目的观察揿针联合石膏外敷治疗肺胃湿热型寻常型痤疮的临床疗效。方法将100例肺胃湿热型寻常型痤疮患者随机分为治疗组和对照组,每组50例。对照组采用夫西地酸乳膏外用治疗,治疗组在此基础上联合耳穴揿针和石膏外敷治疗。观察两组治疗前...目的观察揿针联合石膏外敷治疗肺胃湿热型寻常型痤疮的临床疗效。方法将100例肺胃湿热型寻常型痤疮患者随机分为治疗组和对照组,每组50例。对照组采用夫西地酸乳膏外用治疗,治疗组在此基础上联合耳穴揿针和石膏外敷治疗。观察两组治疗前后Pillsbury分级、痤疮特异性生活质量量表(acne-specific quality of life questionnaire,acne-QOL)评分和皮损症状评分变化,并比较两组临床疗效和不良反应情况。结果治疗组总有效率为88.0%,对照组为64.0%,两组比较差异无统计学意义(P>0.05)。两组治疗后皮损症状评分低于治疗前(P<0.05);两组治疗后皮损症状评分及治疗前后皮损症状评分的差值比较有统计学意义(P<0.05)。两组治疗后Pillsbury分级和Acne-QOL评分优于治疗前(P<0.05),且治疗组优于对照组(P<0.05)。治疗组不良反应发生率为4%(2/50),与对照组的0%(0/50)比较差异无统计学意义(P>0.05)。结论在常规药物治疗的基础上,揿针联合石膏外敷治疗肺胃湿热型寻常型痤疮疗效较好,可缓解临床症状,改善生活质量。展开更多
OBJECTIVE:To observe the effect of electroacupuncture(EA) on force-displacement value(FDV)of muscle state and the temperature index of infrared thermogram in patients with acute lumbar muscle sprain.METHODS:Patients w...OBJECTIVE:To observe the effect of electroacupuncture(EA) on force-displacement value(FDV)of muscle state and the temperature index of infrared thermogram in patients with acute lumbar muscle sprain.METHODS:Patients with acute lumbar muscle sprain were randomly divided into a medication group and an EA group.The medication group(n-60) were treated with diclofenac sodium dual release enteric-coated capsules,75 mg per day for 7days.The EA group(n = 60) received EA at bilateral Houxi(SI 3),Jiaji(EX-B2),and Ashi points,at 20-30 mm depth and 10-25 Hz frequency for 20 min daily for 7 days.Muscle states were determined by measuring FDVs of the bilateral lumbar muscle with a Myotonometer fast muscle state detector.The temperature index of the lumbar skin was measured before and after treatment with a Fluke Ti30 non-refrigerated focal plane infrared thermal imaging detector.RESULTS:There were no significant pre-treatment differences between the medication group and the EA group in mean FDV(P = 0.052) or temperature index of the lumbar skin(P = 0.25).The cure rate was 63.3%in the EA group and 53.3%in the medication group.The total efficacy in the EA group(93.3%) was not significantly different from that in the medication group(86.6%,P = 0.204).After treatment,the mean FDV of the lumbar muscle significantly increased in both groups(P < 0.05 for both groups);the FDV increase in the EA group was significantly higher than in the medication group(P = 0.015).The temperature index was also significantly increased in both groups(P < 0.05 for both groups);the infrared thermogram in the EA group indicated significantly greater recovery compared to the medication group(P = 0.026).CONCLUSION:Both EA and diclofenac sodium markedly improved acute lumbar sprain,but EA better improved the rehabilitation and regeneration of FDVs and temperature index of infrared thermogram of the muscle.展开更多
文摘目的观察揿针联合石膏外敷治疗肺胃湿热型寻常型痤疮的临床疗效。方法将100例肺胃湿热型寻常型痤疮患者随机分为治疗组和对照组,每组50例。对照组采用夫西地酸乳膏外用治疗,治疗组在此基础上联合耳穴揿针和石膏外敷治疗。观察两组治疗前后Pillsbury分级、痤疮特异性生活质量量表(acne-specific quality of life questionnaire,acne-QOL)评分和皮损症状评分变化,并比较两组临床疗效和不良反应情况。结果治疗组总有效率为88.0%,对照组为64.0%,两组比较差异无统计学意义(P>0.05)。两组治疗后皮损症状评分低于治疗前(P<0.05);两组治疗后皮损症状评分及治疗前后皮损症状评分的差值比较有统计学意义(P<0.05)。两组治疗后Pillsbury分级和Acne-QOL评分优于治疗前(P<0.05),且治疗组优于对照组(P<0.05)。治疗组不良反应发生率为4%(2/50),与对照组的0%(0/50)比较差异无统计学意义(P>0.05)。结论在常规药物治疗的基础上,揿针联合石膏外敷治疗肺胃湿热型寻常型痤疮疗效较好,可缓解临床症状,改善生活质量。
基金Supported by the Study on the Clinical Curative Effect and Standardization of Acupuncture and Tuina Treatment of Acute Lumbar Sprain from the Projects of Science and Technology Commission of Shanghai Municipality(No.10DZ1974700)the Clinical Research on Acupuncture and Tuina Treatment of Acute Lumbar Sprain Scheme Optimization and Rehabilitation Evaluation from Shanghai Municipal Health Bureau(No.2010QL035A)+2 种基金the Research on the Spreading Appropriate Technology of TCM in Shanghai(No.2010G007A)the Study on the Inheritance of Lushi Acupuncture about Shanghai Traditional Chinese Medicine Schools(No.ZYSNXD-CC-HPGC-JD-004)the Program of TCM Personnel Training in Shanghai(No.ZY3-RCPY-2-2034)
文摘OBJECTIVE:To observe the effect of electroacupuncture(EA) on force-displacement value(FDV)of muscle state and the temperature index of infrared thermogram in patients with acute lumbar muscle sprain.METHODS:Patients with acute lumbar muscle sprain were randomly divided into a medication group and an EA group.The medication group(n-60) were treated with diclofenac sodium dual release enteric-coated capsules,75 mg per day for 7days.The EA group(n = 60) received EA at bilateral Houxi(SI 3),Jiaji(EX-B2),and Ashi points,at 20-30 mm depth and 10-25 Hz frequency for 20 min daily for 7 days.Muscle states were determined by measuring FDVs of the bilateral lumbar muscle with a Myotonometer fast muscle state detector.The temperature index of the lumbar skin was measured before and after treatment with a Fluke Ti30 non-refrigerated focal plane infrared thermal imaging detector.RESULTS:There were no significant pre-treatment differences between the medication group and the EA group in mean FDV(P = 0.052) or temperature index of the lumbar skin(P = 0.25).The cure rate was 63.3%in the EA group and 53.3%in the medication group.The total efficacy in the EA group(93.3%) was not significantly different from that in the medication group(86.6%,P = 0.204).After treatment,the mean FDV of the lumbar muscle significantly increased in both groups(P < 0.05 for both groups);the FDV increase in the EA group was significantly higher than in the medication group(P = 0.015).The temperature index was also significantly increased in both groups(P < 0.05 for both groups);the infrared thermogram in the EA group indicated significantly greater recovery compared to the medication group(P = 0.026).CONCLUSION:Both EA and diclofenac sodium markedly improved acute lumbar sprain,but EA better improved the rehabilitation and regeneration of FDVs and temperature index of infrared thermogram of the muscle.
