四井排毒刮痧联合消痘中药外敷在青春期湿热蕴结型痤疮患者中的应用

目的观察四井排毒刮痧联合中药外敷治疗青春期湿热蕴结型痤疮的临床疗效。方法选取68例湿热蕴结型痤疮患者,随机分为观察组和对照组。对照组采用异维A酸口服及外用夫西地霜;观察组在对照组基础上,增加四井排毒刮痧,联合中药外敷治疗。比较两组治疗后痤疮皮损积分(GAGS)的变化、总体临床疗效及治疗后3个月的复发率。结果两组治疗后GAGS评分均降低,观察组GAGS评分为(15.79±1.32)分,低于对照组的(17.18±2.02)分,差异具有统计学意义(P<0.05);观察组总有效率为94.12%,高于对照组的67.65%,差异具有统计学意义(P<0.05);治疗后3个月随访,观察组复发率为3.13%,低于对照组的21.74%,差异具有统计学意义(P<0.05)。结论四井排毒刮痧联合中药外敷治疗青春期湿热蕴结型痤疮疗效显著,安全性高,操作方便,值得在临床上推广应用。

Objective To observe the clinical efficacy of Si Jing detoxification scraping combined with traditional Chinese medicine(TCM)external application in treating acne of damp-heat stagnation type in adolescents.Methods A total of 68 patients with damp-heat stagnation type of acne were randomly divided into an observation group and a control group.The control group was treated with oral isotretinoin and topical fusidic acid cream;the observation group,in addition to the treatment of the control group,received Si Jing detoxification scraping combined with TCM external application.The changes in acne lesion score(GAGS),overall clinical efficacy,and recurrence rate within 3 months after treatment were compared between the two groups.Results After treatment,the GAGS scores in both groups were reduced.The observation group had a GAGS score of(15.79±1.32)points,which was lower than that of the control group(17.18±2.02)points,with a statistically significant difference(P<0.05);the total effective rate of the observation group was 94.12%,higher than that of the control group at 67.65%,with a statistically significant difference(P<0.05);follow-up at 3 months after treatment showed that the recurrence rate of the observation group was 3.13%,lower than that of the control group at 21.74%,with a statistically significant difference(P<0.05).Conclusion Si Jing detoxification scraping combined with TCM external application is significantly effective in treating acne of damp-heat stagnation type in adolescents,safe,convenient to operate,and worth promoting in clinical practice.