湿疹方药浴治疗湿热浸淫型湿疹临床研究
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R758.23

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Clinical Study on Medicated Bath with Eczema Prescription for Eczema of Damp-Heat Immersion Type
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    摘要:

    目的:观察湿疹方药浴治疗湿热浸淫型湿疹的临床疗效。方法:收集2021年1月—2022年12月确 诊为湿热浸淫型湿疹病的患者,共126例,采用随机数字表法将患者分为对照组与治疗组各63例。对照组予丙 酸氟替卡松乳膏涂搽治疗;治疗组对照组治疗方案的基础上采用湿疹方药浴治疗。2组均连续观察4周。比较 2组湿疹严重程度评分、瘙痒程度评分、湿热浸淫证单项症状评分、临床疗效以及血清Th1/Th2细胞因子水平。 结果:治疗2周后、治疗4周后,2组湿疹面积和严重度指数(EASI) 评分、瘙痒视觉模拟评分法(VAS) 评 分分别与治疗前比较均明显降低,差异均有统计学意义(P<0.05);治疗2周后、治疗4周后,治疗组EASI评 分、瘙痒VAS评分均低于同期对照组,差异均有统计学意义(P<0.05)。治疗4周后,2组湿热浸淫证单项症 状评分均降低,差异均有统计学意义(P<0.05);治疗组湿热浸淫证单项症状评分均低于对照组,差异均有统 计学意义(P<0.05)。治疗4周后,2组血清白细胞介素-2(IL-2) 和干扰素-γ(IFN-γ) 水平较治疗前升高, IL-4和IL-6水平较治疗前降低,差异均有统计学意义(P<0.05);治疗组IL-2和IFN-γ水平高于对照组,治 疗组IL-4和IL-6水平低于对照组,差异均有统计学意义(P<0.05)。治疗4周后,临床疗效总有效率治疗组 80.96%,高于对照组66.67%,差异有统计学意义(P<0.05)。结论:湿疹方药浴治疗湿热浸淫型湿疹临床疗 效明显,可改善湿疹严重程度,缓解瘙痒症状,纠正Th1/Th2免疫失衡。

    Abstract:

    Abstract: Objective: To observe the clinical effect of medicated bath with eczema prescription on eczema of damp-heat immersion type. Methods:A total of 126 patients diagnosed with eczema of dampheat immersion type from January 2021 to December 2022 were collected and randomly divided into the control group and the treatment group, with 63 patients in each group, using a random number table method. The control group was treated with application of Fluticasone Propionate Cream; on the basis of the treatment plan for the control group, the medicated bath with eczema prescription was used for the treatment group. Both groups were observed continuously for four weeks. Compared the eczema severity scores,itching scores,single symptom scores of damp-heat immersion syndrome,clinical efficacy,and serum Th1/Th2 cytokine levels between the two groups. Results:After two and four weeks of treatment, the Eczema Area and Severity Index (EASI) scores and Visual Analogue Scale (VAS) scores of itching in both groups were significantly reduced when compared with those before treatment, differences being significant (P<0.05);after two and four weeks of treatment,the EASI score and itching VAS score in the treatment group were lower than those in the control group at the same time,differences being significant (P<0.05). After four weeks of treatment,the single symptom scores of damp-heat immersion syndrome in both groups were significantly reduced, differences being significant (P<0.05); the single symptom score of damp-heat immersion syndrome in the treatment group was lower than that in the control group, differences being significant (P<0.05). After four weeks of treatment, the levels of serum interleukin-2 (IL-2) and interferon - γ (IFN- γ) in both groups were increased significantly when compared with those before treatment,and the levels of IL-4 and IL-6 were decreased significantly when compared with those before treatment, differences being significant (P<0.05). The levels of IL-2 and IFN- γ in the treatment group were higher than those in the control group,and the levels of IL-4 and IL-6 in the treatment group were lower than those in the control group, differences being significant (P<0.05). After four weeks of treatment,the total effective rate of clinical efficacy was 80.96% in the treatment group,which was higher than that of 66.67% in the control group, the difference being significant (P<0.05). Conclusion: The clinical efficacy of medicated bath with eczema prescription on eczema of damp-heat immersion type is significant, which can improve the severity of eczema, relieve itching symptoms, and correct Th1/Th2 immune imbalance.

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赵徐亚,应志翔.湿疹方药浴治疗湿热浸淫型湿疹临床研究[J].新中医,2024,56(21):104-108

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  • 在线发布日期: 2024-11-11
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