针灸结合强脉冲光治疗黄褐斑

Acupuncture Combined with Intense Pulsed Light Treatmentof Chloasma

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：对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C、E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C、E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.