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[围刺联合放血拔罐治疗26例聚合性痤疮的随机对照研究]

[Randomized control study on the treatment of 26 cases of acne conglobata with encircling acupuncture combined with venesection and cupping].

作者信息

Liu Chang-zheng, Lei Bo, Zheng Jian-feng

机构信息

School of Aesthetic Medicine, Yichun College, Yichun 336000, China.

出版信息

Zhen Ci Yan Jiu. 2008 Dec;33(6):406-8.

PMID:19288903
Abstract

OBJECTIVE

To observe the curative effect of acne conglobata treated by encircling acupuncture combined with ventouse and cupping.

METHODS

A total of 52 acne conglobata patients were randomly divided into acupuncture group (n=26) and Western medicine group (n=26). Patients of acupuncture group were treated with encircling acupuncture around the affected focus. Common acupuncture was applied to Hegu (LI 4), Xuehai (SP 10), Fenglong (ST 40) and Sanyinjiao (SP 6), once daily. Dazhui (GV 14) and Feishu (BL 13) were used for venesection and cupping (twice a week). Patients of medication group were treated with oral administration of Isotretinoin Capsules (10 mg, t.i.d.). The treatment duration of 2 groups was 4 weeks. Serum IL-6 content was detected with double-antibody sandwich elisa enzyme linked immunosorbent assay (ELISA).

RESULTS

After the treatment, in acupuncture group and Western medicine group, 3 (11.5%) and 4 (15.4%) cases experienced remarkable relief in their signs, 14 (53.8%) and 11 (42.3%) had marked improvement, 6 (23. 1%) and 7 (26.9%) had improvement, 3 (11.5%) and 4 (15.4%) failed, with the effective rates being 88.5% and 84.6%, respectively. No significant difference was found between two groups in the therapeutic effect (P>0.05). Self-comparison showed that after the treatment, IL-6 in both groups decreased significantly (P<0.01). The therapeutic effect of acupuncture group was significantly superior to that of Western medicine group in lowering serum IL-6 (P<0.05).

CONCLUSION

Both acupuncture and medication can effectively promote the recovery of the affected skin, and lower serum IL-6 level in acne conglobata patients. The effect of acupuncture is stronger than that of Isotretinoin Capsules in lowering serum IL-6 content and has fewer adverse effects.

摘要

目的

观察围刺联合火罐、拔罐治疗聚合性痤疮的疗效。

方法

将52例聚合性痤疮患者随机分为针刺组(n = 26)和西药组(n = 26)。针刺组患者在患部病灶周围行围刺治疗,合谷(LI 4)、血海(SP 10)、丰隆(ST 40)、三阴交(SP 6)行常规针刺,每日1次。大椎(GV 14)、肺俞(BL 13)行放血拔罐(每周2次)。西药组患者口服异维A酸胶囊(10 mg,每日3次)。两组治疗疗程均为4周。采用双抗体夹心酶联免疫吸附测定(ELISA)法检测血清IL - 6含量。

结果

治疗后,针刺组和西药组分别有3例(11.5%)和4例(15.4%)症状显著缓解,14例(53.8%)和11例(42.3%)明显改善,6例(23.1%)和7例(26.9%)有所改善,3例(11.5%)和4例(15.4%)无效,有效率分别为88.5%和84.6%。两组治疗效果比较,差异无统计学意义(P > 0.05)。自身比较显示,两组治疗后IL - 6均显著降低(P < 0.01)。针刺组在降低血清IL - 6方面的治疗效果显著优于西药组(P < 0.05)。

结论

针刺和药物治疗均可有效促进聚合性痤疮患者患部皮肤恢复,降低血清IL - 6水平。针刺在降低血清IL - 6含量方面效果优于异维A酸胶囊,且不良反应较少。

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