生血润肤饮加减联合常规西药治疗血虚风燥型银屑病临床研究
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R758.63

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Clinical Study on Modified Shengxue Runfu Yin Combined with Routine Western Medicine for Psoriasis of Blood Deficiency and Wind-Dryness Type
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    摘要:

    目的:观察生血润肤饮加减联合常规西药治疗血虚风燥型银屑病的临床疗效。方法:选择血虚风燥型银屑病患者76 例,按随机数字表法分为对照组和观察组各38 例。对照组给予常规西药治疗,观察组在对照组基础上加生血润肤饮加减治疗。比较2 组临床疗效,检测2 组治疗前后中医证候积分、皮损情况、疼痛情况、生活质量、免疫功能及炎症因子水平。结果:治疗后,2 组中医证候总积分低于治疗前(P<0.05),且观察组中医证候总积分低于对照组(P<0.05)。治疗后,2 组银屑病皮损面积和严重程度指数(PASI)、视觉模拟评分法评分(VAS) 及皮肤病生活质量指数(DLQI) 评分较治疗前下降(P<0.05),且观察组PASI、VAS及DLQI 评分均低于对照组(P<0.05)。治疗后,2 组CD4+、CD4+/CD8+较治疗前升高,CD8+较治疗前降低(P<0.05);且观察组CD4+、CD4+/CD8+高于对照组,CD8+低于对照组(P<0.05)。治疗后,2 组血清白细胞介素-6(IL-6)、白细胞介素-8(IL-8) 及肿瘤坏死因子-α(TNF-α) 水平较治疗前降低(P<0.05);且观察组血清IL-6、IL-8 及TNF-α 水平低于对照组(P<0.05)。结论:生血润肤饮加减联合常规西药治疗血虚风燥证银屑病可有效减轻患者临床症状,改善皮损状态,缓解瘙痒疼痛症状,提高生活质量。

    Abstract:

    Abstract: Objective: To observe the clinical effect of the therapy of modified Shengxue Runfu yin combined with routine western medicine on psoriasis of blood deficiency and wind- dryness type. Methods: A total of 76 patients with psoriasis of blood deficiency and wind- dryness type were selected and divided into the control group and the observation group according to the random number table method,with 38 cases in each group. The control group was treated with routine western medicine,and the observation group was additionally treated with modified Shengxue Runfu yin based on the treatment of the control group. The clinical effects were compared between the two groups. Before and after treatment, the Chinese medicine syndrome scores,skin lesions,pain,quality of life,immune function and levels of inflammatory factors in the two groups were detected. Results: After treatment, the Chinese medicine syndrome scores in the two groups were decreased when compared with those before treatment(P< 0.05), and the Chinese medicine syndrome score in the observation group was lower than that in the control group(P<0.05). After treatment, the scores of Psoriasis Area and Severity Index(PASI), Visual Analogue Scale(VAS) and Dermatology Life Quality Index(DLQI) were decreased when compared with those before treatment(P<0.05),and the above three scores in the observation group were lower than those in the control group(P<0.05). After treatment, the levels of CD4 + and CD4 +/CD8 + were increased when compared with those before treatment, and the levels of CD8 + were decreased(P<0.05); the levels of CD4+ and CD4+/CD8+ in the observation group were higher than those in the control group,and the level of CD8+ in the observation group was lower(P<0.05). After treatment,the levels of serum interleukin- 6(IL- 6),interleukin- 8(IL- 8) and tumor necrosis factor- α(TNF- α) were decreased when compared with those before treatment(P<0.05);the above three levels in the observation group were lower than those in the control group(P<0.05). Conclusion: The therapy of modified Shengxue Runfu yin combined with routine western medicine for psoriasis of blood deficiency and wind-dryness type can effectively reduce the clinical symptoms of patients,improve the skin lesions,alleviate the clinical symptoms of pruritus and pain,and enhance the quality of life.

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徐笑燕,谢庆龄.生血润肤饮加减联合常规西药治疗血虚风燥型银屑病临床研究[J].新中医,2022,54(19):54-58

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  • 在线发布日期: 2022-10-08
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