首页|期刊导航|中国医疗美容|耳穴埋针联合支持性心理治疗对伴躯体变形障碍的玫瑰痤疮患者心理状态及生活质量的影响

耳穴埋针联合支持性心理治疗对伴躯体变形障碍的玫瑰痤疮患者心理状态及生活质量的影响OA

The impact of auricular acupuncture embedding combined with supportive psychotherapy on the psychological state and quality of life in patients with rosacea accompanied by body dysmorphic disorder

中文摘要英文摘要

目的 探讨耳穴埋针联合支持性心理治疗对伴躯体变形障碍的玫瑰痤疮患者心理状态及生活质量的影响.方法 前瞻性纳入2021年7月至2022年12月于福建医科大学附属闽东医院就诊的同时符合玫瑰痤疮和躯体变形障碍诊断的45例患者,按就诊先后次序分为观察组23例和对照组22例.观察时长为4周,分别于就诊的第0周和第4周进行体象障碍自评量表(SRSBI)、皮肤病生活质量指数(DLQI)以及VISIA红色区评分.两组均行常规治疗(包括口服、外用药物及物理治疗等)及支持性心理治疗.其中,观察组在对照组的治疗基础上,联合耳穴埋针,每周1次,共4次.比较两组患者治疗前后的SRSBI评分、DLQI评分及VISIA红色区评分.结果 治疗后第4周,两组患者的SRSBI评分、DLQI评分及VISIA红色区评分差异均有统计学意义(P均<0.05).结论 耳穴埋针联合支持性心理治疗可以改善伴躯体变形障碍的玫瑰痤疮患者的心理状态及生活质量,患者接受度高、依从性好,值得临床推广.

Objective To observe the improvement of auricular acupoint embedding combined with supportive psychological intervention on the psychological state and quality of life in patients with rosacea.Methods This study screened 45 patients who visited the dermatology outpatient clinic of Mindong Hospital affiliated with Fujian Medical University from July 2021 to December 2022,meeting the diagnostic criteria for both rosacea and body dysmorphic disorder.They were divided into an observation group(n=23)and a control group(n=22)according to the order of their visits.The observation period was 4 weeks.Assessments were conducted at Week 0(baseline)and Week 4 using the self rating scale of body image(SRSBI),dermatology life quality index(DLQI),and VISIA red area score.Both groups received conventional treatment(including oral/topical medication and physical therapy)and supportive psychological intervention.The observation group additionally received auricular acupoint embedding once a week for 4 weeks,on top of the control group's regimen.Data from both groups were subjected to statistical analysis.Results There were statistically significant differences(P<0.05)between the observation and control groups in SRSBI score,DLQI score,and VISIA red area score at the end of the treatment period.Conclusion Auricular acupoint embedding combined with supportive psychological intervention can improve the psychological state and quality of life in patients with rosacea.This approach demonstrates high patient acceptance and compliance,indicating certain clinical significance.

李哲琦;兰建平;蔡小云;汤榕

福建医科大学附属闽东医院 皮肤科,福建 宁德,355000福建医科大学附属闽东医院 皮肤科,福建 宁德,355000福建医科大学附属闽东医院 皮肤科,福建 宁德,355000福建医科大学附属闽东医院 皮肤科,福建 宁德,355000

玫瑰痤疮耳穴埋针躯体变形障碍支持性心理治疗

rosaceaauricular acupoint embeddingbody image disordersupportive psychological

《中国医疗美容》 2026 (6)

33-37,5

福建中医药大学校管临床专项课题(XB2021064)

10.19593/j.issn.2095-0721.2026.06.007

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