针灸阳明经穴治疗黄褐斑随机平行对照研究

Yangming Meridian Acupuncture in the Treatment of Chloasma Random Parallel Control Study

[目的]观察针灸阳明经穴治疗黄褐斑疗效。[方法]使用随机平行对照方法,将85例门诊患者按随机数字表法分为两组。对照组40例口服VC300mg/d,3次/d,3%氢醌霜,外涂黄褐斑表面,2次/d。治疗组45例取合谷,天枢,足三里为主穴。气血不足加取脾俞,肾俞,补法,以强气血生化功效;气血瘀滞加取膈俞,血海,用平补平泻以强活血化瘀之功;阳明腑热加取曲池,内庭,用泻法,以强泻阳明经腑之热。1次/d,遇经期暂停针灸,两疗程间隔1周。连续治疗30d为1疗程。观测临床症状、不良反应。连续治疗2疗程,判定疗效。[结果]治疗组治愈12例,好转25例,无效8例,总有效率82.22%。对照组治愈3例,好转22例,无效15例,总有效率62.50%。治疗组疗效优于对照组(P<0.05)。[结论]针灸阳明经穴治疗黄褐斑效果显著,值得推广。

[Objective]To observe the acupuncture curative effect in the treatment of chloasma.[Methods]Using random parallel control method,85 cases of clinic patients were randomly divided into two groups according to random number table method.The control group,40 cases of oral VC300mg/time,3 times/ d,3% hydroquinone cream,besmear outside surface of chloasma,2 times/d.The treatment group 45 cases take li4,day pivot,st 36 holes.Qi and blood deficiency and spleen shu,shu,and complement,qi and blood biochemical effect by the strong;Take ke shu qi and blood stasis and blood,with nourishing flat diarrhea due to strong promoting blood circulation to remove blood stasis;Yang Ming relieving heat and li 11,Chambers,with reducing method,with strongly held by relieving diarrhea,fever.1/d,encounter period suspension of acupuncture and moxibustion,two courses of two weeks.Continuous treatment of 30 d for 1 course of treatment.Observation of clinical efficacy,adverse reactions.For 2 course of treatment,to judge curative effect.12 cases.[Results]The treatment group cure,improvement in 25 cases,8 no effect,the total effective rate was 82.22%.And 22 cases of control group,3 were cured,improved 15 cases,total effective rate was 62.50%.The treatment group curative effect is better than that of control group(P<0.05).Significant.[Conclusion]The effect of acupuncture in the treatment of chloasma,worthy of promotion.