逍遥散加减联合果酸治疗肝郁气滞型黄褐斑疗效观察

发布时间：2018-05-30 08:20

本文选题：黄褐斑 + 肝郁气滞　；参考：《辽宁中医杂志》2017年09期

【摘要】：目的:观察逍遥散加减联合果酸治疗肝郁气滞型黄褐斑的临床疗效。方法:选取该院2014年1月—2017年1月收治的100例肝郁气滞型黄褐斑患者作为研究对象,随机分为观察组和对照组,各50例。对照组患者单纯采取果酸治疗,观察组患者采取逍遥散加减联合果酸治疗,比较两组患者的临床疗效。结果:治疗8周后,两组患者的皮损状况均出现明显好转,且观察组的皮损改善程度优于对照组,具有显著性差异(t=3.59,P0.01)。对照组患者的中医证候评分虽有改善,差异无统计学意义(t=1.47,P0.05)。观察组的中医证候评分明显下降,远低于对照组,差异显著(t=4.34,P0.01)。观察组的总有效率为88.0%,对照组的总有效率为64.0%,观察组的总有效率显著高于对照组(χ2=10.64,P0.01)。结论:逍遥散加减联合果酸治疗肝郁气滞型黄褐斑患者疗效显著,有利于改善患者的临床症状,值得临床推广应用。
[Abstract]:Objective: to observe the clinical effect of Xiaoyao San plus subtraction and fruit acid in treating chloasma with stagnation of liver and qi. Methods: 100 cases of chloasma with stagnation of liver and qi were selected from January 2014 to January 2017. The patients were randomly divided into observation group and control group with 50 cases each. The patients in the control group were treated with fruit acid alone, and the patients in the observation group were treated with Xiaoyao Powder plus or subtraction combined with fruit acid. The clinical effects of the two groups were compared. Results: after 8 weeks of treatment, the skin lesions of the two groups were obviously improved, and the improvement degree of the skin lesions in the observation group was better than that in the control group, and there was a significant difference between the two groups. Although the TCM syndrome score of the control group was improved, the difference was not statistically significant. The scores of TCM syndromes in the observation group were significantly lower than those in the control group (P < 0.01). The total effective rate of the observation group was 88.0 and that of the control group was 64.0. The total effective rate of the observation group was significantly higher than that of the control group (蠂 ~ 2 = 10.64, P 0.01). Conclusion: Xiaoyao Powder plus or subtraction combined with fruit acid is effective in treating chloasma with stagnation of liver and qi, which is beneficial to the improvement of clinical symptoms and is worth popularizing.
【作者单位】：新乡市中心医院皮肤科;
【分类号】：R275.9

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