首页|养血生发汤联合复方倍他米松注射液治疗斑秃的临床疗效

养血生发汤联合复方倍他米松注射液治疗斑秃的临床疗效

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目的 探讨养血生发汤联合复方倍他米松注射液治疗斑秃(AA)的临床疗效.方法 100例AA患者,按照随机数字表法分为对照组和观察组,每组 50 例.对照组采用复方倍他米松注射液治疗,观察组在对照组的基础上加用自拟养血生发汤治疗.比较两组患者临床疗效、毛发征象、终毛数密度、不良反应发生率、复发率.结果 观察组治疗总有效率 96.00%高于对照组的 82.00%(P<0.05).观察组感叹样毛发、黑点征、断发、黄点征和短毳征象发生率分别为 20.00%、18.00%、4.00%、22.00%、84.00%,均低于对照组的 38.00%、36.00%、16.00%、42.00%、100.00%(P<0.05).观察组治疗 4、8、12 周终毛数密度分别为(53.64±8.27)、(85.35±12.08)、(165.41±20.05)根/cm2,均高于对照组的(41.63±6.26)、(64.13±10.09)、(118.71±15.48)根/cm2(P<0.05).两组不良反应发生率比较无差异(P>0.05).治疗结束后随访 3 个月,观察组复发率 0 低于对照组的 12.00%(P<0.05).结论 养血生发汤联合复方倍他米松注射液治疗AA患者效果显著,可促进毛发再生,降低复发率,安全性好,值得推广.
Clinical efficacy of Yangxue Shengfa Decoction combined with compound betamethasone injection on alopecia areata
Objective To explore the clinical efficacy of Yangxue Shengfa Decoction combined with compound betamethasone injection on alopecia areata(AA).Methods 100 patients with AA were divided into a control group and an observation group according to random number table method,with 50 cases in each group.The control group was treated with compound betamethasone injection,and the observation group was treated with self-designed Yangxue Shengfa Decoction on the basis of the control group.The clinical efficacy,hair signs,terminal hair density,incidence of adverse reactions and recurrence rate were compared between the two groups.Results The total effective rate of 96.00%in the observation group was higher than that of 82.00%in the control group(P<0.05).The incidences of exclamation-like hair,black spot sign,broken hair,yellow spot sign and short cuirass sign in the observation group were 20.00%,18.00%,4.00%,22.00%and 84.00%,respectively,which were lower than those of 38.00%,36.00%,16.00%,42.00%and 100.00%in the control group(P<0.05).The terminal hair density in the observation group were(53.64±8.27),(85.35±12.08)and(165.41±20.05)hairs/cm2 at 4,8 and 12 weeks,which were higher than those of(41.63±6.26),(64.13±10.09)and(118.71±15.48)hairs/cm2 in the control group(P<0.05).There was no significant difference in the incidence of adverse reactions between the two groups(P>0.05).After 3 months of follow-up,the recurrence rate of 12.00%in the observation group was lower than that of 12.00%in the control group(P<0.05).Conclusion Yangxue Shengfa Decoction combined with compound betamethasone injection has significant effect in the treatment of AA patients,which can promote hair regeneration and reduce the recurrence rate,and is safe and worthy of promotion.

Alopecia areataYangxue Shengfa DecoctionCompound betamethasoneHair signsTerminal hair densityAdverse reaction

周潇

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255300 淄博市中医医院皮肤科

斑秃 养血生发汤 复方倍他米松 毛发征象 终毛数密度 不良反应

淄博市医药卫生科研项目

20231503102

2024

中国实用医药
中国康复医学会

中国实用医药

影响因子:0.797
ISSN:1673-7555
年,卷(期):2024.19(2)
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