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益气固表协定处方治疗慢性自发性荨麻疹临床疗效观察

发布时间:2019-06-07 14:24
【摘要】:目的:观察益气固表协定处方(中医辩证结合生物共振技术获得)治疗表虚不固型慢性自发性荨麻疹的临床疗效、复发率及安全性[1]。方法:将90例表虚不固型慢性自发性荨麻疹患者随机分为治疗组(45例)和对照组(45例),治疗组给予益气固表协定处方口服;对照组给予盐酸左西替利嗪片口服。4W为1疗程,治疗2个疗程,分别观察给药前、1(4W)个疗程、2(8W)个疗程末及停药1(4W)个疗程后两组荨麻疹患者活动度评分(皮疹大小、颜色、数量、分布、瘙痒、发生频率、持续时间、划痕症、点刺试验)、临床疗效、复发率、安全性。结果:①服药4W末和8W末,两组患者UAS评分相对于前一个观察时点均明显下降[1];② 4W后的总体有效情况,治疗(益气固表处方)组与对照(盐酸左西替利嗪)组分别为44.4%和46.7%,在统计学上无显著差异(P=0.533);③8W后总体有效情况,治疗(益气固表处方)与对照(盐酸左西替利嗪)组经计算分别是88.9%和80.0%,在统计学上无显著差异(P=0.427);④患者停药1疗程后随访,复发情况相比治疗组和对照组分别为10.0%和33.3%,在统计学上有显著差异(P=0.027);⑤安全性:不良反应情况方面相对于对照组(24.4%),治疗组较低(6.7%),两组统计学有显著差异(P=0.042)。结论:益气固表协定处方(中医辩证结合生物共振技术获得)治疗表虚不固型慢性自发性荨麻疹临床疗效和公认的西药(盐酸左西替利嗪)对比疗效相当,且复发率低、副作用小,为加快中医传承方面提供了一种全新的方法,对推动中医药理论与临床的客观量化研究工作发挥积极地作用。
[Abstract]:Objective: to observe the clinical efficacy, recurrence rate and safety of Yiqi-Gu surface agreement prescription (obtained by traditional Chinese medicine syndrome combined with biological resonance technique) in the treatment of chronic spontaneous urticaria with superficial deficiency. Methods: 90 patients with chronic spontaneous urticaria with superficial deficiency and instability were randomly divided into treatment group (n = 45) and control group (n = 45). The control group was given levatirizine hydrochloric acid tablets. 4W as a course of treatment, two courses of treatment, respectively, before administration, 1 (4W) course of treatment, 4 W, 4 W and 4 W, respectively. 2 (8W) at the end of treatment and 1 (4W) after withdrawal of medicine, the activity score of urticaria patients in the two groups (rash size, color, quantity, distribution, pruritus, frequency, duration, scratch, pruritus test), clinical efficacy, Recurrence rate, safety. Results: 1at the end of 4W and 8W, the UAS score of the two groups was significantly lower than that of the previous observation point [1]. After 24 weeks, the overall effective rate was 44.4% and 46.7% in the treatment group and the control group, respectively, and there was no significant difference between the treatment group (P 鈮,

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