【摘要】：目的:在中醫(yī)理論的指導(dǎo)下,通過對“除濕止癢湯”臨床治療效果觀察,進(jìn)一步探討中醫(yī)清熱利濕、涼血止癢的理論在治療濕熱內(nèi)蘊型風(fēng)瘙癢的作用,以確認(rèn)其安全性和有效性,并觀察臨床療效。方法:選擇符合納入標(biāo)準(zhǔn)的風(fēng)瘙癢門診患者62例,分為治療組31例,對照組31例。其中治療組給予“除濕止癢湯”(由龍膽、黃芩、梔子、板藍(lán)根、白鮮皮、地膚子、生地黃、牡丹皮、忍冬藤,車前草、蒲公英、紫花地丁的免煎顆粒組成)用法:溫水沖服200ml,日兩劑,早晚分服,每次100ml。對照組給予金蟬止癢顆粒(金銀花、白鮮皮、蛇床子、連翹、地膚子、梔子等)用法:飯后開水沖服,一次一袋,一日3次。2周一療程,連續(xù)觀察2個療程。結(jié)果:經(jīng)臨床觀察結(jié)果顯示,治療組總有效率80.65%,對照組總有效率61.29%,治療組總有效率明顯優(yōu)于對照組,且經(jīng)統(tǒng)計學(xué)分析,P0.05,兩組相比差異有統(tǒng)計學(xué)意義。治療組能明顯改善患者瘙癢程度、持續(xù)時間、發(fā)作頻次等癥狀。結(jié)論:除濕止癢湯能顯著改善泛發(fā)性濕熱內(nèi)蘊型風(fēng)瘙癢的癥狀及體征,優(yōu)于金蟬止癢顆粒的臨床療效,且安全有效。
[Abstract]:Objective: under the guidance of traditional Chinese medicine theory, through the clinical treatment effect observation of "dehumidification and itching decoction", to further discuss the effect of the theory of clearing heat and promoting dampness, cooling blood and relieving itching in the treatment of damp-heat endogenous wind pruritus. In order to confirm its safety and effectiveness, and observe the clinical efficacy. Methods: 62 patients with rheumatic pruritus were divided into treatment group (31 cases) and control group (31 cases). The treatment group was given "dehumidification and itching decoction" (by Gentian, Scutellaria baicalensis, Gardenia, Radix Isatidis, White fresh skin, Fructus Dioscorea, Rehmannia Rehmanniae, Peony Peony, Lonicera Lonicera, Plantago plantarum, Dandelion, etc.) Use: warm water to take 200 ml, two doses daily, morning and evening, 100 ml. The control group was given Jincichang Zhiitch granules (honeysuckle, fresh skin, Cnidium nidifolia, Forsythia suspensa, Fructus Forsypium, Gardenia jasminoides, etc.): take boiled water after meals, one bag once a day, two courses of treatment were observed 3 times a day for 2 weeks. Results: the results of clinical observation showed that the total effective rate of the treatment group was 80.65 and the total effective rate of the control group was 61.29. The total effective rate of the treatment group was obviously better than that of the control group, and the statistical analysis showed that the total effective rate of the treatment group was 80.65 and that of the control group was 61.29.The difference between the two groups was statistically significant. Treatment group can significantly improve the degree of itching, duration, attack frequency and other symptoms. Conclusion: dehumidification and itching decoction can significantly improve the symptoms and signs of generalized damp-heat endogenous wind-pruritus, which is superior to Jinchengzhitao granule and is safe and effective.
【學(xué)位授予單位】：長春中醫(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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