亚甲蓝肛周封闭与苦参汤熏洗治疗肛周湿疹的对比观察

发布时间：2018-03-12 06:35

本文选题：肛周湿疹　切入点：亚甲蓝　出处：《成都中医药大学》2012年硕士论文　论文类型：学位论文

【摘要】：目的：通过亚甲蓝肛周封闭与苦参汤熏洗两种方法对湿热下注型肛周湿疹的治疗,对其疗效及治愈后复发情况进行对比观察。方法：共纳入符合标准的湿热下注型肛周湿疹病例55例,随机分为治疗组28例,给予亚甲蓝肛周封闭方法治疗。对照组27例,予以苦参汤熏洗治疗。疗程2周,2周后进行疗效评估,并对治愈的患者进行6个月随访,了解其复发情况。结果：治疗组28例完成试验,临床治愈17例(60.7%),显效6例(2].3%),有效3例(10.9%),无效2例(7.1%),总有效率92.9%。对照组27例完成试验,临床治愈10例(37.1%),显效6例(22.2%),有效6例(22.2%),无效5例(18.5%),总有效率81.5%。经秩和检验P0.05(P=0.049),说明两组药物对于湿热下注型肛周湿疹的疗效影响,治疗组优于对照组。结论：用亚甲蓝肛周封闭的方法优于对照组苦参汤熏洗治疗。表明亚甲蓝肛周封闭的治疗方法操作简便,疗效显著,值得临床上推广应用。
[Abstract]:Objective: to treat perianal eczema by methylene blue perianal closure and fumigation of Sophora flavescens decoction. Methods: a total of 55 patients with perianal eczema were randomly divided into treatment group (n = 28) and control group (n = 27). The curative effect was evaluated after 2 weeks of treatment and the cured patients were followed up for 6 months to find out the relapse. Results: in the treatment group, 28 cases completed the test, 17 cases were clinically cured and 60.7% were cured, 6 cases were effective, 3 cases were effective, 3 cases were effective, 2 cases were ineffective, 2 cases were ineffective, the total effective rate was 92.92.The control group (n = 27) completed the test. 10 cases were cured with 37. 1%, 6 cases were effective, 6 cases were effective, 6 cases were effective, 6 cases were effective, 5 cases were not effective, the total effective rate was 81.5%. The results of rank sum test showed that the effect of the two groups on eczema of anus was superior to that of the control group (P < 0. 05), which was superior to that of the control group (P < 0. 05, P < 0. 05, P < 0. 05, P < 0. 05, P < 0. 05). Conclusion: the method of methylene blue perianal closure is superior to that of the control group in fumigation and washing, which indicates that the treatment method of methylene blue perianal closure is simple and effective, and it is worth popularizing in clinic.
【学位授予单位】：成都中医药大学
【学位级别】：硕士
【学位授予年份】：2012
【分类号】：R758.23

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