穴位埋线联合氨甲环酸对黄褐斑患者皮损颜色、皮损面积的影响
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余池(1985.9-),女,湖北武汉人,硕士,主治医师,主要从事医疗美容方面的工作

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R758.4+2

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Effect of Catgut Implantation at Acupoint Combined with Tranexamic Acid on the Color and Area of Skin Lesions in Patients with Melasma
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    摘要:

    目的 探讨穴位埋线联合氨甲环酸对黄褐斑患者皮损颜色、皮损面积的影响。方法 选取我院 2022年4月-2023年6月收治的74例黄褐斑患者作为研究对象,按随机数字表法分为对照组和研究组, 各37例。对照组采用氨甲环酸治疗,研究组采用穴位埋线联合氨甲环酸治疗,比较两组临床疗效、皮 损改善情况、皮肤屏障功能、中医证候积分改善情况。结果 研究组治疗总有效率为97.30%,高于对 照组的81.08%(P <0.05);研究组治疗后皮损面积和颜色评分低于对照组(P <0.05);研究组治疗后 经表皮水分流失值、皮脂含量、角质层含水量优于对照组(P <0.05);研究组治疗后中医证候积分为 (6.37±1.43)分,低于对照组的(9.88±1.84)分(P<0.05)。结论 穴位埋线联合氨甲环酸治疗黄褐斑患 者具有良好的临床疗效,可有效改善黄褐斑面部皮损情况及皮肤屏障功能,降低中医证候积分,值得临床 应用。

    Abstract:

    Objective To investigate the effect of catgut implantation at acupoint combined with tranexamic acid on the color and area of skin lesions in patients with melasma. Methods A total of 74 patients with melasma admitted to our hospital from April 2022 to June 2023 were selected as the research subjects, and they were divided into the control group and the research group by the random number table method, with 37 patients in each group. The control group was treated with tranexamic acid, and the research group was treated with catgut implantation at acupoint combined with tranexamic acid. The clinical efficacy, skin lesion improvement, skin barrier function and TCM syndrome score improvement were compared between the two groups. Results The total effective rate of treatment in the research group was 97.30%, which was higher than 81.08% in the control group (P<0.05). After treatment, the scores of skin lesion area and color in the research group were lower than those in the control group (P<0.05). After treatment, the transepidermal water loss value, sebum content and stratum corneum hydration in the research group were better than those in the control group (P<0.05). After treatment, the TCM syndrome score in the research group was (6.37±1.43)scores, which was lower than (9.88±1.84)scores in the control group (P <0.05). Conclusion Catgut implantation at acupoint combined with tranexamic acid has a good clinical effect in the treatment of patients with melasma, which can effectively improve the facial skin lesions and skin barrier function, and reduce the TCM syndrome score. It is worthy of clinical application.

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余 池,徐华飞,刘一多,等.穴位埋线联合氨甲环酸对黄褐斑患者皮损颜色、皮损面积的影响[J].医学美学美容,2025,34(9):5-8.

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  • 在线发布日期: 2025-06-09
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