消风止痒汤联合睡眠疗法治疗慢性荨麻疹临床研究
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R758.24

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Clinical Study on Xiaofeng Zhiyang Tang Combined with Sleep Therapy for Chronic Urticaria
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    摘要:

    目的:观察消风止痒汤联合睡眠疗法治疗慢性荨麻疹的临床效果。方法:选取82 例慢性荨麻疹患者进行回顾性研究,按照不同治疗措施分为观察组和对照组各41 例。对照组采用消风止痒汤治疗,观察组在对照组的基础上联合睡眠疗法干预。结果:观察组总有效率为97.6%,对照组78.0%,2 组比较,差异有统计意义(P<0.05)。治疗前,2 组组胺、白细胞介素-10(IL-10) 水平比较,差异无统计学意义(P>0.05);治疗后,2 组组胺均较治疗前降低(P<0.05),IL-10 水平均较治疗前升高(P<0.05);而治疗后2 组间组胺、IL-10 水平比较,差异无统计学意义(P>0.05)。治疗前,2 组皮肤病生活质量量表(DLQI) 中瘙痒、睡眠、社交以及工作评分比较,差异无统计学意义(P>0.05);治疗后,2 组上述各项评分均较治疗前降低(P<0.05);且观察组睡眠及工作评分改善优于对照组(P<0.05),而瘙痒、社交评分变化与对照组相当(P>0.05)。治疗前,2 组睡眠质量、入睡时间、失眠时间、睡眠效率、睡眠障碍评分比较,差异无统计学意义(P>0.05);治疗后,观察组上述各项评分均较治疗前降低(P<0.05),且观察组各项评分均低于对照组(P<0.05);对照组睡眠质量、入睡时间、睡眠效率、睡眠障碍评分均较治疗前降低(P<0.05),而失眠时间与治疗前比较变化不大(P>0.05)。结论:消风止痒汤联合睡眠疗法治疗慢性荨麻疹的疗效满意,能提高临床疗效,改善患者血浆组胺、IL-10 水平,明显提高睡眠质量和生活质量。

    Abstract:

    Abstract: Objective: To observe the clinical effect of Xiaofeng Zhiyang tang combined with sleep therapy for chronic urticaria. Methods: A total of 82 cases of patients with chronic urticaria were selected for retrospective study, and were divided into the observation group and the control group according to different treatment measures,with 41 cases in each group. The control group was treated with Xiaofeng Zhiyang tang,and the observation group was additionally intervened with sleep therapy based on the treatment of the control group. Results: The total effective rate was 97.6% in the observation group and 78.0% in the control group,the difference being significant(P<0.05). Before treatment,there was no significant difference being found in the comparison of histamine and Interleukin- 10(IL- 10) levels between the two groups(P>0.05). After treatment, histamine in the two groups was decreased when compared with that before treatment(P<0.05), and IL-10 levels were increased(P<0.05). After treatment ,here was no significant difference being found in the comparison of histamine and IL- 10 levels between the two groups(P>0.05). Before treatment,there was no significant difference being found in the comparison of the scores of pruritus,sleep,social contact and work between the two groups(P>0.05). After treatment, the above scores in the groups were decreased when compared with those before treatment(P<0.05); the scores of sleep and work in the observation group were better than those in the control group(P<0.05),and the scores of pruritus and social contact were similar to those in the control group(P>0.05). Before treatment, there was no significant difference being found in the comparison of sleep quality, time for falling asleep, time of insomnia, sleep efficiency and sleep disorder scores between the two groups(P>0.05). After treatment, the above scores in the observation group were decreased when compared with those before treatment(P<0.05), and the ones in the observation group were lower than those in the control group(P<0.05);sleep quality,time for falling asleep,sleep efficiency and sleep disorder score in the control group were decreased when compared with those before treatment(P<0.05), and the time of insomnia had little change(P>0.05). Conclusion: Xiaofeng Zhiyang tang combined with sleep therapy for chronic urticaria has a satisfactory curative effect, which can enhance the clinical effect, improve the levels of plasma histamine and interleukin, and significantly improve sleep quality and quality of life.

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刘茜茜,王位.消风止痒汤联合睡眠疗法治疗慢性荨麻疹临床研究[J].新中医,2022,54(2):131-134

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  • 在线发布日期: 2022-01-22
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