本文關(guān)鍵詞：當(dāng)歸飲子加減聯(lián)合靚芙康復(fù)貼敷料治療女性顏面再發(fā)性皮炎的臨床療效觀察　出處：《南京中醫(yī)藥大學(xué)》2016年碩士論文　論文類(lèi)型：學(xué)位論文

  更多相關(guān)文章： 當(dāng)歸飲子加減 生物敷料 顏面再發(fā)性皮炎

【摘要】：顏面再發(fā)性皮炎,多見(jiàn)于女性,是皮膚科門(mén)診的常見(jiàn)疾病,臨床表現(xiàn)為紅斑、鱗屑,可有腫脹,常有皮膚干燥、瘙癢、灼痛等不適感。目的：觀察當(dāng)歸飲子加減方中藥顆粒劑聯(lián)合靚芙康復(fù)貼敷料治療女性顏面再發(fā)性皮炎的臨床療效和安全性。方法：將60例女性顏面再發(fā)性皮炎血虛風(fēng)燥證患者隨機(jī)分兩組：治療組30例,當(dāng)歸飲子加減聯(lián)合靚芙康復(fù)貼敷料治療,對(duì)照組30例,單用靚芙康復(fù)貼敷料治療,兩組的總療程均為4周。觀察治療2周、4周后兩組患者臨床表現(xiàn)的變化,計(jì)算出治療前后臨床總評(píng)分的差值和臨床療效指數(shù),并評(píng)價(jià)臨床療效。治療結(jié)束后并根據(jù)中醫(yī)證候積分變化情況進(jìn)行中醫(yī)證候的療效評(píng)價(jià)。根據(jù)安全性指標(biāo)變化情況做安全性評(píng)價(jià)。結(jié)果：治療2周后,治療組的總有效率60%,治療4周后總有效率達(dá)83.33%,均顯著高于對(duì)照組的總有效率33.33%(2周)和43.33%(4周),兩組臨床療效比較差異均有統(tǒng)計(jì)學(xué)意義(P0.05)。治療2周和4周后,兩組患者的客觀體征(紅斑、鱗屑、腫脹、皮損總面積)和主觀癥狀(瘙癢、灼熱、疼痛、干燥及緊繃感)的臨床總評(píng)分均較治療前下降,兩組下降指數(shù)比較有顯著性差異(P0.05),治療組下降較對(duì)照組更明顯。對(duì)于血虛風(fēng)燥證,治療4周后,兩組中醫(yī)證候總積分均較治療前顯著下降(P0.05),血虛風(fēng)燥證的各種癥狀、體征也有不同程度的改善,治療組中醫(yī)證候的總有效率為73.33%,對(duì)照組13.33%,兩者比較差異有統(tǒng)計(jì)學(xué)意義(P0.05)。兩組患者均未出現(xiàn)嚴(yán)重不良反應(yīng)。治療組有1例,服中藥后出現(xiàn)胃部不適,囑其飯后溫服后,癥狀消失。對(duì)照組2例患者使用硅油霜時(shí)出現(xiàn)一過(guò)性面部刺痛感,未作處理,后癥狀漸自行消失。治療前后各項(xiàng)指標(biāo)均在正常參考值范圍之內(nèi)。結(jié)論：當(dāng)歸飲子加減聯(lián)合靚芙康復(fù)貼敷料治療女性顏面再發(fā)性皮炎,安全有效,臨床值得推廣應(yīng)用。本研究為探尋女性顏面再發(fā)性皮炎更有效的治療方法提供了新的思路,同時(shí)增加高患者的舒適度,提高依從性,為豐富祖國(guó)醫(yī)學(xué)治療本病提供理論及臨床依據(jù)。
[Abstract]:Facial Recurrent Dermatitis, more common in women, is a common disease in the outpatient department of Dermatology, clinical manifestations of erythema, scales, there can be swelling, often have dry skin, itching, pain and other discomfort. Objective: To evaluate the clinical efficacy and safety of Danggui Yinzi granule combined with Liang Fu rehabilitation treatment of female facial dressing recurrent dermatitis. Methods: 60 cases of Female Facial Recurrent Dermatitis in patients with blood deficiency and wind dryness syndrome were randomly divided into two groups: treatment group 30 cases, dressing in the treatment of Chinese Angelica Decoction Combined with modified Liang Fu rehabilitation, the control group of 30 cases, single Liang Fu rehabilitation dressing treatment, total treatment time of two groups were 4 weeks. 2 weeks of treatment, changes of the two groups of patients with clinical performance after 4 weeks, the calculated difference between clinical total score and clinical efficacy index before and after the treatment, and evaluate the clinical curative effect. After the end of treatment according to TCM syndrome score changes in TCM Syndrome 鐤楁晥璇勪環(huán).鏍規(guī)嵁瀹夊叏鎬ф寚鏍囧彉鍖栨儏鍐靛仛瀹夊叏鎬ц瘎浠，

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