首页|凉血活血汤联合UVB光疗治疗血热性银屑病患者的临床疗效

凉血活血汤联合UVB光疗治疗血热性银屑病患者的临床疗效

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[目的]探讨凉血活血汤联合窄谱中波紫外线(UVB)光疗治疗血热性银屑病患的临床疗效.[方法]选取2021年1月至2022年5月在本院诊治的80例血热性银屑病患者,按入院顺序分为对照组(尿素乳膏联合凉血活血汤治疗)和观察组(在对照组基础上加用UVB光疗治疗),每组40例,两组均治疗4周,比较两组临床疗效、银屑病面积和严重度指数(PASI)评分、角质层含水量、皮脂含量、相关因子[白细胞介素-17(IL-17)、血管内皮生长因子(VEGF)、单核细胞趋化蛋白-1(MCP-1)]水平及不良反应发生率.[结果]观察组临床疗效显著优于对照组(P<0.05).治疗后,两组PASI评分、IL-17、VEGF、MCP-1均较治疗前降低,且观察组上述指标低于对照组(P<0.05);治疗后,两组角质层含水量、皮脂含量均较治疗前显著升高(P<0.05);且观察组角质层含水量、皮脂含量高于对照组(P<0.05).两组患者不良反应总发生率比较,差异无统计学意义(P>0.05).[结论]凉血活血汤联合UVB光疗治疗血热性银屑病患者,临床疗效较好,可显著改善患者的皮损程度和相关因子,且安全性良好.
Clinical Efficacy of Liangxue Huoxuetang Combined with UVB Phototherapy in the Treatment of Blood Heat Psoriasis Patients
[Objective]To explore the clinical efficacy of Liangxue Huoxuetang combined with narrow-band ultraviolet B(UVB)phototherapy in the treatment of blood heat psoriasis patients.[Methods]A total of 80 patients with blood heat psoriasis treated in our hospital from January 2021 to May 2022 were selected and divided into a control group(treated with triamcinolone acetonide urea cream combined with Liangxue Huoxu-etang)and an observation group(treated with UVB phototherapy on the basis of the control group)according to admission order,with 40 cases in each group.Both groups were treated for 4 weeks.The clinical efficacy,psoriasis area and severity index(PASI)score,stratum corneum water content,sebum content,levels of re-lated factors[interleukin-17(IL-17),vascular endothelial growth factor(VEGF),monocyte chemoattractant protein-1(MCP-1)],and incidence of adverse reactions were compared between the two groups.[Results]The clinical efficacy of the observation group was significantly better than that of the control group(P<0.05).After treatment,the PASI scores,IL-17,VEGF,and MCP-1 in both groups decreased compared to before treatment,and the above indicators in the observation group were lower than those in the control group(P<0.05);After treatment,the water content and sebum content of the stratum corneum in both groups signifi-cantly increased compared to before treatment(P<0.05);And the water content and sebum content of the stratum corneum in observation group were higher than those in the control group(P<0.05).There was no statistically significant difference in the total incidence of adverse reactions between the two groups of patients(P>0.05).[Conclusion]The combination of Liangxue Huoxuetang and UVB phototherapy has good clinical efficacy in treating patients with blood heat psoriasis,significantly improving the degree of skin lesions and re-lated factors,and has good safety.

Psoriasis/ZJUltraviolet TherapyTreatment Outcome

张金玲、李现周、宋明辉

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联勤保障部队第九九○医院药剂科,河南 驻马店 463000

银屑病/中西医结合疗法 紫外线疗法 治疗结果

2024

医学临床研究
湖南省医学会

医学临床研究

影响因子:0.595
ISSN:1671-7171
年,卷(期):2024.41(7)