针灸结合强脉冲光治疗黄褐斑
Acupuncture Combined with Intense Pulsed Light Treatment of Chloasma

作者: 胡蔚婧 :湖北中医药大学针灸骨伤学院,武汉;

关键词: 黄褐斑针灸强脉冲光疗效Chloasma Acupuncture Intense Pulsed Light The Curative Effect

摘要: 目的:探讨采用针灸内调配合外用激光联合治疗黄褐斑的临床疗效及安全性。方法60例符合纳入标准的黄褐斑患者随机分为两组,每组30例。一组采用针灸(一周2次,48次为一个疗程)结合强脉冲光(一月1次,6次为一个疗程)治疗,并口服维生素CE片,为治疗组;一组采用强脉冲光(一月1次,6次为一个疗程)治疗,并口服维生素CE片,为对照组。每一个月在治疗前清洁面部后在相同光线环境下拍照存档,皮尺测量斑片大小,计算斑片面积并记录。每2个月比对一次斑片大小及颜色深浅,1个疗程结束后进行疗效评定并统计有效率、显效率。结果疗程结束后,治疗组30例,痊愈3例,显效15例,好转9例,无效3例,总有效率90%;对照组30例,痊愈2例,显效12例,好转10例,无效6例,总有效率80%,两组均未见明显的不良反应。结论利用强脉冲光结合针灸综合治疗后,多数患者获得良好治疗效果,针灸结合强脉冲光是一种安全、有效治疗黄褐斑的方法

Abstract: Objective: To investigate acupuncture and moxibustion in tune with external use laser combined clinical curative effect and safety for the treatment of chloasma. Methods: 60 cases of standard chloasma patients were randomly divided into two groups, 30 cases in each group. A set using acupuncture (2 times a week, 48) for a period of treatment combined with intense pulsed light (once a month, 6 times for a period of treatment) treatment, and oral vitamin C, vitamin E, for the treatment group; A set using intense pulsed light (once a month, 6 times for a period of treatment) treatment, and oral vitamin C, vitamin E, for the control group. Every month before treatment after facial cleaning in the same light environment, photograph is archived and tape is used to measure patch size, patch area and record. Every 2 months more than a patch size and the color depth are measured, after one course of treatment efficacy evaluation and efficient statistics and efficiency. Results: After the treatment, the treatment group 30 cases, recovered in 3 cases, 15 cases were markedly effective, improvement in 9 cases, 3 had no effect, the total effective rate was 90%; Control group 30 cases, 2 cases were cured, 12 cases had marked effect, improvement in 10 cases, 6 cases ineffective, the total effective rate was 80%, no obvious adverse reaction was found in both two groups. Conclusion: Using intense pulsed light combined with acupuncture treatment, most patients get good treatment effect, acupuncture and moxibustion combined with intense pulsed light is a safe and effective method for the treatment of chloasma.

文章引用: 胡蔚婧 (2014) 针灸结合强脉冲光治疗黄褐斑。 中医学, 3, 15-18. doi: 10.12677/TCM.2014.31005

参考文献

[1] 邹宏超, 付香莲 (2010) 黄褐斑病因及发病机制研究进展. 皮肤病与性病, 4, 7-9.

[2] 赵辨, 傅永红, 仲敏等 (2009) 中国临床皮肤病学. 江苏科技出版社, 南京, 34.

[3] Graber, E.M., Tanzi, E.L. and Alster, T.S. (2008) Side effects and complications of fractional 1riser photothermolysis: Expe- rience with 961 treatments. Dermatologic Surgery, 34, 301-307.

[4] 黄义森, 尹锐, 程良金 (2010) Q开关Nd:YAG激光治疗黄褐斑的疗效观察. 中国美容医学, 19, 715-716.

[5] 张学丽, 刘颖, 杨丽鸽等 (2009) 常规针刺加飞腾八法治疗黄褐斑疗效观察. 中国针灸, 29, 455-458.

[6] 中国中西医结合学会皮肤性病专业委员会色素病学组 (2004) 黄褐斑的临床诊断和疗效标准(2003年修订稿). 中华皮肤科杂志, 37, 440.

[7] Kim, I.H. (2009) Basic theory in laser therapy for melasFna: subcelluar selective photothermolysis. Pigment Cell & Melano- ma Research, 22, 347.

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