电火针治疗稳定期白癜风的临床运用体会

杨莉莉; 吴华丽; 黄佩文; 张慧敏

doi:10.16305/j.1007-1334.2021.2001139

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电火针治疗稳定期白癜风的临床运用体会

临证承启 | 更新时间：2022-08-03

- 电火针治疗稳定期白癜风的临床运用体会
- Clinical application of electrocautery needling in treating vitiligo in stable stage
- 上海中医药杂志 2021年55卷第5期页码：30-32,45
- 作者机构：
  
  1.上海中医药大学附属曙光医院皮肤科（上海　201203）
  2.上海中医药大学中药学院（上海　201203）
- 作者简介：
  
  杨莉莉，女，博士，主治医师，主要从事色素性皮肤病的基础与临床研究工作
  张慧敏，主任医师，硕士研究生导师；E-mail：zhanghm@shutcm.edu.cn
- 基金信息：
  
  国家自然科学基金项目(81972932);上海市卫健委中医特色诊疗技术提升项目(zyjx-2017005);上海市卫计委进一步加快中医药事业发展三年行动计划项目(ZY〔2018-2020〕-ZYBZ-10)
- DOI：10.16305/j.1007-1334.2021.2001139
  中图分类号：
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杨莉莉, 吴华丽, 黄佩文, 等. 电火针治疗稳定期白癜风的临床运用体会[J]. 上海中医药杂志, 2021,55(5):30-32,45.

Lili YANG, Huali WU, Puimun WONG, et al. Clinical application of electrocautery needling in treating vitiligo in stable stage[J]. Shanghai Journal of Traditional Chinese Medicine, 2021,55(5):30-32,45.
杨莉莉, 吴华丽, 黄佩文, 等. 电火针治疗稳定期白癜风的临床运用体会[J]. 上海中医药杂志, 2021,55(5):30-32,45. DOI： 10.16305/j.1007-1334.2021.2001139.

Lili YANG, Huali WU, Puimun WONG, et al. Clinical application of electrocautery needling in treating vitiligo in stable stage[J]. Shanghai Journal of Traditional Chinese Medicine, 2021,55(5):30-32,45. DOI： 10.16305/j.1007-1334.2021.2001139.

摘要

介绍了根据中医传统火针疗法改良后创制出的电火针疗法治疗稳定期白癜风的临床体会。认为与传统火针相比，电火针疗法具有烫伤及感染风险较低、治疗效率更高、疼痛感较低等优势。同时，通过初步的小样本患者自身前后对照临床观察发现，电火针与准分子光疗诱导稳定期白斑复色的作用相当，白斑复色率的高低主要取决于白斑的部位，头面部较敏感、疗效较好，而手足部较不敏感、疗效较差。并附验案1则。

Abstract

This paper introduces the clinical experience of electrocautery needling (a therapy improved from traditional Chinese medicine fire needling) in treating vitiligo in stable stage. We believe that compared with traditional fire needling, electrocautery needling has the following advantages: lower risk of scald and infection, higher treatment efficiency and less pain feelings. Meanwhile, based on a preliminary clinical observation on the condition of a small sample of patients before and after treatment, it was found that electrocautery needling and excimer laser phototherapy had an equivalent effect on inducing the repigmentation of white depigmented macules in stable stage. The rate of repigmentation of vitiligo white macules mainly depends on the location. Those presenting on the skin of the head and face have better curative effect as they are more sensitive, while those at hands and feet have relatively worse curative effect as they are less sensitive. One proven case is provided.

关键词

电火针火针疗法准分子光疗白癜风损容性皮肤病中医外治法

Keywords

electrocautery needlingfire needling therapyexcimer laser phototherapyvitiligodisfiguring dermatosisexternal treatment of traditional Chinese medicine

references

中国中西医结合学会皮肤性病专业委员会色素病学组. 白癜风诊疗共识（2018版）[J]. 中华皮肤科杂志，2018, 51(4): 247-250.

中华中医药学会皮肤科分会. 白癜风中医治疗专家共识[J]. 中国中西医结合皮肤性病学杂志，2017, 16(2): 191-192.

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苏银妹，周萌，李文婕，等. 火针治疗白癜风临床研究进展[J]. 广州中医药大学学报，2019, 36(5): 662-665.

符海燕，郭菲，高雪雯，等. 火针及火针联合其他疗法治疗白癜风临床研究进展[J]. 新中医，2019, 51(9): 205-208.

SUN Y, WU Y, XIAO B, et al. Treatment of 308-nm excimer laser on vitiligo: A systemic review of randomized controlled trials[J]. J Dermatolog Treat, 2015, 26(4): 347-353.

YANG L L, WONG P M, YANG L, et al. Electrocautery needling and the 308-nm excimer lamp: a synergistic combination for the treatment of stable non-segmental vitiligo[J]. Dermatol Ther, 2020, 10(4): 695-705.

LEVESQUE M, FENG Y, JONES R A, et al. Inflammation drives wound hyperpigmentation in zebrafish by recruiting pigment cells to sites of tissue damage[J]. Dis Model Mech, 2013, 6(2): 508-515.

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