首页|中西医结合治疗糜烂型口腔扁平苔藓的临床观察

中西医结合治疗糜烂型口腔扁平苔藓的临床观察

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目的 观察使用中药复方联合糖皮质激素含漱治疗糜烂型口腔扁平苔藓的效果.方法 选择 2022 年1 月至 2023 年 6 月湖南中医药大学第一附属医院口腔科门诊就诊的糜烂型口腔扁平苔藓患者 56 例,并随机分成两组,每组各 28 例,对照组选用糖皮质激素含漱治疗,治疗组在其基础上加用中药治疗,治疗 30 d后,比较两组患者临床疗效、视觉模拟评分法(VAS)评分、糜烂面积、白纹面积及 3 个月后复发情况.结果 两组疗效差异有统计学意义(P<0.05),治疗组优于对照组;治疗后,两组VAS评分、糜烂面积低于治疗前,治疗组白纹面积低于治疗前,且治疗组的糜烂面积和白纹面积均低于对照组,差异有统计学意义(P<0.05);治疗组复发率低于对照组,差异有统计学意义(P<0.05).结论 中西医结合治疗糜烂型口腔扁平苔藓效果较好.
Clinical observation on treatment of erosive oral lichen planus with integrated traditional Chinese and western medicine
Objective To observe the therapeutic effect of using traditional Chinese medicine compound integrated with glucocorticoid mouthwash in the treatment of erosive oral lichen planus.Methods A total of 56 patients with erosive oral lichen planus were selected from the Department of Stomatology of the First Affiliated Hospital of Hunan University of Chinese Medicine,from January 2022 to June 2023.They were randomly divided into two groups,with 28 cases in each group.The control group was treated with glucocorticoid gargle,while the treatment group was treated with traditional Chinese medicine on the basis of it.After 30 days of treatment,the clinical efficacy,visual analogue scale(VAS)score,erosive area,white stripe area,and recurrence rate after 3 months were compared between the two groups.Results The difference of effective rate between two groups was statistically significant(P<0.05),and the treatment group was superior to that of the control group.After treatment,the VAS score and erosion area of the two groups were lower than before treatment,and the white stripe area of the treatment group was lower than before treatment.Moreover,the erosion area and white stripe area of the treatment group were lower than those of the control group,and the difference was statistically significant(P<0.05).The recurrence rate of the treatment group was lower than that of the control group,and the difference was statistically significant(P<0.05).Conclusion The integrated traditional Chinese and western medicine is effective in treating erosive oral lichen planus.

Erosive oral lichen planusDamp-heat in spleen and stomachIntegrated traditional Chinese and western medicineGlucocorticoid

黄玉婷、谭怡丝、李元聪、谭劲

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湖南中医药大学第一中医临床学院,湖南长沙 410000

湖南中医药大学中西医结合学院,湖南长沙 410000

湖南中医药大学第一附属医院口腔科,湖南长沙 410000

糜烂型口腔扁平苔藓 脾胃湿热型 中西医结合 糖皮质激素

国家自然科学基金面上项目

8237453081874496

2024

中国医药科学
海峡两岸医药卫生交流协会 二十一世纪联合创新(北京)医药科学研究院

中国医药科学

影响因子:1.083
ISSN:2095-0616
年,卷(期):2024.14(11)