【作者】 陈红；

【导师】 丁慧；

【作者基本信息】 广州中医药大学 ， 针灸推拿学（专业学位）， 2021， 硕士

【摘要】 目的:观察灵龟八法结合辨证取穴治疗黄褐斑的临床疗效,探索一种疗效可靠、操作简单的针灸治疗方法,以拓宽针灸的治疗范围、提供更多黄褐斑的治疗手段,从而进一步提高患者的生活质量。方法:将符合黄褐斑中西医诊断及纳入标准的66例患者,随机按1:1比例分配到灵龟八法结合辨证取穴组(即治疗组)和辨证取穴组(即对照组)中,其中治疗组和对照组各33例。治疗组取穴:根据病人的来诊时间,按照灵龟八法计算公式并运用灵龟八法环周盘,查取所开的穴位(均选取双侧)为主穴,相应的八脉交会穴为客穴,同时结合辨证取穴对患者进行治疗;对照组取穴:辨证取穴进行治疗。每周进行3次治疗,每次操作时间为30分钟,4周为1个疗程,共治疗8周(即2个疗程)。结果:在整个治疗过程中,治疗组剔除1例,脱落1例,对照组脱落2例。共62例患者纳入数据统计分析,治疗组和对照组各31例。经过为期8周的治疗后,其研究结果显示:1.治疗前,治疗组和对照组在年龄、病程、辨证分型、黄褐斑的颜色评分、黄褐斑的面积评分等观察指标上,差异不具有显著性(P>0.05),具有可比性。2.组内比较表明,两组患者经治疗后,其黄褐斑的颜色及面积评分均有所下降,症状较治疗前有所改善,具有显著性差异(P<0.05)。3.组间比较表明,两组患者经治疗后,治疗组黄褐斑的颜色及面积评分较对照组相比下降更为明显,治疗组疗效更为显著(P<0.05)。4.在整体疗效上,治疗组总有效率可达96.77%,而对照组总有效率为83.87%,经统计学检验后,两者差异具有显著性(P<0.05)。结论:临床观察指标显示,灵龟八法结合辨证取穴针刺治疗黄褐斑的疗效要明显高于单纯使用辨证取穴针刺治疗,且该方法具有疗效明显、操作简单、无副作用、有效率较高的优点,适于临床上的广泛应用和普及。更多还原

【Abstract】 ObjectiveObserve Lingguibafa combined with syndrome differentiation find out the clinical curative effect of treatment of chloasma,and to explore a reliable and simple acupuncture treatment method,in order to broaden the therapeutic scope of acupuncture and moxibustion,provide more chloasma treatment means,so as to further improve the quality of life of patients.Methods66 patients who met the diagnostic and inclusion standard of chloasma were randomly assigned to the Lingguibafa combined with syndrome differentiation and acupoint selection group(treatment group)and syndrome differentiation and acupoint selection group(control group)at a ratio of 1:1,including 33 cases in each group.Acupoint selection in the treatment group:according to the time of the patient’s visit,according to the Lingguibafa calculation formula and the use of Lingguibafa ring disc,check the opened acupoints(both sides are selected)as the main point,and the corresponding eight pulse intersection acupoints were the guest acupoints,combined with syndrome differentiation,acupoint selection for the treatment of patients.Acupoint selection in control group:acupoint selection for treatment based on syndrome differentiation.Three times a week,each operation time 30 minutes,4 weeks for a period of treatment,treatment of two period of treatment.ResultsDuring the whole treatment process,1 case was removed in the treatment group and 1 case was shed,while 2 cases were shed in the control group.A total of 62 patients into its statistical analysis,with 31 cases in each group.After 8 weeks of treatment,the results of the study showed:1.Before treatment,there were no significant differences between the treatment group and the control group in age,course of disease,syndrome differentiation,color score of chloasma,area score of chloasma and other indicators(P>0.05),showing comparability.2.Comparison shows that in the group,two groups of patients after treatment,their color and area of rating of chloasma,symptoms was improved,the has significant difference(P<0.05).3.The comparison between two groups showed that after treatment,the color and area scores of chloasma in the treatment group decreased more obviously than that in the control group,and the therapeutic effect in the treatment group was more significant(P<0.05).4.In terms of overall curative effect,treatment group total effective rate is 96.77%,and the control group total effective rate was 83.87%,both after statistical tests,with significant difference(P<0.05).ConclusionClinical observation indexes showed that the curative effect of Linggui Bafa combined with syndrome differentiation and acupoint acupuncture in the treatment of chloasma was significantly higher than that of using syndrome differentiation and acupoint acupuncture alone.Moreover,this method has the advantages of obvious curative effect,simple operation,no side effects and high cure rate,which is suitable for wide application and popularization in clinical practice.更多还原