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1、结论：治未病理论指导下，经过既病防变的综合干预和病后防复的主动预防，复发型寻常型银屑病缓解症状和延长缓解期均有显著改善，防治效果理想。关键词银屑病；治未病；体质；认知行为干预；缓解期Applicationof“TheoryofPreventiveTreatmentOfDisease”inpreventionandtreatingofrelapsingpsoriasisvulgarisSpecialty：Dermatology,SurgeryofTCMTutor：ProfessorDuXixian
2、Author：WangJianqingAbstractObjective:toverifytheeffactionofcomprehensiveinterventiononrelapsingpsoriasisvulgarisunderthe“TheoryofPreventiveTreatmentOfDisease”ofTraditionalChineseMedicine.Methods:Clinicalstudyisdividedintotwoparts,thefirst:topre-survey
3、thepatientsofrelapsingpsoriasis:Summaryingthetriggersofrecurrenceorworseningofpsoriasis,thecondition,treatment,preventionanconstitutionofpatients.Thesecond:Processisdividedintotwophases,thefirstistopreventthediseasedeveloping:86patientsofrelapsingpsor
4、iasisvulgarisweredividedinto2groups,experimentalgroup44patientsandcontrolgroup42patients,bothemployingtheoralchineseherbs“ClearingHeatandRemovingDampDrinking”andtopicalointmentoflongzhu,1-2times/d.12weeks.Inadditiontomedcine,experimentalgroupreceivedc
5、ognitive-behavio-urtherapyandrelaxationtrainingatthesametime.PASIscoreneedtocountatbegnning,4thweek,8thweek,12thweek,andmeasurebloodserumlevelofVEGF,TNF-αandIL-10andratioofTNF-αbetweenIL-10atthebegnningandend.Thesecondstage,preventingrelapse:27patient
6、swhichhavefinishedthefirststagepreventionandtreatmentsemployedtheoralchineseherbs“YuPingYingXingFang”,3weeks,andcontinuedcognitive-behaviourtherapyandrelaxationtrainingatthesametime.PatientswereFollowed-upfrom15monthsto2years,countingtheremissiontimes
7、ofpsoriasisvulgaristoverifytheeffactionofinterventionbycompaingofthistimewithlasttimeandthelongestremissiontimes.Results:PASIscorecomparyingbetween2groupsinthefirstphase:Itisnosignificantatbegnning,4thweek,8thweek(P﹥0.05),thiswaschangedat12thweek(P<0.
8、05);Markedlyeffectiverate:Itisnostatisticallysignificantat4thweek(experi-mentalgroup:4.5%,controlgroup:2.4%,P﹥0.05),Therewasasignificantdifferenceby8thweek(29.5%and11.9%respectively,P<0.05),thedifferencewasverysignificantby12thweek(70.4%and42.
