清肺消斑汤联合点刺放血治疗酒渣鼻的临床疗效观察

发布时间：2018-04-30 13:09

本文选题：酒渣鼻 + 肺胃热盛证　；参考：《黑龙江中医药大学》2016年硕士论文

【摘要】：目的：观察中药汤剂“清肺消斑汤”联合局部点刺放血疗法治疗酒渣鼻肺胃热盛证的临床疗效。方法：将符合标准的70例酒渣鼻患者,随机分为治疗组和对照组各35例。前者予以口服中药汤剂“清肺消斑汤”联合局部点刺放血疗法,后者予以口服“裸花紫珠片”联合“肤螨灵软膏”外用。疗程为28天,在治疗前和治疗第14天、第28天分别对两组患者的的皮损和主观症状进行观察和记录,通过两组患者各项指标的评分情况,判定中药汤剂“清肺消斑汤”联合点刺放血治疗酒渣鼻肺胃热盛证的临床疗效。结果：1.总有效率比较：治疗2周末,总有效率治疗组为66.67%,对照组的为40.63%；治疗4周末,总有效率治疗组为84.85%,对照组为53.13%。两组间分别经秩和检验,P0.05,两组间均存在显著性差异,说明“清肺消斑汤”联合局部点刺放血的总有效率更高。2.皮损积分比较：治疗第2、4周末,两组患者的皮损积分与疗前相比,均存在显著差异；而治疗第2周末时,两组间经独立t检验,差异无统计学意义；至治疗第4周末,两组间比较,具有显著性差异。说明治疗第4周末时,“清肺消斑汤”联合点刺放血在改善酒渣鼻患者皮损积分上疗效更佳。3.主观症状积分比较：治疗第2、4周末时,两组分别与各自组别治疗前相比较,均存在显著差异；而治疗第2周末时,两组间经独立t检验,差异无统计学意义；至治疗第4周末,两组间比较,具有显著差异。说明两组药物均可有效改善患者的主观症状,但相比而言,治疗第4周末时,前者在改善酒渣鼻患者主观症状方面疗效更佳。结论：1.中药汤剂“清肺消斑汤”联合局部点刺放血疗法能够有效改善酒渣鼻(肺胃热盛证)治疗前后的症状积分。2.中药汤剂“清肺消斑汤”联合局部点刺放血疗法是治疗酒渣鼻(肺胃热盛证)安全有效的治疗方法。
[Abstract]:Objective: to observe the clinical effect of Qingfei Xiaoban decoction (QFXD) combined with local puncturing and bloodletting therapy in the treatment of rosacea lung stomach heat syndrome. Methods: 70 patients with rosacea were randomly divided into treatment group (n = 35) and control group (n = 35). The former was given oral Chinese medicine decoction "Qingfei Xiaoban decoction" combined with local puncturing bloodletting therapy, and the latter was given oral "Naked Flower Purple Pearl tablet" and "skin mite Ointment" for external use. The course of treatment was 28 days. The skin lesions and subjective symptoms of the two groups were observed and recorded before treatment, 14 days and 28 days, respectively. To determine the clinical efficacy of traditional Chinese medicine decoction "Qingfei Xiaoban decoction" combined with puncturing and bleeding in the treatment of rosacea lung stomach heat syndrome. The result is 1: 1. The total effective rate was 66.67 in the treatment group and 40.63 in the control group at the end of 2 weeks, and 84.85 in the treatment group and 53.13 in the control group at the end of 4 weeks. There was significant difference between the two groups by rank sum test (P 0.05), which indicated that the total effective rate of Qingfei Xiaoban decoction combined with local prick bleeding was higher than that of the control group (P 0.05). Comparison of skin lesion scores: at the end of the 2nd week of treatment, there were significant differences between the two groups in the score of skin lesions compared with those before treatment, but at the end of the second week of treatment, there was no significant difference between the two groups by independent t test; at the end of the 4th week of treatment, there was no significant difference between the two groups. There was significant difference between the two groups. At the end of the 4th week of treatment, Qingfei Xiaoban decoction combined with puncturing and bleeding was more effective in improving the score of rosacea patients. Comparison of subjective symptom scores: at the end of the 2nd week of treatment, there were significant differences between the two groups compared with their respective groups before treatment, while at the end of the second week of treatment, there was no significant difference between the two groups by independent t test; at the end of the 4th week of treatment, there was no significant difference between the two groups. There were significant differences between the two groups. The results showed that the two groups were effective in improving the subjective symptoms of the patients, but at the end of the 4th week of treatment, the former was more effective in improving the subjective symptoms of rosacea patients. Conclusion 1. Traditional Chinese medicine decoction "Qingfei Xiaoban decoction" combined with local puncturing and bleeding therapy can effectively improve the symptom score of rosacea (lung and stomach heat syndrome) before and after treatment. Qingfei Xiaoban decoction (QFXD) combined with local puncturing bleeding therapy is a safe and effective treatment for rosacea (lung and stomach heat syndrome).
【学位授予单位】：黑龙江中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R275.9

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