首页|自拟养血除湿汤治疗湿热蕴结证特应性皮炎的临床研究

自拟养血除湿汤治疗湿热蕴结证特应性皮炎的临床研究

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目的:探讨自拟养血除湿汤治疗湿热蕴结证特应性皮炎的临床效果.方法:选取 2021 年6 月—2023 年 6 月北京京城皮肤医院收治的 100 例湿热蕴结证特应性皮炎患者作为研究对象,随机分为对照组和观察组,各 50 例.对照组口服氯雷他定片,同时外用丁酸氢化可的松乳膏;观察组在对照组的基础上予以自拟养血除湿汤治疗.观察两组疗效、病情严重程度、炎症指标、生活质量及不良反应发生情况.结果:观察组的疗效优于对照组,差异有统计学意义(P<0.05).治疗后,观察组特应性皮炎评分(SCORAD)低于对照组,差异有统计学意义(P<0.05);与治疗前相比,两组治疗后嗜酸性粒细胞(EOS)、血清总免疫球蛋白E(IgE)、白细胞介素-2(IL-2)水平均降低,且观察组均低于对照组,差异均有统计学意义(P<0.05);两组治疗后白细胞介素-4(IL-4)水平均升高,且观察组更高,差异均有统计学意义(P<0.05).治疗后,观察组生活质量受损程度小于对照组,差异有统计学意义(P<0.05).两组不良反应发生率比较,差异无统计学意义(P>0.05).结论:自拟养血除湿汤治疗湿热蕴结证特应性皮炎可减轻患者症状,改善炎症指标和生活质量,疗效显著且安全可靠.
Clinical Study on Self-designed Yangxue Chushi Decoction in the Treatment of Dampness-heat Accumulation Syndrome Atopic Dermatitis
Objective:To investigate the clinical effect of self-designed Yangxue Chushi Decoction in the treatment of dampness-heat accumulation syndrome atopic dermatitis.Method:A total of 100 patients with damp-heat syndrome atopic dermatitis treated in Beijing Jingcheng Skin Hospital from June 2021 to June 2023 were selected as the study objects and randomly divided into control group and observation group,with 50 cases in each group.The control group received Loratadine Tablets orally and Hydrocortisone Butyrate Cream externally,the observation group was treated with self-designed Yangxue Chushi Decoction on the basis of control group.The efficacy,severity of disease,inflammation indicators,quality of life and adverse reaction occurrence of the two groups were observed.Result:The curative effect of observation group was better than that of control group,the difference was statistically significant(P<0.05).After treatment,scoring of atopic dermatitis(SCORAD)of observation group was lower than that of control group,the difference was statistically significant(P<0.05).Compared with those before treatment,the levels of eosinophils(EOS),serum total immunoglobulin E(IgE)and interleukin-2(IL-2)in two groups were decreased,those in the observation group were lower than those in the control group,the differences were statistically significant(P<0.05);the levels of interleukin-4(IL-4)were increased,and that in the observation group was higher,the differences were statistically significant(P<0.05).After treatment,the quality of life in the observation group was less impaired than that in the control group,the difference was statistically significant(P<0.05).There was no statistical significance in the incidence of adverse reactions between the two groups(P>0.05).Conclusion:The treatment of atopic dermatitis with dampness-heat accumulation syndrome can reduce the symptoms of patients,improve inflammatory indicators and quality of life,and the effect is remarkable,safe and reliable.

Self-designed Yangxue Chushi DecoctionDampness-heat accumulation syndromeAtopic dermatitis

吴鹏、魏明娜

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北京京城皮肤医院药剂科 北京 100192

北京京城皮肤医院中医科 北京 100192

自拟养血除湿汤 湿热蕴结证 特应性皮炎

2024

中国医学创新
中国保健协会

中国医学创新

影响因子:1.706
ISSN:1674-4985
年,卷(期):2024.21(12)
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