加用自制中药倒膜治疗面部痤疮的临床疗效观察

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1、加用自制中药倒膜治疗面部座疮的临床疗效观察1摘要］目的探讨加用自制中药倒膜治疗面部座疮的临床治疗效果。方法本次研究以我院2015年1月〜2016年1月收治的80例痊疮患者为研究对象，将患者随机分为对照组与治疗组，每组各40例患者。其中，对照组患者采用中药内服加夫西地酸乳膏外涂治疗，每口2次；治疗组患者采取中药内服加自制中药倒膜外敷治疗，每周1次，疗程均为8周。结果治疗后8周，治疗组的痊愈率和有效率分别为30.0%和92.5%；对照组则分别为22.5%和75.0%,两组有效率比较，差异有统计学意义（P=0・034）；治疗后4周、

2、8周，治疗组不同类型皮损数量与治疗前比较均显著减少（PV0.05）；且治疗后8周的数量显著少于治疗后4周（PV0.05）,治组中同时患有粉刺、丘疹及脓疱患者27例，对此27例患者不同类型皮损治疗总有效率进行x2检验，差异无统计学差异，显效率在4周及8周时均有明显差异（P=0・008、0.042）,两两比较粉刺型皮损与丘疹型皮损显效率差异有统计学意义（P=0・002、0.024）o两组患者不良反应均较轻微且短暂。结论中药倒膜外敷加中药内服治疗面部座疮安全有效。［关键词］面部座疮；中医疗法；中药倒膜；中药内服［中图分类号］R284

3、.2［文献标识码］B［文章编号］1673-9701（2017）12-0091-04[Abstract]ObjectiveTostudytheclinicaleffectofcombinedapplicationofself-madetraditionalChinesemedicinepourmaskinthetreatmentoffacialacne・Methods80patientswithacnewhowereadmittedtoourhospitalfromJanuary2015toJanuary2016weresele

4、ctedasthesubjects.Thepatientswererandomlydividedintothecontrolgroupandthetreatmentgroup,with40patientsineachgroup・Amongthem,thecontrolgroupwasgivenoraladministrationoftraditionalChinesemedicinecombinedwithtopicalapplicationoffusidicacidcream,twiceaday；thepatientsint

5、hetreatmentgroupweregivenoraladministrationoftraditionalChinesemedicinecombinedwithtopicalapplicationofself-madeTCMpourmask,onceaweek・Thecourseoftreatmentwas8weeksinbothgroups・ResultsAftertreatment8weeks,Thecurerateandeffectiverateinthetreatmentgroupwere30.0%and92.5

6、%respectively,andwhichwere22.5%and75.0%inthecontrolgrouprespectively.Thedifferenceswerestatisticallysignificantbetweenthetwogroups(P=0.034)；at4weeksand8weeksaftertreatment,thenumberofdifferenttypesofskinlesionsinthetreatmentgroupweresignificantlylowerthanthosebefore

7、treatment(P<0.05)；thenumberat8weeksaftertreatmentwassignificantlylessthanthatat4weeksaftertreatment(P<0.05)・Inthetreatmentgroup,therewere27patientswithacne,pimplesandpustules,andthetotaleffectiverateofdifferenttypesofskinlesionsinthe27patientswastestbyx2test,andthed

8、ifferencewasnotstatisticallysignificant.Thereweresignificantdifferencesinsignificanteffectiverateat4weeksand8weeks(P=0.008,0.042)・Thediffe