当归饮子加减联合靓芙康复贴敷料治疗女性颜面再发性皮炎的临床疗效观察

发布时间：2018-01-02 16:25

  本文关键词：当归饮子加减联合靓芙康复贴敷料治疗女性颜面再发性皮炎的临床疗效观察　出处：《南京中医药大学》2016年硕士论文　论文类型：学位论文

  更多相关文章： 当归饮子加减 生物敷料 颜面再发性皮炎

【摘要】：颜面再发性皮炎,多见于女性,是皮肤科门诊的常见疾病,临床表现为红斑、鳞屑,可有肿胀,常有皮肤干燥、瘙痒、灼痛等不适感。目的：观察当归饮子加减方中药颗粒剂联合靓芙康复贴敷料治疗女性颜面再发性皮炎的临床疗效和安全性。方法：将60例女性颜面再发性皮炎血虚风燥证患者随机分两组：治疗组30例,当归饮子加减联合靓芙康复贴敷料治疗,对照组30例,单用靓芙康复贴敷料治疗,两组的总疗程均为4周。观察治疗2周、4周后两组患者临床表现的变化,计算出治疗前后临床总评分的差值和临床疗效指数,并评价临床疗效。治疗结束后并根据中医证候积分变化情况进行中医证候的疗效评价。根据安全性指标变化情况做安全性评价。结果：治疗2周后,治疗组的总有效率60%,治疗4周后总有效率达83.33%,均显著高于对照组的总有效率33.33%(2周)和43.33%(4周),两组临床疗效比较差异均有统计学意义(P0.05)。治疗2周和4周后,两组患者的客观体征(红斑、鳞屑、肿胀、皮损总面积)和主观症状(瘙痒、灼热、疼痛、干燥及紧绷感)的临床总评分均较治疗前下降,两组下降指数比较有显著性差异(P0.05),治疗组下降较对照组更明显。对于血虚风燥证,治疗4周后,两组中医证候总积分均较治疗前显著下降(P0.05),血虚风燥证的各种症状、体征也有不同程度的改善,治疗组中医证候的总有效率为73.33%,对照组13.33%,两者比较差异有统计学意义(P0.05)。两组患者均未出现严重不良反应。治疗组有1例,服中药后出现胃部不适,嘱其饭后温服后,症状消失。对照组2例患者使用硅油霜时出现一过性面部刺痛感,未作处理,后症状渐自行消失。治疗前后各项指标均在正常参考值范围之内。结论：当归饮子加减联合靓芙康复贴敷料治疗女性颜面再发性皮炎,安全有效,临床值得推广应用。本研究为探寻女性颜面再发性皮炎更有效的治疗方法提供了新的思路,同时增加高患者的舒适度,提高依从性,为丰富祖国医学治疗本病提供理论及临床依据。
[Abstract]:Facial Recurrent Dermatitis, more common in women, is a common disease in the outpatient department of Dermatology, clinical manifestations of erythema, scales, there can be swelling, often have dry skin, itching, pain and other discomfort. Objective: To evaluate the clinical efficacy and safety of Danggui Yinzi granule combined with Liang Fu rehabilitation treatment of female facial dressing recurrent dermatitis. Methods: 60 cases of Female Facial Recurrent Dermatitis in patients with blood deficiency and wind dryness syndrome were randomly divided into two groups: treatment group 30 cases, dressing in the treatment of Chinese Angelica Decoction Combined with modified Liang Fu rehabilitation, the control group of 30 cases, single Liang Fu rehabilitation dressing treatment, total treatment time of two groups were 4 weeks. 2 weeks of treatment, changes of the two groups of patients with clinical performance after 4 weeks, the calculated difference between clinical total score and clinical efficacy index before and after the treatment, and evaluate the clinical curative effect. After the end of treatment according to TCM syndrome score changes in TCM Syndrome 鐤楁晥璇勪环.鏍规嵁瀹夊叏鎬ф寚鏍囧彉鍖栨儏鍐靛仛瀹夊叏鎬ц瘎浠，

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