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苦参地肤洗剂治疗急性湿疹42例临床观察
刘 琪,谢明艳,张状金
0
(衡阳市中医医院,湖南 衡阳,421001)
摘要:
目的:探讨苦参地肤洗剂治疗急性湿疹的临床疗效。方法:将急性湿疹患者84 例随机分为治疗组和对照组,每组各42 例。治疗组采用苦参地肤洗剂冷湿敷治疗,对照组采用3%硼酸洗液冷湿敷治疗,疗程均为2周。观察2组湿疹面积及严重程度指数(EASI)评分、瘙痒程度[视觉模拟评分法(VAS)评分]及生活质量指数(DLQI)评分,并评定综合疗效。结果:总有效率治疗组为92.86%(39/42),高于对照组的76.19%(32/42),差异有统计学意义(P<0.05)。治疗后EASI评分及治疗前后EASI评分差值2组间比较,差异均无统计学意义(P>0.05);治疗后VAS评分、DLQI评分及其治疗前后差值2组间比较,差异均有统计学意义(P<0.05或P<0.01)。结论:苦参地肤洗剂治疗急性湿疹效果明显,使用方便,疗效较3%硼酸洗液优,值得临床推广。
关键词:  急性湿疹  中医外治法  苦参地肤洗剂  3%硼酸洗液
DOI:
Clinical effect of Kushen Difu lotion in treatment of acute eczema:An analysis of 42 cases
LIU Qi,XIE Mingyan,ZHANG Zhuangjin
(Hengyang Hospital of Traditional Chinese Medicine,Hengyang 421001,Hunan,China)
Abstract:
Objective:To investigate the clinical effect of Kushen Difu lotion in the treatment of acute eczema.Methods:A total of 84 patients with acute eczema were randomly divided into treatment group and control group,with 42 patients in each group.The patients in the treatment group were given moisten compress therapy with Kushen Difu lotion,and those in the control group were given moisten compress therapy with 3% boric acid solution.The course of treatment was 2 weeks for both groups.The two groups were observed in terms of Eczema Area and Severity Index (EASI) score,severity of pruritus [Visual Analogue Scale (VAS) score],and dermatology life quality index (DLQI) score,and overall response was evaluated.Results:The treatment group had a significantly higher overall response rate than the control group [92.86% (39/42) vs 76.19% (32/42),P<0.05].Both groups had no significant change in EASI score after treatment,and there was no significant difference in the change in EASI score after treatment between the two groups (P>0.05).Both groups had significant changes in VAS and DLQI scores after treatment,and there were significant differences in the changes in VAS and DLQI scores after treatment between the two groups (P<0.05 or P<0.01).Conclusion:Kushen Difu lotion has a marked clinical effect in the treatment of acute eczema and is convenient to use,with a better clinical effect than 3% boric acid solution,and therefore,it holds promise for clinical application.
Key words:  acute eczema  traditional Chinese medicine external treatment  Kushen Difu lotion  3% boric acid solution

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