中药煎剂内服外洗治疗复发性尖锐湿疣临床探究

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1、中药煎剂内服外洗治疗复发性尖锐湿疣临床探究【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，同时给予口服蕙改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%),

2、治疗组复发率明显低于对照组(P<005)o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(PV005)o【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；蕙该仁甘草汤/治疗应用；消疣汤/治疗应用；外治法Abstract：ObjectiveToobservethetherapeuticeffectoforaluseandexternalapplicat

3、ionofChineseherbaldecoctionforthetreatmentofrecurrentcondylomaacuminatum(RCA)・MethodsOnehimdredandtwentyeightRCApatientsweredividedintotwogroupsbyhalfrandomizationandsingleblindmethod.Thetreatmentgroup(N=65)receivedoraluseofYiyirenGancaoDecoctionandwashingthelesionwithselfmadeXiaoyou

4、Decoctiononceadayexceptthemicrowaveradiationtherapy.Thecontrolgroup(N=63)receivedmicrowaveradiationtherapyalone.Onemonthconstitutedonetreatmentcourse・TherecurreneeofRCAinthetwogroupswasinvestigatedwithin3treatmentcoursesandwithin6monthsoffollowup.ResultsInthetreatmentgroups,therewere

5、37(5692%)recurrentpatientsduringthe1sttreatmentcourse,25(3846%)duringthe2ndcourse,and11(1692%)duringthe3rdcourse；inthecontrolgroup,therewere52(8254%)recurrentpatientsduringthe1sttreatmentcourse,47(7460%)duringthe2ndcourse,and36(5714%)duringthe3rdcourse・Therecurrencerateinthetreatment

6、groupwaslowerthanthatinthecontrolgroup(P<005).Inthetreatmentgroup,therewere12(1846%)recurrentpatientswithin2monthsoffollowup,14(2154%)within4monthsoffollowup,and15(2308%)within6monthsoffollowup；inthecontrolgroup,therewere41(6508%)recurrentpatientswithin2monthsoffollowup,45(7143%)with

7、in4monthsoffollowup,and46(7302%)within6monthsoffollowup；therecurrencerateinthetreatmentgroupwaslowerthanthatinthecontrolgroup(P<005).ConclusionOraluseandexternalapplicationofChineseherbaldecoctionexertbettershorttermandlongtermtherapeuticeffectforthetreatmentofRCA.Keywords：CONDYLOMAA

8、CUMINATUM/TC