双解通圣汤联合西药治疗脾胃湿热型慢性非特异性唇炎临床研究
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R781.56

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2020年度平湖市科技计划项目(社发类11号)


Clinical Study on Shuangjie Tongsheng Tang Combined with Western Medicine for Chronic Non-Specific Cheilitis of Spleen-Stomach Dampness-Heat Type
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    摘要:

    目的:观察双解通圣汤加减联合西药治疗脾胃湿热型慢性唇炎的临床疗效。方法:选择60 例慢性唇炎患者,按照随机数字表法分为对照组和观察组各30 例。对照组给予现代医学常规治疗,观察组在常规治疗基础上给予双解通圣汤加减,2 组疗程均为3 周。比较2 组治疗前后症状体征评分,观察2 组临床疗效、不良反应以及3 个月随访观察治愈患者复发率的情况。结果:治疗后,2 组皮损面积、充血水肿、糜烂流水、结痂面积、瘙痒灼热感及口唇活动度评分均较治疗前降低(P<0.01),观察组5 项评分均低于对照组(P<0.01)。治疗3 周后,观察组总有效率为96.67%,对照组为56.67%,2 组比较,差异有统计学意义(P<0.05)。2 组均未见不良反应发生。治疗3 周后,对治愈患者随访3 个月,对照组复发3 例,复发率为50%;观察组复发1 例,复发率为5%。观察组复发率少于对照组(P<0.05),差异有统计学意义。结论:在西药治疗基础上,采用双解通圣汤加减治疗脾胃湿热型慢性唇炎的疗效显著,安全性较好,复发率较低,提高了疗效持久性和稳定性。

    Abstract:

    Abstract: Objective: To observe the clinical effect of Shuangjie Tongsheng tang combined with western medicine for chronic cheilitis of spleen-stomach dampness-heat type. Methods:A total of 60 cases of patients with chronic cheilitis were selected and divided into the control group and the observation group according to the random number table method , 30 cases in each group. The control group was given routine treatment in modern medicine. The observation group was additionally given modified Shuangjie Tongsheng tang based on routine treatment. Both groups were treated for three weeks. The scores of symptoms and signs before and after treatment as well as the clinical effect in the two groups were compared; the adverse reactions and recurrence rates were observed. Results: After treatment, the scores of skin lesion area, congestion and edema,erosion with flowing water,scab area,itching and burning heat sensation,and lip activity in the two groups were decreased when compared with those before treatment(P<0.01);the above five scores in the observation group were lower than those in the control group(P<0.01). After three-week treatment,the total effective rate was 96.67% in the observation group and 56.67% in the control group, the difference being significant(P<0.05). No adverse reactions occurred in the two groups. After three-week treatment,the cured patients were followed up for three months. There were three cases of relapse in the control group,with a recurrence rate of 50%,and one case in the observation group,with a recurrence rate of 5%. The recurrence rate in the observation group was lower than that in the control group(P<0.05),the difference being significant. Conclusion: Based on western medicine treatment, the additional application of Shuangjie Tongsheng tang for chronic cheilitis of spleen-stomach dampness-heat type has significant curative effect,good safety and low recurrence rate,and improves the durability and stability of the curative effect.

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张佳凤,鲁超,夏中英,沈红萍,王磊,宓伟毅.双解通圣汤联合西药治疗脾胃湿热型慢性非特异性唇炎临床研究[J].新中医,2021,53(16):21-24

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  • 在线发布日期: 2021-08-23
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