中医外治疗法联合A型肉毒素在面部年轻化表情管理中的临床研究

Clinical study of TCM external therapy combined with botulinum toxin type A in facial rejuvenation expression management

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DOI 10.12208/j.ijcr.20250325
刊名
International Journal of Clinical Research
年,卷(期) 2025, 9(7)
作者
作者单位

1 湖北洪湖市中医医院皮肤美容科 湖北洪湖,2 湖北医药学院 湖北十堰,3 湖北洪湖市中医院 湖北洪湖,4 南宁市卫生健康人才与技术服务中心 广西南宁,5 广西南宁华韵中西门诊部 广西南宁,6 成都中医药大学国医堂 四川成都,7 中国中医药技术发展中心(国家中医药管理局人才中心) 北京

摘要
随着社会对美容需求的增长,面部年轻化成为研究热点。面部皱纹分为动态纹与静态纹,传统中医疗法(如针灸、中药外敷)通过调节气血改善皮肤状态,而A型肉毒素则通过阻断神经信号减少动态纹。本研究将120名受试者分为三组:中医外治组(针灸+中药面膜)、肉毒素注射组及联合治疗组。8周观察显示,联合组在表情纹改善率(78.6%)和静态纹改善率(65.2%)上均优于单一疗法。中医外治促进血液循环与皮肤修复,肉毒素快速放松肌肉,二者协同可延长疗效。安全性方面,仅少数案例出现轻微皮下出血或肿胀,48小时内消退。联合疗法结合了中医整体调理与现代医美精准干预的优势,医师根据患者面部肌肉神经与衰老程度调整方案,提升效果自然性。研究为面部年轻化提供了中西医结合的新思路,但需进一步探索不同肤质与年龄的适配性。
Abstract
With the growing societal demand for aesthetic treatments, facial rejuvenation has become a research hotspot. Facial wrinkles are categorized into dynamic and static types. Traditional Chinese medicine (TCM) therapies, such as acupuncture and herbal facial masks, improve skin condition by regulating qi and blood, while botulinum toxin type A reduces dynamic wrinkles by blocking nerve signals. This study divided 120 participants into three groups: a TCM external treatment group (acupuncture + herbal facial masks), a botulinum toxin injection group, and a combined treatment group. After an 8-week observation period, the combined group demonstrated superior improvement rates for expression lines (78.6%) and static wrinkles (65.2%) compared to single-therapy groups. TCM external treatments promote blood circulation and skin repair, while botulinum toxin rapidly relaxes muscles, with the two approaches synergistically prolonging efficacy. In terms of safety, only a few cases experienced minor subcutaneous bleeding or swelling, which subsided within 48 hours. The combined therapy integrates the holistic regulation of TCM with the precision intervention of modern aesthetic medicine. Physicians tailored the treatment based on patients facial muscle-nerve conditions and aging severity, enhancing natural-looking results. This study provides a novel integrative approach to facial rejuvenation by combining TCM and Western medicine. However, further research is needed to explore its adaptability across different skin types and age groups.
关键词
中医外治法;A型肉毒素;面部年轻化;表情纹管理;中西医结合疗法
KeyWord
External treatment method of traditional Chinese medicine; Botulinum toxin type A; Facial rejuvenation; Expression lines management; Integrated Chinese and Western medicine therapy
基金项目
页码 39-48
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易生彬,易品,邓志军,易学龙,林绍文,胡秦瑜,杨健7*. 中医外治疗法联合A型肉毒素在面部年轻化表情管理中的临床研究 [J]. 国际临床研究杂志. 2025; 9; (7). 39 - 48.

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