[1]向亚玲,徐 婷. 火针配合穴位埋线治疗囊肿型痤疮疗效观察及对皮肤屏障功能的影响[J].中国美容医学,2020,(4):138-141.
　XIANG Ya-ling,XU Ting. Effi cacy of Fire Needle Combined with Acupoint Catgut Embedding on Cystic Acneand Its Effects on Skin Barrier Function[J].Medical Aesthetics and Beauty,2020,(4):138-141.
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 火针配合穴位埋线治疗囊肿型痤疮疗效观察及对皮肤屏障功能的影响
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《中国美容医学》[ISSN:1008-6445/CN:61-1347/R]

卷:
期数:
2020年4期
页码:
138-141
栏目:
出版日期:
2020-04-28

文章信息/Info

Title:
 Effi cacy of Fire Needle Combined with Acupoint Catgut Embedding on Cystic Acne
and Its Effects on Skin Barrier Function

文章编号:
1008-6455（2020）04-0138-03
作者:
 向亚玲; 徐 婷
Author(s):
 XIANG Ya-ling;  XU Ting
关键词:
 ; [关键词]穴位埋线; 火针; 重度痤疮; 囊肿型; 皮肤屏障功能; 皮损
Keywords:
 ; Key words: acupoint catgut embedding;  fi re needle;  severe acne;  cyst type;  skin barrier function;  skin lesions
分类号:
R758.73+3
文献标志码:
A
摘要:
[摘要]目的：观察火针配合穴位埋线治疗囊肿型痤疮的疗效，并探讨对皮肤屏障功能的影响。方法：将笔者医院门诊收治
的囊肿型痤疮患者分为联合组（n =94）和药物组（n =73），药物组予以异维A酸软胶囊治疗，联合组予以火针+穴位埋线治
疗，治疗6周，比较两组临床疗效、皮损评分以及皮肤屏障功能相关指标情况，观察不良反应，统计随访2个月两组的复发情
况。结果：联合组治疗后总好转率为92.55%，显著高于药物组的80.82%，差异有统计学意义(P ＜0.05)；治疗后，两组患者
囊肿、结节、质地、肿痛、颜色各项皮损评分显著降低(P ＜0.05)，联合组低于药物组(P ＜0.05)；两组患者粘脱蛋白质含
量、TEWL、a值显著降低(P ＜0.05)，角质层含水量显著升高(P ＜0.05)，联合组优于药物组(P ＜0.05)，两组pH值无显著差异
(P ＞0.05)；两组患者均未见明显局部以及全身严重不良反应，随访2个月，联合组患者复发率为10.64%，明显低于药物组的
26.03%，差异有统计学意义(P ＜0.05)。结论：火针配合穴位埋线治疗囊肿型痤疮疗效显著，可有效改善患者皮损症状，增
强皮肤屏障功能，提高远期疗效。

Abstract:
Abstract: Objective To observe the effi cacy of fi re needle combined with acupoint catgut embedding on severe cystic acne
and to explore its effects on skin barrier function. Methods Patients with cystic acne admitted to outpatient department of
our hospital were divided into combined group (n =94) and drug group (n =73). Drug group was treated with isotretinoin soft
capsules, and combined group was given fire needle + acupoint catgut embedding, and they were treated for 6 weeks. The
clinical effi cacy, skin lesions scores and skin barrier function-related indicators were compared between the two groups, and the
adverse reactions were observed, and the recurrence at 2 months of follow-up were counted in the two groups. Results The total
improvement rate in combined group after treatment was signifi cantly higher than that in drug group (92.55% vs 80.82%) (P＜0.05).
After treatment, the scores of skin lesions of cysts, nodules, texture, swelling and pain and color were signifi cantly decreased in the two
groups (P＜0.05), and the scores in combined group were lower than those in drug group (P＜0.05). The mucoprotein and deprotein,
TEWL and a value in the two groups were signifi cantly decreased (P ＜0.05) while the water content of stratum corneum was
signifi cantly increased (P ＜0.05), and the indexes in combined group were better than those in drug group (P ＜0.05), and there
was no signifi cant difference in pH value between the two groups (P ＞0.05). There were no obvious local and systemic serious
adverse reactions in both groups. At 2 months of follow-up, the recurrence rate in combined group was signifi cantly lower than
that in drug group (10.64% vs 26.03%) (P ＜0.05). Conclusion Fire needle combined with acupoint catgut embedding has
signifi cant effi cacy in treating cystic acne, and it can effectively improve the symptoms of skin lesions, enhance skin barrier
function and improve long-term effi cacy.

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更新日期/Last Update: 2020-04-28