本文關(guān)鍵詞：疏肝涼血湯聯(lián)合心理干預(yù)治療尋常型血熱證銀屑病的療效觀察　出處：《山東中醫(yī)藥大學(xué)》2016年碩士論文　論文類型：學(xué)位論文

  更多相關(guān)文章： 疏肝涼血湯 心理干預(yù) 尋常型銀屑病 臨床觀察

【摘要】：目的:通過臨床調(diào)查研究,觀察患者治療前后皮損及心理學(xué)指標的變化,評價疏肝涼血湯聯(lián)合心理干預(yù)治療尋常型血熱證銀屑病的臨床療效及對患者生活質(zhì)量的影響,為今后更深入的探索治療銀屑病的有效方法提供參考。方法:病例共90例,均來自山東中醫(yī)藥大學(xué)附屬醫(yī)院皮膚科,隨機分為A、B、C三組,各30例,A組口服自擬疏肝涼血湯,外用龍珠軟膏,并定期進行心理干預(yù);B組口服疏肝涼血湯,外用龍珠軟膏;C組口服消銀膠囊,外用龍珠軟膏,療程為1個月。觀察1月后三組患者的臨床療效,心理學(xué)指標及中醫(yī)伴隨癥狀,并進行統(tǒng)計分析。結(jié)果:1.臨床療效比較:A、B、C三組的治愈率分別為40%、40%、10%;總有效率分別為93.3%、90.0%、83.3%。A組優(yōu)于B組、C組(P0.05),B組優(yōu)于C組(P0.05)。疏肝涼血湯聯(lián)合心理干預(yù)治療臨床療效優(yōu)于單純應(yīng)用湯劑治療,湯劑優(yōu)于中成藥。2.心理學(xué)指標比較:A組SDS、SAS、SCL-90、DLQI評分均較前有顯著降低,B組除焦慮外,余評分均低于治療前,C組除偏執(zhí)較前有所降低外,其他均無明顯變化;A、B組比較,除強迫癥狀外均低于B組,A、C組比較,所有評分均低于C組(P0.05),B、C組比較,除焦慮及恐怖外均低于C組。疏肝涼血湯聯(lián)合心理干預(yù)治療,能有效緩解患者的負性情緒,提高患者的生活質(zhì)量;中藥疏肝涼血湯也能夠在一定程度上緩解患者負面情緒,提高生活質(zhì)量;消銀膠囊在緩解患者不良情緒提高生活質(zhì)量方面無明顯作用。3.中醫(yī)伴隨癥狀:治療后中醫(yī)伴隨癥狀陽性率較前降低,經(jīng)統(tǒng)計學(xué)分析除苔黃、脈弦滑外差異均具有統(tǒng)計學(xué)意義(P0.05)。中藥聯(lián)合心理干預(yù)對改善中醫(yī)伴隨癥狀有臨床意義。結(jié)論:疏肝涼血湯聯(lián)合心理干預(yù)治療能明顯提高尋常型血熱證銀屑病臨床療效,并且能夠改善患者心理狀態(tài),提高生活質(zhì)量。
[Abstract]:Objective: to observe the changes of skin lesions and psychological indexes before and after treatment through clinical investigation. Objective: to evaluate the clinical efficacy of Shugan Liangxue decoction combined with psychological intervention in the treatment of psoriasis vulgaris and the effect on the quality of life of the patients. Methods: 90 cases of psoriasis, all from the dermatology department of affiliated hospital of Shandong University of traditional Chinese Medicine, were randomly divided into three groups, 30 cases each. Group A was treated with self-made decoction of soothing liver and cooling blood, external application of Longzhu ointment, and regular psychological intervention. Group B, oral Shugan Liangxue decoction, external application of Longzhu ointment; Group C was treated with Xiaoyin capsule and Longzhu ointment for one month. The clinical efficacy, psychological indexes and associated symptoms of TCM were observed in the three groups after January. Results: 1. Comparison of the clinical efficacy of the three groups: the cure rates of the three groups were 40 and 4010, respectively. The total effective rate was 93.3% and 93.3%, respectively. Group A was better than group B (P 0.05). Group B was superior to group C (P 0.05). The clinical curative effect of Shugan Liangxue decoction combined with psychological intervention was better than that of pure decoction and traditional Chinese medicine .2.The psychological index was compared with SDSSAS in group A. The scores of DLQI in SCL-90 group were significantly lower than those in group B except anxiety, and the scores in group C were lower than those in group C before treatment except that before treatment. All the scores in group A were lower than those in group C except obsessive-compulsive symptoms, and all the scores were lower than those in group C (P 0.05). Except anxiety and phobia, it was lower than group C. Shugan Liangxue decoction combined with psychological intervention therapy could effectively relieve the negative emotion of the patients and improve the quality of life of the patients. Traditional Chinese medicine Shugan Liangxue decoction can also alleviate the negative emotions of patients to a certain extent, improve the quality of life; Xiaoyin capsule has no obvious effect on alleviating the bad emotion and improving the quality of life. 3. TCM associated symptoms: after treatment, the positive rate of TCM associated symptoms is lower than before, after statistical analysis to remove yellow fur. The difference of pulse-chord slip was statistically significant (P0.05). Conclusion: Shugan Liangxue decoction combined with psychological intervention can improve the clinical efficacy of psoriasis vulgaris with blood heat syndrome. And can improve the psychological state of patients, improve the quality of life.
【學(xué)位授予單位】：山東中醫(yī)藥大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2016
【分類號】：R275.9

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