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蒲地蓝消炎口服液治疗湿热蕴结证中度寻常痤疮的随机对照研究

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目的 观察蒲地蓝消炎口服液治疗湿热蕴结证中度寻常痤疮的有效性和安全性.方法 采取多中心随机双盲对照研究设计,选取5家中心,筛选240例湿热蕴结证中度寻常痤疮受试者,随机分为试验组和对照组,每组各120例;试验组给予蒲地蓝消炎口服液,对照组给予蒲地蓝消炎口服液模拟剂;两组均联合外用克林霉素磷酸酯凝胶,每天2次,洁面后涂于患处.治疗4周,比较两组治疗前后皮损(丘疹、脓疱、粉刺)数量以及中医证候(面红、皮疹痒痛、舌苔厚腻、尿黄、便秘)积分变化,记录不良反应.结果 229例受试者完成试验,其中试验组117例、对照组112例.与基线相比,用药4周的两组患者的丘疹计数、脓疱计数显著减少,试验组粉刺计数和中医证候积分显著减少,且试验组均优于对照组(P<0.05).试验组痤疮皮损改善有效率为87.2%,高于对照组的58.0%(P<0.05).试验组仅1例患者出现外用药膏刺激性反应.结论 蒲地蓝消炎口服液可有效改善湿热蕴结证中度寻常痤疮患者皮损数量及中医证候,值得临床推广应用.
Pudilan Xiaoyan Oral Liquid(蒲地蓝消炎口服液)in Treatment of Moderate Acne Vulgaris(Syndrome of Damp-Heat Accumulation):A Multicenter,Randomized,Double-blind and Placebo-controlled Trial
Objective To observe the efficacy and safety of Pudilan Xiaoyan Oral Liquid(蒲地蓝消炎口服液)in the treat-ment of moderate acne vulgaris with damp-heat accumulation syndrome.Methods A multicenter,randomized,double blind and controlled study was conducted.The study was carried out in 5 centers which included a total of 240 patients with moderate acne vulgaris of damp-heat accumulation syndrome.The patients were screened and randomly divided into an experimental group and a control group,with 120 patients in each group.The experimental group was given Pudilan Xiaoyan Oral Liquid and the control group was given Pudilan Xiaoyan Oral Liquid simulant.Both groups were treated with topical clindamycin phosphate gel which was applied to affected area after cleansing,twice a day.The treatment course was 4 weeks.The numbers of skin lesions(papules,pus-tules,pimples),and TCM symptoms(red face,itchy and painful skin rash,thick and greasy tongue coating,yellow urine and con-stipation)scores were evaluated.Adverse reactions were recorded.Results A total of 229 patients completed the trial,with 117 ca-ses in the experimental group and 112 cases in the control group.After 4 weeks,the numbers of papules and pustules decreased greatly in both groups,the number of pimples and TCM symptoms scores decreased greatly in the experimental group compared with those at the baseline(P<0.05).Compared with those in the control group,the indexes mentioned-above were better in the experimental group(P<0.05).The acne lesions improvement efficiency was 87.2%in the experimental group,which was higher than that of 58.0%in the control group(P<0.05).There was only one irritant reaction to ointment for external use in the experi-mental group.Conclusion Pudilan Xiaoyan Oral Liquid is effective in reducing the numbers of skin lesions and improving clinical TCM syndromes for moderate acne vulgaris of damp-heat accumulation syndrome,which is worthy of clinical application.

Pudilan Xiaoyan Oral Liquid(蒲地蓝消炎口服液)acne vulgarissyndrome of damp-heat accumulationinte-grated traditional Chinese and western medicine therapyrandomized controlled study

李剑、盛友渔、耿琳、张宪军、王长亮、宋艳丽、陈洁、周蓉、刘青云、佘远遥、田洪青、杨勤萍、李斌、徐金华

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复旦大学附属华山医院皮肤科,上海 200040

上海中医药大学附属岳阳中西医结合医院皮肤科,上海 200235

山东大学齐鲁医院皮肤科,山东济南 250011

山东第一医科大学附属皮肤病医院皮肤科,山东省皮肤病性病防治研究所,山东济南 250022

中国中医科学院西苑医院皮肤科,北京 100091

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蒲地蓝口服液 寻常型痤疮 湿热蕴结证 中西医结合疗法 随机对照研究

2025

辽宁中医杂志
辽宁中医药大学,辽宁省中医药学会

辽宁中医杂志

北大核心
影响因子:0.815
ISSN:1000-1719
年,卷(期):2025.52(1)