【摘要】：目的：比較海艾湯加減方外泡聯(lián)合中藥內(nèi)服與單獨(dú)中藥內(nèi)服治療尋常型銀屑病(血瘀證)的療效差異。方法：將60例挑選合格的尋常型銀屑病(血瘀證)患者隨機(jī)分為2組,即治療組30例,對(duì)照組30例。對(duì)照組早晚飯后各溫服中藥湯劑一次(每日一劑)并外用絲塔芙保濕潤膚露(每日2次,全身涂抹)；治療組則同時(shí)每天加用海艾湯加減方泡澡30分鐘,且水溫以個(gè)人自身耐受為度,大概40℃。一個(gè)療程4周,共用藥3個(gè)療程。治療結(jié)束后參照PAST標(biāo)準(zhǔn)對(duì)皮損面積和嚴(yán)重程度進(jìn)行評(píng)分,參照根據(jù)《中藥新藥臨床研究指導(dǎo)原則》制定的癥狀評(píng)估表對(duì)臨床癥狀進(jìn)行評(píng)分,并記錄用藥期間出現(xiàn)的不良反應(yīng)。結(jié)果：1)治療組總有效率可達(dá)51.72%,對(duì)照組總有效率則為23.08%,且兩組療效有統(tǒng)計(jì)學(xué)差別,可見治療組療效顯著優(yōu)于對(duì)照組；2)治療結(jié)束后,治療組主要臨床癥狀顯著改善,且兩組對(duì)比存在統(tǒng)計(jì)學(xué)差異。3)兩組在整個(gè)治療過程中均未出現(xiàn)不良反應(yīng),不存在統(tǒng)計(jì)學(xué)差異；結(jié)論：海艾湯加減方外泡聯(lián)合中藥內(nèi)服治療血瘀型尋常型銀屑病的療效和主要臨床癥狀的改善情況均明顯比對(duì)照組好,而且沒有發(fā)生不良反應(yīng)。所以,海艾湯加減方外泡可增強(qiáng)中藥內(nèi)服治療尋常型銀屑病(血瘀證)的療效,毒副作用小,值得推廣。
[Abstract]:Objective: To compare the curative effects of the treatment of 60 cases of psoriasis vulgaris (blood stasis syndrome) randomly into 2 groups, that is, 30 cases in the treatment group and 30 cases in the control group. Day one) and external use of silk moisturizing moisturizing lotion (2 times a day, whole body smear); treatment group combined with a daily use of AIDS soup plus subtraction baths for 30 minutes, and the temperature of individual tolerance, about 40 degrees. A course of 4 weeks, 3 courses of common medicine. After the end of the treatment, the area and severity of skin lesions were evaluated with reference to the PAST standard. According to the symptom assessment table made according to the guiding principles of clinical research of Chinese medicine and new medicine, the clinical symptoms were scored and the adverse reactions were recorded during the medication. Results: 1) the total effective rate of the treatment group was 51.72%, the total effective rate of the control group was 23.08%, and the two groups had statistical difference, and the curative effect of the treatment group was significantly better than that of the control group. 2) 2) after the treatment, the main clinical symptoms of the treatment group improved significantly, and there was a statistical difference between the two groups. The two groups had no adverse reactions in the whole treatment process, and there was no statistical difference. Conclusion: the curative effect and main clinical symptoms of the treatment of blood stasis type psoriasis vulgaris with the combined treatment of the decoction of AI and the Chinese herbal medicine in the two groups were not found in the whole treatment process. The improvement was obviously better than that of the control group, and there was no adverse reaction. Therefore, the effect of the treatment of Chinese herbal medicine on the treatment of psoriasis vulgaris (blood stasis syndrome) was enhanced.
【學(xué)位授予單位】：南京中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2016
【分類號(hào)】：R275.9

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