疏肝活血法联合窄谱中波紫外光治疗气滞血瘀型白癜风的疗效观察

发布时间：2018-06-30 21:06

本文选题：白癜风 + 窄谱中波紫外光　；参考：《中国现代医学杂志》2017年29期

【摘要】：目的观察口服疏肝活血中药联合窄谱中波紫外线照射治疗气滞血瘀型白癜风方面的疗效和安全性。方法将90例白癜风患者随机分为联合组、光疗组及中药组,每组各30例。联合组口服该院舒肝活血中药配方颗粒,2次/d。并且用311 nm窄谱中波紫外光照射治疗,每周照射1、2次。光疗组:照射311 nm窄谱中波紫外光,每周照射1、2次。中药组:口服该院疏肝活血中药配方颗粒,2次/d。每3个月进行1次白癜风白斑复色率疗效评价、中医证候评分改善疗效评价及肝肾功能评测。共观察3个疗程。结果联合组白斑疗效总有效率均高于光疗组和中药组(P0.05);疗效与患者白斑部位、病程有相关性,与患者年龄无相关性;联合组中医证候改善总有效率均高于光疗组,与中药组无差异(P0.05)。结论应用疏肝活血法联合窄谱中波紫外光治疗气滞血瘀型白癜风能获得满意疗效,可在临床推广应用。
[Abstract]:Objective to observe the efficacy and safety of oral Chinese herbal medicine for dispersing liver and activating blood circulation combined with narrow band ultraviolet B irradiation in the treatment of vitiligo with qi stagnation and blood stasis. Methods 90 patients with vitiligo were randomly divided into combined group, phototherapy group and traditional Chinese medicine group with 30 cases in each group. Combined group oral Shugan Huoxue prescription granules 2 times a day. The patients were treated with 311nm medium wave ultraviolet light irradiation twice a week. In the phototherapy group, 311nm medium wave ultraviolet light was irradiated twice a week. Chinese medicine group: oral Shugan Huoxue prescription granules 2 times per day. Every 3 months, the rate of color change of vitiligo was evaluated, the TCM syndrome score was improved and the function of liver and kidney was evaluated. Three courses of treatment were observed. Results the total effective rate of leukoplakia in the combined group was higher than that in the phototherapy group and the traditional Chinese medicine group (P0.05); there was a correlation between the curative effect and the location and course of the leukoplakia, but no correlation with the patient's age; the total effective rate of improving the syndromes of TCM in the combined group was higher than that in the phototherapy group. There was no difference between the Chinese medicine group and the traditional Chinese medicine group (P0.05). Conclusion the treatment of vitiligo with qi stagnation and blood stasis by the method of soothing liver and activating blood circulation combined with medium wave ultraviolet light of narrow spectrum can be popularized and applied in clinic.
【作者单位】：北京市丰盛中医骨伤专科医院中医皮肤科;
【分类号】：R758.41

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