[摘要]目的：探讨火针联合消痤方治疗面部中重度痤疮的临床疗效。方法：选取笔者医院于2021年1月-2022年12月收治的80例面部中重度痤疮患者，以随机数字表法将其分为对照组(40例)和观察组(40例)。对照组使用维A酸乳膏联合中药消痤方治疗，观察组采用火针联合中药消痤方治疗，两组均持续治疗30 d。治疗30 d后，观察并对比两组患者的身体意象量表(Body image scale，BIS)、皮肤病生活质量指数(Dermatology life quality index，DLQI)、中医证候积分、临床总有效率以及不良反应。结果：治疗后，两组BIS评分及DLQI评分均降低，且观察组低于对照组(P<0.05)。两组中医证候积分均降低，且观察组低于对照组(P<0.05)。观察组治疗总有效率82.50%(33/40)高于对照组60.00%(24/40)(P<0.05)。两组不良反应发生率差异无统计学意义(5.00% vs. 12.50%)(P>0.05)。结论：火针联合消痤方治疗面部中重度痤疮，可显著改善患者的皮肤质量，降低中医证候积分，提高患者的生活质量，临床疗效较高，且安全性较好。

    [关键词]痤疮；火针；消痤方；身体意象量表；皮肤病生活质量指数；中医证候积分；疗效

    [中图分类号]R758.73+3 [文献标志码]A [文章编号]1008-6455(2024)10-0134-04

    Clinical Efficacy of Fire Needle Combined with Xiaocuo Decoction in the Treatment of Moderate and Severe Acne

    HUANG Lili1， WANG Rui2， ZHANG Zhongjing1

    ( 1. Department of Dermatology， Lishui District People's Hospital， Nanjing 211200， Jiangsu， China; 2. Department of Traditional Chinese Medicine， Lishui District People's Hospital， Nanjing 211200， Jiangsu， China )

    Abstract： Objective To evaluate the clinical efficacy of fire needle combined with Xiaocuo decoction in the treatment of moderate and severe acne. Methods Eighty patients with moderate to severe acne treated at the author's hospital from January 2021 to December 2022 were enrolled and randomly assigned into two groups ......