殷红武张理梅浙江中医药大学附属第三医院皮肤科，浙江杭州310000

中医辨证分型配合火针治疗痤疮的疗效观察

殷红武张理梅
浙江中医药大学附属第三医院皮肤科，浙江杭州310000

目的观察中医辨证分型配合火针治疗痤疮的疗效。方法选取2011年6月～2014年11月我院收治的育龄期女性痤疮患者160例，随机分为中医组（中医辨证分型配合火针治疗，100例）和西药组（盐酸米诺环素配合安体舒通治疗，60例）两组，观察两组治疗3个月总有效率、6个月总有效率、治疗前后性激素LH、E2和症状积分的变化，并比较副作用。结果两组治疗3个月总有效率相似，差异无统计学意义（P＞0.05）；中医组6个月总有效率明显高于西药组，差异有统计学意义（P＜0.05）。中医组患者治疗后性激素LH、E2和症状积分改善均优于西药组，差异有统计学意义（P＜0.05）。中医组副作用明显低于西药组，差异有统计学意义（P＜0.05）。结论中医辨证分型配合火针治疗痤疮的疗效确切，可有效改善患者性激素水平、临床症状，改善皮损情况，且近期疗效跟西药治疗相似，但远期疗效优于西药治疗，安全性高，值得推广。

中医；辨证分型；火针；痤疮

［Abstract］Objective To observe the curative effect of syndrome differentiation of traditional Chinesemedicine（TCM）combined with fire needle in treatment of acne.M ethods 160 reproductive-aged female with acne treated in our hospital from June 2011 to November 2014 were selected and randomly divided into the TCM group（n=100，TCM syndrome differentiation+fire needle）and the westernmedicine group（n=60，minocycline hydrochloride+antisterone）. The overall response rates at 3months and 6months after treatment and changes of LH，E2 and symptom scores before and after treatment were observed and the incidence rates of side effects were compared.Results There was no significant difference in the overall response rate at 3months after treatment between two groups（P＞0.05）.The overall response rate at 6months after treatmentwas significantly higher in the TCM group than in the westernmedicine group （P＜0.05）.The improvement of LH，E2 and symptom scores in the TCM group was significantly superior to that in the western medicine group（P＜0.05）.Conclusion Syndrome differentiation of traditional Chinesemedicine combined with fire needle has definite effect in treatment of acne，which can effectively improve the levels of sex hormone，clinical symptoms and skin condition.The short-term effect of TCM plus fire needle is comparable to that ofwesternmedicine，and the long-term effect is superior to that of western medicine with high safety.Therefore，TCM plus fire needle is worthy to be promoted.

［Key words］Traditional Chinesemedicine；Syndrome differentiation；Fire needle；Acne

痤疮为毛囊皮脂腺慢性炎症疾病，多发于胸背、两颊、额头等皮脂腺分布丰富的部位，而青春期为痤疮多发年龄段，以细小粉刺、丘疹或脓疱为表现，严重者可见结节和囊肿，有瘢痕和色素沉着。西医治疗常用方法为雌激素和孕激素序贯疗法，但因副作用多，存在一定的局限性，疗效欠佳。痤疮为中医上“肺……