目的 观察针刺肾俞穴联合局部围刺治疗黄褐斑的疗效。方法 选取2013-11至2015-06收治的女性黄褐斑患者共120例,随机分为联合组、针刺组与围刺组,每组40例。3组分别给予针刺肾俞穴联合局部围刺治疗、单纯针刺肾俞穴治疗与单纯局部围刺治疗各2个疗程。收集并记录3组患者治疗前后激素水平变化及治疗效果,并进行对比与分析。结果 治疗后,联合组患者4项指标均较治疗前有所改善,差异有统计学意义(P＜0.05),且联合组FSH高于针刺组和围刺组,LH、E₂和P水平则较低,差异均有统计学意义(P＜0.05)。联合组总有效率为92.5%,高于针刺组的75.0%与围刺组的72.5%,且差异有统计学意义(P＜0.05)。结论 针刺肾俞穴联合局部围刺治疗黄褐斑能够显著改善患者体内激素水平,且临床效果较两种方法单纯治疗更为显著。

Objective To observe the acupuncture Shenshu combined with local surrounding puncture in treatment of chloasma and curative effect.Methods Selected from November 2013 to June 2015 were a total of 120 female patients with chloasma, were randomly divided into acupuncture combined with local surrounding puncture group (40 cases), simple acupuncture group (40 cases) and simple local surrounding puncture group (40 cases). Three groups were given acupuncture Shenshu point, pure acupuncture Shenshu point and surrounding puncture each for 2 course of treatment.We collected and recorded the changes hormone levels and the treatment effect in the three groups of patients before and after treatmant,and made comparison and analysis.Results After different treatments,four indexes were in acupuncture combined with surrounding puncture patients improved, the difference was statistically significant (P＜0.05),and in acupuncture combined with local puncture group FSH was higher than in the pure acupuncture group and simple local surrounding puncture group, LH, E2 and P levels were low, the difference had statistically significant difference (P＜0.05). In acupuncture combined with local surrounding puncture group,total effective rate was 92.5%, 75.0% higher than that in pure acupuncture group and simple local surrounding puncture group 72.5%, and the difference was statistically significant (P＜0.05).Conclusions Acupuncture Shenshu point combined with local surrounding puncture for treatment of chloasma can significantly improve the patient’s body hormone levels,the clinical effect of combined Methods is more significant than one method alone, worth clinical promotion.