ObjectiveThis study observed the simple acupuncture group, with fire needle acupuncture treatment group comparing the efficacy of Liver Depression facial melasma, using RCT research systems, methods DME applications, rigorous randomized trials, obtain optimal treatment, and to analyze its onset mechanism.Methods66 cases met the inclusion criteria Liver Depression chloasma were randomly divided into treatment group (acupuncture with fire needle group) and control group (simple acupuncture group), the treatment group of 34 patients in the control group of 32 patients. Two conventional acupuncture point selection is Yintang, Taichong, pension, Feishu, Geshu, liver Yu, on the door, tributary, Yanglingquan, the smell of mutton, after conventional treatment group with acupuncture and local Ashi fire needle acupuncture. In the course of treatment, both groups 1 day treatment, treatment three times a week, two weeks for a course, four weeks (two courses) for the whole treatment process.Results1. Baseline:The basic situation of the treatment group and the control group of patients with age, duration, etc., and pre-treatment of melasma area color, quality of life, anxiety and self-assessment scores, self-assessment depression score, score, etc. manic, the difference was not statistically significant, with comparable baseline data.2. Lesion area Rating:two treatments in one course of treatment and after two courses, can reduce melasma area. Among them, the treatment group after 2 courses of therapy, can significantly reduce the melasma area. After one course of treatment, there was no significant difference in terms of reducing the melasma area, not comparable. After 2 courses of treatment, the treatment group therapy in reducing the area of the chloasma significantly better than the control group.3. Lesion color Rating:two treatments in one course of treatment and after two courses, can make a significant lighter color chloasma. Among them, the control group after 2 courses of treatment efficacy compared with the previous no comparable after the first course of treatment.1 after treatment process, there was no significant difference in improving melasma color, not comparable. 2 after treatment process, the treatment group than the control group in improving treatment of melasma color aspect.4. Efficacy index:one course after the end of treatment, the difference between two groups was not statistically significant. After 2 courses of treatment, the difference between two groups was statistically significant. Treatment group than the control group.5. Comparison of quality of life change:the treatment group and the control group therapy to improve melasma patients have a significant effect on quality of life. Comparison between the two groups after the show, treatment groups in improvement in quality of life in patients with melasma quite effective.6. Comparison of Anxiety Rating Change:The treatment group therapy to improve anxiety symptoms in patients with melasma have a significant effect. Group therapy to improve anxiety symptoms in patients with melasma curative. Comparison between groups showed that the treatment group than the control group therapy in improving the symptoms of anxiety.7. Comparison of Depression Rating Change:group therapy for the treatment of symptoms of depression in patients with melasma have a significant effect. Group therapy in improving depressive symptoms in patients with melasma curative. Comparison between groups showed that the treatment group therapy in improving depressive symptoms was significantly better than the control group.8. Comparison of Manic Ratin Change:There were no comparability between the two groups.ConclusionRegimen in the treatment group after 2 courses of treatment in reducing the melasma area and improve its color, improve anxiety symptoms, depressive symptoms and improve overall efficacy index better than the control group. In terms of improving the quality of life, treatment groups quite effective. Hot Needling and Acupuncture Treatment Liver Depression chloasma effective, safe, it should be popularized. |