火针联合药物治疗痰湿瘀滞型寻常痤疮效果分析

Clinical Efficacy of Fire Needle Combined with Medication in the Treatment of Acne Vulgaris with Phlegm Dampness and Stasis Syndrome

目的分析探讨火针联合药物治疗痰湿瘀滞型寻常痤疮的临床疗效。方法选取2021年1月至2023年1月驻马店市中医院收治的120例痰湿瘀滞型寻常痤疮患者作为研究对象,按照不同治疗方法将其分为药物组(40例)、火针组(40例)和联合组(40例),药物组患者采用盐酸多西环素片+阿达帕林凝胶治疗,火针组患者采用火针点刺治疗,联合组患者采用盐酸多西环素片+阿达帕林凝胶+火针点刺治疗,对比观察3组患者临床症状消退时间、临床疗效及治疗满意度。结果联合组患者粉刺、丘疹、脓疱消退时间均明显短于药物组与火针组(粉刺消退时间:q=17.610、6.240,P均<0.001;丘疹消退时间:q=18.750、12.591,P均<0.001;脓疱消退时间:q=13.471、4.182,P<0.001、P=0.010),且火针组患者粉刺、丘疹、脓疱消退时间均明显短于药物组(q=11.370、6.158、9.286,P均<0.001)。治疗10 d后,联合组患者治疗总有效率为97.5%,明显高于药物组患者的治疗总有效率77.5%以及火针组患者的治疗总有效率85.0%(χ^(2)=7.314、3.914,P=0.007、0.048),而药物组与火针组间无明显差异(χ^(2)=0.738,P=0.390)。治疗2周后,联合组患者治疗满意度为95.0%,明显高于药物组患者的治疗满意度72.5%以及火针组患者的治疗满意度75.0%(χ^(2)=7.440、6.275,P=0.006、0.012),而药物组与火针组间无明显差异(χ^(2)=0.065,P=0.799)。结论与单纯应用盐酸多西环素片+阿达帕林凝胶或火针点刺治疗相比,联合应用盐酸多西环素片、阿达帕林凝胶及火针点刺治疗痰湿瘀滞型寻常痤疮,更能加快粉刺、丘疹、脓疱等临床症状的消退,提高治疗效果及患者满意度。

Objective To analyze the clinical efficacy of fire needle combined with medication in the treatment of acne vulgaris with phlegm dampness and stasis syndrome.Methods 120 patients with acne vulgaris with phlegm dampness and stasis syndrome admitted to Zhumadian Hospital of Traditional Chinese Medicine from January 2021 to January 2023 were enrolled as research subjects,and divided into the medication group(n=40)being treated with doxycycline hydrochlo⁃ride tablets plus adapalene gel,the fire needle group(n=40)being treated with fire needle quick puncture,and the combi⁃nation group(n=40)being treated with doxycycline hydrochloride tablets plus adapalene gel plus fire needle quick puncture.The subsiding time of clinical symptoms,clinical efficacy,and patients’satisfaction were compared between the three groups.Results The subsiding times of acne,papule and pustule of patients were all significantly shorter in the combination group respectively compared with the medication group and the fire needle group(acne subsiding time:q=17.610 and 6.240,both P<0.001;papule subsiding time:q=18.750 and 12.591,both P<0.001;pustule subsiding time:q=13.471 and 4.182,P<0.001,P=0.010),and the subsiding times of acne,papule and pustule of patients was significantly shorter in the fire needle group compared with the medication group(q=11.370,6.158 and 9.286,all P<0.001).After 10 days of treatment,the total effective rate was 97.5%in the combination group,which was significantly higher than the corresponding 77.5%in the medication group and 85.0%in the fire needle group(χ^(2)=7.314 and 3.914,P=0.007 and 0.048),while there was no significant difference between the medication group and the fire needle group(χ^(2)=0.738,P=0.390).After 2 weeks of treatment,the patients’satisfaction in the combination group was 95.0%,which was significantly higher than the corresponding 72.5%in the medication group and 75.0%in the fire needle group(χ^(2)=7.440 and 6.275,P=0.006 and 0.012),while there was no significant difference between the medication group and the fire needle(χ^(2)=0.065,P=0.799).Conclusion Compared with the application of doxycycline hydrochloride tablets plus adapalene gel or fire needle quick puncture therapy alone in the treatment of acne vulgaris with phlegm dampness and stasis syndrome,the combined application of doxycycline hydrochloride tablets,adapalene gel and fire needle quick puncture is more effective in accelerating the regression of patients’clinical symptoms such as acne,papule and pustule,improving treatment effect and patient’s satisfaction.