[摘 要]目的 探究皮肤针叩刺联合局部注射氨甲环酸治疗黄褐斑的临床效果。方法 选取邳州市中医院皮肤科2023年1月-12月收治的60例黄褐斑患者为研究对象，采用随机数字表法分为对照组和试验组，各30例。对照组接受皮肤针叩刺治疗，试验组接受皮肤针叩刺联合氨甲环酸局部注射治疗，比较两组黄褐斑改善程度、临床疗效、患者满意度、不良反应发生情况、复发情况。结果 试验组治疗后MASI评分低于对照组(P<0.05)；试验组总有效率为96.67%，高于对照组的76.67%(P<0.05)；试验组满意度为100.00%，高于对照组的80.00%(P<0.05)；试验组不良反应发生率为3.33%，低于对照组的6.67%，但差异无统计学意义(P>0.05)；试验组复发率为0，低于对照组的13.33%(P<0.05)。结论 皮肤针叩刺联合局部注射氨甲环酸治疗黄褐斑的效果确切，安全性较高，可改善患者临床症状，值得临床应用。

    [关键词] 皮肤针叩刺；局部注射；氨甲环酸；黄褐斑

    [中图分类号] R758.4+2 [文献标识码] A [文章编号] 1004-4949(2024)17-0025-04

    Clinical Effect of Skin Needle Tapping Combined with Local Injection of Tranexamic Acid in the Treatment of Chloasma

    WANG Gai-gai

    (Department of Dermatology， Pizhou Hospital of Traditional Chinese Medicine， Pizhou 221300， Jiangsu， China)

    [Abstract]Objective To explore the clinical effect of skin needle tapping combined with local injection of tranexamic acid in the treatment of chloasma. Methods A total of 60 patients with chloasma admitted to Department of Dermatology， Pizhou Hospital of Traditional Chinese Medicine from January to December 2023 were selected as the research objects ......