四黄苦地汤冷湿敷治疗急性下肢丹毒的临床研究

发布时间：2017-12-28 01:08

本文关键词：四黄苦地汤冷湿敷治疗急性下肢丹毒的临床研究　出处：《南京中医药大学》2016年硕士论文　论文类型：学位论文

【摘要】：目的：观察自拟四黄苦地汤冷湿敷治疗下肢丹毒的临床疗效,探讨其作用机理,为该方在临床推广使用提供理论依据。方法：45例下肢丹毒患者随机分为对照组和治疗组。对照组22例予中药五神汤加减内服,以50%硫酸镁湿敷；治疗组23例在内服中药五神汤加减的基础上,以四黄苦地汤冷湿敷。两组均治疗7d后观察并比较临床疗效和炎症指标及局部症状体征的变化情况。结果：1.治疗组总有效率为95.65%,明显高于对照组的68.18%,两组临床疗效比较,有统计学意义(P0.05)。2.两组治疗后炎症指标白细胞计数、血沉、C反应蛋白均较治疗前显著下降(P0.05),治疗组下降幅度均明显大于对照组(P0.05)。3.两组治疗后患者局部症状体征(患肢肤色、肿胀程度、肤温、自觉疼痛)评分均较治疗前显著降低(P0.05),治疗组降低幅度均明显大于对照组(P0.05)。结论：四黄苦地汤冷湿敷能显著降低下肢丹毒患者血清中白细胞计数、血沉、C反应蛋白水平,改善局部炎症反应,治疗下肢丹毒疗效确切。
[Abstract]:Objective: To observe the curative effect of four yellow Kudi soup cold wet compress in treating lower limb erysipelas, explore its mechanism, provide a theoretical basis for the clinical use in the. Methods: 45 patients were randomly divided into control group and treatment group. The control group of 22 cases were treated with Chinese medicine decoction to god five, 50% Magnesium Sulfate wet compress; 23 cases in the treatment group based oral Chinese medicine decoction on the five gods, with four yellow Kudi soup cold wet compress. After the treatment of 7D, the two groups were observed and compared with the changes of the clinical effect, the inflammatory index and the local symptoms and signs. Results: the total effective rate of the 1. treatment group was 95.65%, which was significantly higher than that of the control group (68.18%). The clinical efficacy of the two groups was statistically significant (P0.05). 2., after treatment, the inflammatory index, leukocyte count, erythrocyte sedimentation rate and C reactive protein in the two groups were significantly lower than those before treatment (P0.05), and the decrease in the treatment group was significantly larger than that in the control group (P0.05). 3., two groups of patients after treatment, the local symptoms and signs (skin color, swelling degree, skin temperature and pain) scores were significantly lower than those before treatment (P0.05), and the reduction rates in the treatment group were significantly higher than those in the control group (P0.05). Conclusion: four yellow soup Kudi wet and cold compress can significantly reduce the level of serum in patients with lower limb erysipelas in white blood cell count, erythrocyte sedimentation rate, C reactive protein, improve local inflammatory response, curative effect in treating lower limb erysipelas.
【学位授予单位】：南京中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R275.9

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