Observation and analysis of therapeutic effect of bloodletting therapy on facial acne erythema
放血疗法治疗面部痤疮红斑疗效观察分析

摘要

目的 通过对我院收治的面部痤疮红斑患者采用放血疗法，探索痤疮红斑中医治法，分析中医在治疗面部痤疮红斑方面的临床疗效。方法 取2020年4月-2022年4月期间我院临诊的76例痤疮红斑患者作为本次试验的研究对象，通过随机和双盲法，把这76病例分成了治疗组和对照组，共38人/组，治疗组病人采取了放血疗法施治，对照组采取传统的中药治疗，并统计了二组病人的疗效和红斑色素。结果 在应用放血疗法施治的，治疗组病人的治疗有效率100%，显著地优于对照组的68.42%，区域间差别具有统计学意义（P<0.01）；在治疗前后病人红斑方面，两组病人在治愈前无明确差别，得分均较高，而在治愈后，治疗组病人的NRS疼痛评分为（1.02±0.73）分，显然地低于对照组的（3.42±1.36）分，区域间差别具有统计学意义（P<0.01）。结论 从中医学上对治疗痤疮红斑实行了辩证施治，从中医学角度上将痤疮红斑分成了肝经郁热型、脾虚体质湿蕴型和气滞血瘀型，并根据不同的分型予以不同的中草药口服，并结合外用、湿敷、针灸治疗，从而取得了一个比较良好的效果，相比于西医疗法有着更加突出的治疗作用，并在医院中推广应用。

Abstract

Objective To explore the traditional Chinese medicine treatment of acne erythema and analyze the clinical effect of traditional Chinese medicine in the treatment of facial acne erythema by bloodletting therapy in our hospital.
Methods A total of 76 patients with acne erythema admitted to our hospital from April 2020 to April 2022 were selected as the research objects of this study. The 76 patients were divided into a treatment group and a control group by random and double-blind method, with a total of 38 patients/groups. Patients in the treatment group were treated with bloodletting therapy, while those in the control group were treated with traditional Chinese medicine. The efficacy and erythrochrome of two groups of patients were analyzed.
Results The effective rate of patients in the treatment group was 100%, significantly better than 68.42% in the control group, and the difference between regions was statistically significant (P<0.01). In terms of erythema before and after treatment, there was no clear difference between the two groups before cure, and the score was higher. After cure, the NRS score of the treatment group was (1.02±0.73) points, which was significantly lower than that of the control group (3.42±1.36) points, and the difference between regions was statistically significant (P<0.01).
Conclusion   The dialectical treatment of acne erythema was carried out in TCM. Acne erythema was divided into liver stagnation heat type, spleen deficiency dampness type and qi stagnation and blood stasis type. According to the different types, different Chinese herbs were taken orally, combined with external application, wet compress and acupuncture treatment, and a good effect was obtained. Compared with Western medicine, it has a more prominent therapeutic effect and is widely used in hospitals.