中药面膜联合面部针灸治疗黄褐斑的临床疗效

【目的】探讨中药面膜联合面部针灸治疗黄褐斑的临床疗效。【方法】选取2017年5月至2019年5月在本院诊治的黄褐斑患者82例,按照随机数表法分为针灸组(面部针灸治疗)和联合组(中药面膜联合面部针灸治疗),每组41例。比较两组临床疗效、黄褐斑严重指数(MASI)评分、黑素及血管评分、棕色斑及红色区分值、血清相关指标[超氧化物歧化酶(SOD)、丙二醛(MDA)、雌三醇(E_(3))]、不良反应发生率。【结果】联合组总有效率为90.24%(37/41),显著高于针灸组的70.73%(29/41),其差异有统计学意义(X^(2)=4.970,P=0.026)。治疗后,两组患者MASI评分降低,且联合组低于针灸组,其差异均有统计学意义(P<0.05);两组患者黑素和血管评分趋向+、++分布,棕色斑和红色区分值下降,其差异有统计学意义(P<0.05);两组治疗后SOD升高、E_(3)及MDA下降,其差异有统计学意义(P<0.05)。两组不良反应发生率比较差异无统计学意义(P>0.05)。【结论】中药面膜联合面部针灸可改善黄褐斑患者面部血管、黑素状况,有效消退色斑,同时具抗氧化、改善雌激素水平的作用,临床疗效佳,且安全可靠,值得临床推广应用。

逍遥地黄汤治疗黄褐斑37例

黄褐斑是常见于面部对称性淡褐色或黄褐色的色素沉着性皮肤病。2008年3月—2010年7月,笔者采用逍遥地黄汤[1-2]治疗黄褐斑37例,总结报道如下。 1临床资料 选择本院门诊黄褐斑患者37例,采用随机数字表法随机分为治疗组和对照组。治疗组37例,年龄最小19岁,最大52岁,平均（38.0±1.5）岁;

复方氢醌霜治疗黄褐斑的临床疗效观察

目的 制备并观察复方氢醌霜治疗黄褐斑的临床疗效和安全性。方法 采用随机、双盲、平行对照方法。将 6 0例患者随机分为两组 ,治疗组外用复方氢醌霜 ,对照组外用 0 .0 2 5 %维A酸霜。结果 复方氢醌霜组的疗效优于 0 .0 2 5 %维A酸霜组 ,有显著性差异 (P <0 .0 5 )。结论 复方氢醌霜疗效好 ,安全性高 ,是治疗黄褐斑的理想方法之一。

激光及强脉冲光治疗黄褐斑研究进展

黄褐斑是一种后天获得性面部皮肤色素代谢异常性皮肤病，常见于Fitzpatrick皮肤分型Ⅳ～Ⅵ型的育龄女性，临床上主要表现为颜面部对称性分部、形态不定、大小不等、无自觉症状的浅褐色斑片，又名“蝴蝶斑”。临床发病原因尚不明确，可为多因素诱发如紫外线照射、遗传、口服避孕药、妊娠、甲状腺疾患等所引起的激素水平异常等，这也使得黄褐斑成为一类难治性且疗效不确切的皮肤病。

中药配合大斑低能量Q开关激光对黄褐斑治疗效果的分析

目的探讨大斑低能量Q开关激光联合中药治疗黄褐斑的疗效和安全性。方法将150例黄褐斑患者随机分为3组,每组各50例。对照l组单纯大斑低能量Q开关激光治疗;对照两组单纯口服中药;治疗组予大斑低能量Q开关激光联合中药治疗黄褐斑。结果各组有效率分别为对照组1为56.00%,对照组2为76.00%,治疗组为88.00%。结论中药配合大斑低能量Q开关激光对黄褐斑治疗效果比两者单独应用效果好。

YAG石榴石激光治疗黄褐斑186例分析

我科2009-01-2011-01采用YAG石榴石激光治疗黄褐斑186例,取得了显著疗效,现报道如下。 1临床资料 1.1一般资料186例面部黄褐斑患者来自我科门诊,均为女性。年龄26～48岁,平均37岁,病程0.5～6a,平均时间3.2a。治疗前未采用其他方法治疗,无瘢痕体质。

中西医结合治疗黄褐斑疗效评估

目的剖析中西医结合治疗黄褐斑的疗效。方法抽取2014年8月—2016年4月,我科接收的黄褐斑病例,共计104例。以电脑随机双盲法原理为依据,将104例病例分成实验组与对照组,每组均有52例。实验组采用中西医结合疗法,对照组采用单纯西医疗法。观察2组面部皮损的改善情况,比较疗效总有效率与临床症状缓解时间。结果实验组疗效总有效率为88.46%,对照组为78.85%,差异有统计学意义(P<0.05)。临床症状缓解时间实验组为(13.4±2.6)d,对照组为(24.9±3.7)d,差异有统计学意义(P<0.05)。结论采用中西医结合疗法对黄褐斑病患进行治疗,可促进其面部皮损的快速改善,缩短病情康复时间。

Fifty Cases of Chloasma Treated by Acupuncture plus Intensive Pulse Light Irradiation

Objective: To observe the clinical therapeutic effect of acupuncture plus intensive pulse light irradiation on chloasma. Methods: Ninety-six cases of chloasma were randomly divided into two groups, the control group of 46 cases treated by simple acupuncture and the treatment group of 50 cases treated by acupuncture and intensive pulse light irradiation. Results: The total effective rate was 89.1% and 98.0% in the control group and treatment group respectively, with a significant difference between the two groups (P<0.05). Conclusion: For chloasma, the effect of treatment with acupuncture plus intensive pulse light irradiation is superior to that with simple acupuncture.

Clinical Observation on the Combined Use of Acupuncture and Herbal Medicine for Treatment of Chloasma

Objective:To observe the clinical effects of the combined use of acupuncture and herbal medicine for treatment of chloasma.Methods:Totally 60 patients were randomly divided into a treatment group of 30 cases,treated by acupuncture and herbal medicine,and a control group of 30 cases,administered Vitamin C and Vitamin E.The clinical effects were observed.Results:The total effective rate of the treatment group is 93.3%better than that of the control group(76.7%) ,the difference was significant(P<0.01) .Conclusion:Combined use of acupuncture and herbal medicine may yield definite therapeutic effects in treating chloasma patients.

Effects of Chinese Herbal Medicine Combined with He-Ne Laser on Lipoperoxide and Superoxide Dismutase in Chloasma Patients

Objective: To observe the effects of Chinese decoction and ligustrazin hydrochloride injection combined with He-Ne laser on lipoperoxide (LPO) and Superoxide dismutase (SOD) in patients with chloasma. Methods: 90 cases of chloasma were randomly divided into the following two groups: a treatment group (of 54 cases) treated by a self-prepared prescription for toning the kidneys and relieving the depressed liver to remove blood stasis, ligustrazin hydrochloricde injection and He-Ne laser therapy, and a control group (of 36 cases) treated with oral administration of Vitamin E and Vitamin C plus external application of 20% Azelaic acid cream. Results: The total effective rate in the treatment group was 79.6%, which was significantly higher than that of the control group (P<0.05). After treatment, the LPO level in the treatment group was significantly lowered (P<0.01), and the SOD level was significantly elevated (P<0.05). Conclusion: The therapeutic methods adopted in the treatment group may show the action of antioxidation, providing good clinical effects for treating chloasma.