刺络拔罐联合中药对肺经风热型痤疮疗效观察

Therapeutic Observation of Bloodletting Cupping plus Chinese Medication for Acne Vulgaris Due to Wind-heat Invading Lung Meridian

目的观察刺络拔罐联合中药治疗肺经风热型痤疮临床疗效。方法将66例肺经风热型痤疮患者,随机分为治疗组和对照组,每组33例。治疗组给予大椎、肺俞刺络放血并联合中药治疗;对照组仅给予中药治疗。4星期为1个疗程,共治疗3个疗程。比较两组的临床疗效及复发率。结果治疗组总有效率为96.9%,对照组为74.2%,两组比较差异有统计学意义(P<0.05)。治疗组治疗后3个月复发率为3.1%,对照组为16.1%,两组比较差异无统计学意义(P>0.05);治疗组治疗后6个月复发率为18.8%,对照组为45.2%,两组比较差异具有统计学意义(P<0.05)。结论刺络放血联合中药治疗痤疮疗效优于单纯中药,且远期复发率低,不良反应少。

Objective To observe the clinical efficacy of bloodletting cupping plus Chinese medication in treating acne vulgaris due to wind-heat invading Lung Meridian.Method Sixty-six patients with acne vulgaris due to wind-heat invading Lung Meridian were randomized into a treatment group and a control group, 33 cases in each group. The treatment group was intervened by bloodletting cupping at Dazhui （GV 14） and Feishu （BL 13） plus Chinese medication; the control group was intervened by Chinese medication alone. The treatment was given 4 weeks sessions as a treatment course, for a total of 3 courses. The clinical efficacy and relapse rate were compared between the two groups.Result The total effective rate was 74.2% in the treatment group versus 96.9% in the control group, and the between-group difference was statistically significant （P〈0.05）. Three months after the intervention, the relapse rate was 3.1% in the treatment group versus 16.1% in the control group, and the between-group difference was statistically insignificant （P〉0.05）; 6 months after the intervention, the relapse rate was 18.8% in the treatment group versus 45.2% in the control group, and the between-group difference was statistically significant （P〈0.05）.Conclusion Bloodletting cupping plus Chinese medication can produce a more significant efficacy than Chinese medication alone in treating acne vulgaris, with a low long-term relapse rate and fewer adverse effects.