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时间:2018-10-03
《中药煎剂内服外洗治疗复发性尖锐湿疣的临床研究.doc》由会员上传分享,免费在线阅读,更多相关内容在学术论文-天天文库。
1、中药煎剂内服外洗治疗复发性尖锐湿疣的临床研究【摘要】 【目的】观察中药煎剂内服外洗对复发性尖锐湿疣临床复发的影响。【方法】采用半随机单盲法将128例患者分为2组,治疗组65例在微波除疣治疗的基础上,同时给予口服薏苡仁甘草汤煎剂加自拟消疣汤煎剂外洗患处皮损,每天1次;对照组63例给予单纯微波除疣治疗。两组均以1个月为1个疗程。观察两组治疗3个疗程内及随访6个月内临床复发情况。【结果】治疗1、2、3个月内治疗组临床复发例数分别为37例(5692%)、25例(3846%)、11例(1692%),对照组分别为52例(8254%)、47例(7460%)、36例(5714%),治疗组复发率
2、明显低于对照组(P<005)。随访2、4、6个月内治疗组临床复发例数分别为12例(1846%)、14例(2154%)、15例(2308%),对照组分别为41例(6508%)、45例(7143%)、46例(7302%),治疗组复发率明显低于对照组(P<005)。【结论】中药煎剂内服外洗治疗复发性尖锐湿疣具有较好的近期和远期疗效。【关键词】尖锐湿疣/中药疗法;薏苡仁甘草汤/治疗应用;消疣汤/治疗应用;外治法 Abstract:ObjectiveToobservethetherapeuticeffectoforaluseandexternalapplicationofChines
3、eherbaldecoctionforthetreatmentofrecurrentcondylomaacuminatum(RCA).MethodsOnehundredandtwentyeightRCApatientsweredividedintotwogroupsbyhalfrandomizationandsingleblindmethod.Thetreatmentgroup(N=65)receivedoraluseofYiyirenGancaoDecoctionandwashingthelesionwithselfmadeXiaoyouDecoctiononceadayexceptt
4、hemicrowaveradiationtherapy.Thecontrolgroup(N=63)receivedmicrowaveradiationtherapyalone.Onemonthconstitutedonetreatmentcourse.TherecurrenceofRCAinthetwogroupswasinvestigatedwithin3treatmentcoursesandwithin6monthsoffollowup.ResultsInthetreatmentgroups,therewere37(5692%)recurrentpatientsduringthe1s
5、ttreatmentcourse,25(3846%)duringthe2ndcourse,and11(1692%)duringthe3rdcourse;inthecontrolgroup,therewere52(8254%)recurrentpatientsduringthe1sttreatmentcourse,47(7460%)duringthe2ndcourse,and36(5714%)duringthe3rdcourse.Therecurrencerateinthetreatmentgroupwaslowerthanthatinthecontrolgroup(P<005).
6、Inthetreatmentgroup,therewere12(1846%)recurrentpatientswithin2monthsoffollowup,14(2154%)within4monthsoffollowup,and15(2308%)within6monthsoffollowup;inthecontrolgroup,therewere41(6508%)recurrentpatientswithin2monthsoffollowup,45(7143%)within4monthsoffollowup,and46(7302%)within6monthsoffol
7、lowup;therecurrenceratein4thetreatmentgroupwaslowerthanthatinthecontrolgroup(P<005).ConclusionOraluseandexternalapplicationofChineseherbaldecoctionexertbettershorttermandlongtermtherapeuticeffectforthet
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