加味温胆汤治疗脾虚湿盛型痤疮的临床观察

发布时间：2018-05-28 06:22

本文选题：痤疮 + 加味温胆汤　；参考：《黑龙江中医药大学》2017年硕士论文

【摘要】：目的:观察加味温胆汤治疗脾虚湿盛型痤疮的的临床疗效及其有效的安全性。方法:本课题选取所有病例均来自于2015年12月～2017年5月在黑龙江中医药大学附属第二医院内分泌科门诊诊断为痤疮(脾虚湿盛型)的患者62例。随机分2组,治疗组31例,对照组31例,比例1:1。采用随机对照的临床实验设计对照的方法,一组以温胆汤加减治疗脾虚湿盛型患者,另一组以丹参酮胶囊治疗脾虚湿盛型患者,进行前后症状体征及综合疗效评分,评价痤疮患者的临床疗效,并进行统计学处理。结果:1.皮损积分:治疗前后患者皮损积分改善情况治疗组优于对照组(P0.05);2.中医证候评分:两组治疗前后中医证候评分均有差异,治疗组差异较对照组大(P0.05);3.临床疗效:治疗沮的总有效率为86%,对照组总有效率为60%,治疗组总有效率高于对照组(P0.01);结论:加味温胆汤在改善脾虚湿盛型痤疮患者皮损及中医证候方面优于对照组,临床疗效显著。
[Abstract]:Objective: to observe the clinical efficacy and safety of Jiawei Wendan decoction in treating acne with spleen deficiency and dampness. Methods: from December 2015 to May 2017, 62 patients with acne (spleen deficiency and dampness) were selected from the Endocrinology Department of the second affiliated Hospital of Heilongjiang University of traditional Chinese Medicine. Two groups were randomly divided into treatment group (31 cases) and control group (31 cases) with a ratio of 1: 1. A randomized controlled clinical trial was used to treat the patients with spleen deficiency and dampness in one group with Wendan decoction and another group with tanshinone capsule to treat the patients with spleen deficiency and dampness. The symptoms and signs of the patients before and after treatment and the comprehensive curative effect were evaluated. The clinical efficacy of acne patients was evaluated and statistically analyzed. The result is 1: 1. Before and after treatment, the improvement of skin lesion score in the treatment group was better than that in the control group (P 0.05). TCM syndrome score: before and after treatment, there were differences in TCM syndrome scores between the two groups, and the difference between the treatment group and the control group was greater than that in the control group. Clinical efficacy: the total effective rate of treating Ju was 86g, the total effective rate of control group was 60 and the total effective rate of treatment group was higher than that of control group P0.01.Conclusion: Jiawei Wendan decoction is superior to the control group in improving the skin lesions and TCM syndromes of acne patients with spleen deficiency and dampness. The clinical effect is remarkable.
【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】：2017
【分类号】：R275.9

【参考文献】