00% in the observation group,and 83.33% in the control group, the difference being significant (P<0.05). Before and after treatment,there was no significant difference being found in the comparisons of the TCM syndrome scores of red papulopustule,greasy skin,halitosis and bitter taste,torpid intake and red togue with yellow and slimy coating between the two groups (P> 0.05); after treatment, the above TCM syndrome scores were decreased compared with those before treatment (P<0.05),and each score in the observation group was lower than that in the control group (P< 0.05). Before treament, there was no significant difference being found in the comparison of the GAGS scores between the two groups; after treatment, the GAGS scores in the two groups were decreased when compared with those before treatment (P<0.05), and the GAGS scores in the observation group were lower than those in the control group (P<0.05). During treatment,the incidence of adverse reactions was 6.66% in the observation group and 16.66% in the control group,the difference being significant (P< 0.05). After 3 months of follow-up,the occurrence rate was 10.00% in the observation group and 23.33% in the control group,the difference being significant (P<0.05). Conclusion:Acupoint catgut embedment combined with western medicine can enhance the clinical effect for acne vulgaris of spleen-stomach dampheat type, decrease the TCM syndrome scores and GAGS scores, incidence of adverse reactions and occurrence rate scores.

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潘焕焕,崔欢,白书雅,赵绛波.穴位埋线联合阿达帕林凝胶治疗脾胃湿热型寻常性痤疮临床研究[J].新中医,2023,55(10):143-146

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  • 在线发布日期: 2023-05-25
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