自拟中药热敷方联合308nm准分子光及1%25吡美莫司乳膏治疗白瘢风的临床观察

《自拟中药热敷方联合308nm准分子光及1%25吡美莫司乳膏治疗白瘢风的临床观察》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、授予单位代码10089学号或申请号20152414中国图书分类号R275HebeiMedicalUniversity硕士学位论文学术学位自拟中药热敷方联合308nm准分子光及1%吡美莫司乳膏治疗白癜风的临床观察研究生：张莹导师：刘焕强教授专业：中医外科学二级学院：河北省中医院2018年3月目录中文摘要·················································································1英文摘要····································

2、·············································4英文缩写·················································································8研究论文自拟中药热敷方联合308nm准分子光及1%吡美莫司乳膏治疗白癜风的临床观察前言·················································································9材料与方法···········

3、···························································10结果···············································································16附图···············································································17附表············································

4、···································20讨论···············································································24结论···············································································32参考文献··································································

5、·······32综述中西医治疗白癜风的现状·················································37致谢·····················································································53个人简历···············································································54中文摘要自拟中药热敷方联合308nm准分子光及1%吡

6、美莫司乳膏治疗白癜风的临床观察摘要目的：白癜风的治疗是目前皮肤科医师的难题，为寻求一种经济有效且不良反应小的治疗方法，导师将白癜风的中医辨证理论与现代医学研究相结合，把中药热敷、308nm准分子光及1%吡美莫司乳膏三者联合应用于白癜风的治疗，此方法的有效性和安全性通过观察治疗前后患者白斑面积的大小以及在治疗过程中出现的副反应来判定，同时分别讨论这三者在治疗白癜风中不同的作用机理，为白癜风的治疗提供新方法、新思路。方法：1.经过长期的临床观察发现白癜风通过在局部进行中药热敷、308nm准分子光照射以及1%吡美莫司乳膏外用可以取得良好的临床效果

7、。本临床研究采用完全随机对照的方法进行。本实验所有病例均来自在2015年11月至2017年6月间就诊于皮肤科门诊（河北省中医院）的白癜风患者，选取符合本实验标准并排除不适宜参加本实验的患者后共得到81例病例进行实验，随机将81例患者分为三组，中药热敷组(Herbalcompressgroup，HG)27例，308nm组(308nmgroup，308G)27例，联合用药组(combinationgroup，CG)27例，三组患者施以不同的方法进行治疗。在性别比例、年龄分布、病程长短、分期类型以及治疗前的白斑面积上三组患者之间的差异均无显著性(

8、P>0.05)，因此有可比性。2.308nm组局部白斑处予以308nm准分子光(希兰UV308，日本牛尾医疗科技有限公司)照射，每周2次，照射的强度根据局部皮肤照射后的反应作适当