温灸法治疗囊肿型痤疮疗效观察

Clinical observation of cystic acne treated with warming moxibustion

目的:验证温灸法治疗囊肿型痤疮的临床疗效。方法:将94例患者随机分为观察组、对照1组和对照2组。3组均给予体针配合火针的基础治疗。观察组再给予艾炷灸关元、气海、脾俞;对照1组口服异维A酸胶丸;对照2组未予其他治疗。观察3组疗效、治疗前后皮损评分变化及不良反应。结果:治疗后观察组总有效率为84.4%(27/32),对照1组总有效率为71.0%(22/31),对照2组总有效率为51.6%(16/31),观察组疗效优于对照2组(P<0.05),观察组与对照1组疗效差异无统计学意义(P>0.05)。治疗后观察组皮损改善情况优于对照2组(P<0.05),且与对照1组皮损改善相当(P>0.05)。对照1组出现皮肤干燥、唇炎等不良反应。结论:温灸可提高体针、火针治疗囊肿型痤疮的疗效,与异维A酸胶囊疗效相当,且无不良反应。

Objective To verify the clinical efficacy of warming moxibustion on cystic acne. Methods Ninetyfour cases were randomized into an observation group, control group 1 and control group 2. The basic treatment of body acupuncture combined with fire needling was applied in all of three groups. In observation group, cone moxibustion was added on Guanyuan （CV 4）, Qihai （CV 6） and Pishu （BL 20）. In control group 1, Isotritinoin soft capsule was taken orally, and in control group 2, no any other therapy was administered. The efficacy, the scale change in skin lesion before and after treatment and adverse reactions were observed in three groups. Results After treatment, the total effective rate was 84. 4% （27/32） in observation group, was 71.0% （22/31） in control group 1 and was 51.6 % （16/31） in control group 2. The efficacy in observation group was superior to that in control group 2 （P〈0.05）, but there was no significant difference between observation group and control group 1 （P〉0.05）. The improvement in skin lesion in observation group was equal to that in control group 1 （P〉0.05）, and was superier to that in control group 2 （P〈0.05）. Control group 1 presented some adverse reactions, such as dry skin and eheilitis. Conclusion Warming moxibustion can improve the efficacy of body acupuncture and fire needling on cystic acne, which is equal to the efficacy of Isotritinoin soft capsule, but no any adverse reaction is induced.