不同腧穴、频次刺络放血拔罐治疗寻常痤疮疗效观察

Therapeutic Observation of Bleeding Cupping with Different Acupoints and Frequencies for Acne Vulgaris

目的评价不同腧穴刺络放血拔罐治疗寻常痤疮的疗效。评价不同频次刺络放血拔罐治疗寻常痤疮的疗效。方法将64例患者采用分层随机的方法分为大椎组(其中每星期1次组16例,每星期2次组16例)32例和膈俞组(其中每星期1次组16例,每星期2次组16例)32例。大椎组分别采用每星期1次、每星期2次刺络放血拔罐治疗,膈俞组分别采用每星期1次、每星期2次刺络放血拔罐治疗。在治疗前后分别采用痤疮症状积分及总积分进行疗效评价。结果大椎组和膈俞组治疗前后比较,治疗后出油情况、皮损性质、皮损数量、皮损颜色、皮损肿痛方面症状积分均较治疗前减少,差异均有统计学意义(P<0.01)。两组间比较,膈俞组出油情况、皮损数量改善优于大椎组(P<0.05)。不同频次组比较,每星期1次组和每星期2次组治疗后出油情况、皮损性质、皮损数量、皮损颜色、皮损肿痛方面症状积分均较治疗前减少,差异有统计学意义(P<0.01)。两组间比较,每星期2次组皮损性质、皮损肿痛症状改善优于每星期1次组(P<0.05)。结论不同腧穴、不同频次治疗寻常痤疮均有较好的疗效;膈俞穴刺络放血拔罐对于改善患者出油症状、皮损数量效果优于大椎穴;每星期2次组在改善皮损性质、皮损肿痛方面优于每星期1次组。

Objective To evaluate the therapeutic efficacy of bleeding cupping with different acupoints and frequencies in treating acne vulgaris. Method Sixty-four patients were divided by using stratified randomization method into Dazhui（GV14） group of 32 cases（16 cases in the subgroup of once every week, and the other 16 cases in the subgroup of twice every week） and Geshu（BL17） group of 32 cases（16 cases in the subgroup of once every week, and the rest 16 cases in the subgroup of twice every week）. Dazhui group received bleeding cupping once every week or twice every week, while Geshu group also received bleeding cupping once every week or twice every week. The acne symptoms scores and total score were observed before and after intervention to evaluate the therapeutic efficacy. Result The symptoms scores including oily condition, skin lesion nature, counts, color, and swelling pain were decreased after intervention in the two groups（P〈0.01）. The improvement of oily condition in Geshu group was more significant than that in Dazhui group（P〈0.05）. The symptoms scores including oily condition, skin lesion nature, counts, color, and swelling pain were decreased after intervention in all the subgroups of different frequencies（P〈0.01）. The improvements of skin lesion nature and swelling pain were more significant in the subgroups of twice a week than that in the subgroups of once a week（P〈0.05）. Conclusion Bleeding cupping with different acupoints and frequencies all can produce satisfactory efficacies; bleeding cupping at Geshu can produce a more significant efficacy than that at Dazhui; treatment at a frequency of twice a week can produce a more significant effect than once a week in improving skin lesion nature and swelling pain.