两种不同针刺方法治疗面部节段型稳定期白癜风临床观察

Clinical Observation of Two Different Acupuncture Methods for Vitiligo of Facial Segmental Type in Stable Phase

目的:观察液氮冷冻针刺及普通针刺治疗面部节段型白癜风的临床疗效。方法:选择稳定期面部节段型白癜风患者152例,随机分为液氮冷冻针刺(冰针)组52例、普通针刺组49例及对照组51例。对照组外用0.1%他克莫司软膏;普通针刺组在外用0.1%他克莫司软膏基础上联合毫针针刺治疗;冰针组在外用0.1%他克莫司软膏基础上联合冰针治疗。连续治疗6月后对白斑面积进行测量,评估临床疗效。结果:冰针组总有效率为86.54%,普通针刺组总有效率为83.67%,对照组总有效率为64.71%。冰针组及普通针刺组总有效率与对照组比较,差异均有统计学意义(P<0.05);冰针组与普通针刺组比较,差异无统计学意义(P>0.05)。结论:冰针及普通针刺治疗面部节段型白癜风疗效确切,但2种治疗方法临床疗效无差别。

Objective： To observe the clinical effect of the freezing acupuncture of liquid nitrogen and common acupuncture for vitiligo of facial segmental type in stable phase. Methods：Selected 152 cases of patients with vitiligo of facial segmental type, and divided them randomly into the group of freezing acupuncture of liquid nitrogen（the freezing needle group） with 52 cases,the common acupuncture group with 49 cases and the control group with 51 cases. The control group was given 0.1% tacrolimus ointment. Based on the external application of 0.1% tacrolimus ointment, the common acupuncture group additionally received filiform needle for treatment,while the freezing needle group additionally received freezing needle for treatment. After continuous treatment of six months,measured the area of white spots and evaluated the clinical effect. Results： The total effective rate was 86.54% in the freezing needle group, was 83.67% in the common acupuncture group and was 64.71% in the control group. Compared with the control group, the total effective rate in the freezing needle group and the common acupuncture group showed significance in the difference（P〈0.05）. There was no significant difference being found in the comparison of the total effective rate between the freezing needle group and the common acupuncture group（P〈0.05）. Conclusion：The effect of freezing needle and common acupuncture for vitiligo of facial segmental type is accurate,but there is no difference in the clinical effect between the two treatments.