柴胡枳壳汤治疗寻常性痤疮湿热证的临床疗效观察

发布时间：2018-06-13 02:19

  本文选题：柴胡枳壳汤 + 寻常性痤疮　； 参考：《成都中医药大学》2016年硕士论文

【摘要】：目的：通过临床疗效观察,评价中药方剂柴胡枳壳汤治疗寻常性痤疮湿热证的临床疗效。方法：①以现场问诊和查体的方法获取74例寻常性痤疮湿热证患者的病情资料,综合整理数据后进行统计分析。②本研究将符合纳入标准的71例寻常性痤疮湿热证患者,按照随机对照原则,分为两组。治疗组35例,口服柴胡枳壳汤。对照组36例,口服复方珍珠暗疮片。两组均用痘德保药汁湿敷。连续治疗4周,每周观察1次,观察两组治疗后的疗效、停药后的复发情况。所有数据用SPSS21.0软件作统计分析。结果：本次调查中,寻常性痤疮湿热证患者年龄以26岁以上居多。病程主要集中在51-100周。病情分级以Ⅱ级和Ⅲ级为最多。主要兼症中以失眠、脱发和胸胁胀痛者居多。临床观察显示,治疗组总有效率88.6%,对照组总有效率72.2%。两组治疗后皮损、主要兼症均有所改善。治疗组总有效率明显优于对照组,两组有明显的差异性(P0.05)。治疗组皮损总疗效、主要兼症疗效均优于对照组(P0.05)。治疗组复发率低于对照组,两者复发率无统计学意义(p0.05)结论：寻常性痤疮的主要兼症中存在着被忽略的内容,应当给予必要的总结,并进行理论分析和研究。本次试验结合导师经验,归纳出寻常性痤疮的根本病机是：营卫失调。柴胡枳壳汤是治疗寻常性痤疮湿热证的有效验方,能显著改善患者的临床症状和体征,疗效优于复方珍珠暗疮片,配合痘德保湿敷效果更佳,无明显不良反应,值得临床应用和推广。
[Abstract]:Objective: to evaluate the clinical efficacy of Chaihu Fructus Aurantii decoction in the treatment of acne vulgaris dampness and heat syndrome. Methods the clinical data of 74 patients with acne vulgaris dampness and heat syndrome were obtained by on-the-spot examination and physical examination. The data were collected and analyzed. 2. The study included 71 patients with acne vulgaris damp-heat syndrome. According to the principle of random control, it was divided into two groups. 35 cases in the treatment group were treated with Chaihu Fructus Aurantii decoction. 36 cases of control group were treated with compound pearl ulcer tablets. Both groups were treated with poxidazole juice and wet compress. The curative effect and recurrence after treatment were observed once a week for 4 weeks. All the data were analyzed by SPSS 2 1.0 software. Results: in this investigation, the age of acne vulgaris damp-heat syndrome is more than 26 years old. The course of disease was concentrated in 51-100 weeks. The grade 鈪，

本文编号：2012216