当归饮子加味联合氯雷他定治疗血虚风燥型特应性皮炎临床研究
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R758.29

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Clinical Study on Modified Danggui Yinzi Combined with Loratadine for Atopic Dermatitis of Blood Deficiency and Wind-Dryness Type
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    摘要:

    目的:观察当归饮子加味联合氯雷他定治疗血虚风燥型特应性皮炎的临床疗效。方法:选取102 例血虚风燥型特应性皮炎患者,按随机数字表法分为对照组和观察组各51 例。对照组给予氯雷他定片治疗,观察组在对照组基础上给予当归饮子加味治疗,2 组均治疗4 周。比较2 组特应性皮炎积分(SCORAD)、瘙痒程度、皮肤屏障功能及临床疗效,瘙痒程度采用视觉模拟评分法(VAS) 评价。结果:治疗后,2 组SCORAD、VAS 评分均较治疗前降低(P<0.05),观察组SCORAD、VAS 评分均低于对照组(P<0.05)。治疗后,2 组皮脂含量、角质层含水量均较治疗前增多(P<0.05),经皮水分丢失(TEWL) 均较治疗前减少(P<0.05);观察组皮脂含量、角质层含水量均多于对照组(P<0.05),TEWL 少于对照组(P<0.05)。观察组总有效率96.08%,高于对照组80.39%(P<0.05)。结论:当归饮子加味联合氯雷他定治疗血虚风燥型特应性皮炎疗效较好,能缓解瘙痒症状,改善皮肤屏障功能。

    Abstract:

    Abstract: Objective: To observe the clinical effect of modified Danggui Yinzi combined with loratadine for atopic dermatitis of blood deficiency and wind- dryness type. Methods: A total of 102 cases of patients with atopic dermatitis of blood deficiency and wind-dryness type were selected and divided into the control group and the observation group according to the random number table method,with 51 cases in each group. The control group was treated with loratadine tablets,and the observation group was additionally given modified Danggui Yinzi based on the treatment of the control group. Both groups were treated for four weeks. The Scoring Atopic Dermatitis(SCORAD), pruritus degree, skin barrier function and clinical effects in the two groups were compared. The pruritus degree was evaluated by Visual Analogue Scale(VAS). Results:After treatment,the scores of SCORAD and VAS in the two groups were decreased when compared with those before treatment (P<0.05), and the above scores in the observation group were lower than those in the control group(P<0.05). After treatment, sebum content and stratum corneum hydration in the two groups were increased when compared with those before treatment(P<0.05), and TEWL were decreased(P<0.05); sebum content and stratum corneum hydration in the observation group were higher than those in the control group(P<0.05),and TEWL was lower(P<0.05). The total effective rate was 96.08% in the observation group, higher than that of 80.39% in the control group(P<0.05). Conclusion: The therapy of modified Danggui Yinzi combined with loratadine for atopic dermatitis of blood deficiency and wind- dryness type has a good curative effect,which can relieve pruritus and improve skin barrier function.

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濮益菁,吴卫刚,夏治华.当归饮子加味联合氯雷他定治疗血虚风燥型特应性皮炎临床研究[J].新中医,2022,54(10):47-50

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  • 在线发布日期: 2022-05-24
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