罗建峰+冯娜娜+李金娥

【摘要】目的：观察梅花针联合窄谱中波紫外线、他克莫司软膏治疗气滞血瘀型白癜风的临床疗效。方法：选取60例白癜风患者，并将其随机分为对照组和治疗组各30例。对照组予窄谱中波紫外线及他克莫司软膏外用治疗，治疗组予梅花针叩刺联合窄谱中波紫外线、他克莫司软膏外用治疗。结果：治疗组有效率为867%，对照组有效率为60%，两组比较差异有统计学意义（P<005）。治疗组对进展期白癜风的疗效更佳。结论：梅花针联合窄谱中波紫外线、他克莫司软膏治疗气滞血瘀型白癜风疗效肯定，无明显不良反应，值得临床推广应用。

【关键词】中西医结合；白癜风；梅花针；窄谱中波紫外线；他克莫司软膏

【中图分类号】R2759【文献标志码】 A【文章编号】1007-8517（2017）11-0113-03

Observation on 30 Cases of Curative Effect of Qi - deficiency and Blood - stasis Type VitiligoTreated with Combination of Traditional Chinese and Western Medicines

LUO Jianfeng1FENG Nana1LI Jine2

1.Jiangxi University Of Traditional Chinese Medicine， Nanchang 330006，China；2.Department of Dermatology of Affiliated Hospital of Jiangxi University of Traditional Chinese Medicine， Nanchang 330006，China

Objective To doserve the clinical efficacy of plum-blossom needle combined with narrow-band UVB phototherapy and tacrolimus ointment in the treatment of blood stasis and vital energy retardation vitiligo. Methods Choose 60 cases of patients with vitiligo in our hospital， were randomly divided into groups， the matched group 30 patients， use NB-UVB and tacrolimus ointment.The treatment group 30 patients， use plum-blossom needle piece erasuring combined with NB-UVB and tacrolimus ointment-t .Results The treatment group cure rate（867%）was significantly higher than that of the matched group（60%），two group of comparison differences have statistics significance （P<005）.Treatment effect of vitiligo in progress period is better than it in table period.Conclusion plum-blossom needle combined with narrow-band UVB photothe-rapy and tacrolimus ointment in the treatment of blood stasis and vital energy retardation vitiligo have best curative effects， untoward effect and worthy of clincal applucation.

Integrative Medicine；Vitiligo；Plum-blossom Needle； NB-UVB；Tacrolimus Ointment

白癜风是一种皮肤粘膜色素脱失性疾病，同时也是一种损容性皮肤病，严重影响患者正常的工作及交际。近年来，其发病率呈递增的趋势，白癜风患者也更加重视对此病的治疗及预防[1]。白癜风易于诊断，但目前尚缺乏较为有效的治疗方法。笔者对梅花针联合窄谱中波紫外线（NB-UVB）照射、他克莫司软膏外用治疗气滞血瘀型白癜风与单独使用NB-UVB照射、他克莫司软膏外用治疗气滞血瘀型白癜风进行临床疗效及不良反应比较，现将研究成果报告如下。

1资料与方法

11一般资料收集我院2015年3月至2016年10月至皮肤科就诊的白癜风患者，选取其中符合条件的对象60例。其中男性26例，女性34例， 年龄12～54岁，平均年龄（352+79）岁，病程3月至3年。将其随机分为对照组和治疗组。对照组：男14例，女16例，分期：稳定期24例，进展期6例。治疗组：男 12例，女18例，分期：稳定期22例，进展期8例。两组年龄、性别等基础情况比较差异无统计学意义（P>005），具有可比性。……