雷火灸和穴位埋线治疗黄褐斑的临床效果

Clinical efficacy of catgut embedding combined with thunder-fire moxibustion in treatment of melasma

目的探讨雷火灸和穴位埋线治疗黄褐斑的临床疗效。方法选择北京同仁医院针灸门诊黄褐斑患者82例，按随机数字表法将患者分为试验组42例和对照组40例。试验组采用雷火灸和穴位埋线治疗，对照组采用常规针灸治疗。经过8周治疗后进行临床疗效比较。结果试验组总有效率97．6％（41／42），痊愈率23．8％（10／42）；对照组总有效率72．5％（29／40），痊愈率15．0％（6／40）。两组疗效差异有统计学意义（P〈0．05）。结论雷火灸和穴位埋线是一种比普通针刺更有效的治疗黄褐斑的方法。

Objective To investigate the clinical effect of treating melasma by catgut embedding combined with thunder-fire moxibustion and acupuncture. Methods Between September 2011 to December 2012, 82 cases of melasma patients in Acupuncture Department of Tongren Hospital were randomly recruited into test group （42 cases） and control group （40 cases）. Test group was treated by catgut embedding combined with thunder-fire moxibustion and other 40 cases of control group were treated by common acupuncture. Then therapy effects were observed 8 weeks after treatments. Results In test group, general efficient rate of 42 cases was 97.6%, cure rate was 23.8%; in control group, general efficient rate of 40 cases was 72. 5%, and cure rate was 15%. By statistical analysis, the effect of the test group was obviously higher than that of the control group （P〈0.05）. Conclusions The treatment of melasma by catgut embedding combined with thunder fire moxibustion achieves more effective outcomes than common acupuncture.