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中西医结合治疗湿热下注型臁疮的临床观察研究
梁学威,赵钢,贾振
0
黑龙江中医药大学(哈尔滨 150040);黑龙江中医药大学附属第一医院(哈尔滨 150040)
摘要:
目的:观察银黄洗剂溻渍复合地奥司明片口服对湿热下注型臁疮疮面的疗效。方法:将 50 例湿热下注型臁疮患者随机分为治疗组及对照组各 25 例。对照组予以常规治疗,治疗组在常规治疗的基础上予以银黄洗剂溻渍,疗程均为 30 天, 观察临床疗效,比较其临床症状及体征(疼痛程度、疮面的色泽、气味、渗出及大小)评分,炎症相关指标(白细胞计数、超敏 C 反应蛋白值)的变化情况。结果:治疗组临床治愈率和总有效率为 52%、96%,对照组分别为 24%、76%(P<0.05)。治疗组和对照组疮面明显缩小、颜色气味及渗出均较治疗前明显改善,疼痛明显减轻(P<0.05)。治疗组及对照组较治疗前白细胞计数及超敏 C 反应蛋白值明显降低(P<0.05),且治疗组较对照组降低更为明显(P<0.05)。结论:银黄洗剂溻渍联合地奥司明片口服,对湿热下注型臁疮有明显疗效,可明显改善患者的临床症状及体征,明显降低白细胞计数及超敏C 反应蛋白值。
关键词:  银黄洗剂  溻渍疗法  臁疮  湿热下注型
DOI:10.3969/j.issn.1007-6948.2019.05.027
基金项目:
Clinical Study on Treatment of Ecthyma in Damp-heat Type Using Integrated Traditional Chinese and Western Medicine
LIANG Xue-wei,ZHAO Gang,JIA Zhen
Heilongjiang University of Chinese Medicine, the First Af?liated Hospital, Heilongjiang University of Chinese Medicine, Harbin (150040), China
Abstract:
Objective To observe the effect of Yinhuang lotion combined with Diosmin on ecthyma in damp-heat type. Methods Fifty patients were randomly divided into treatment group and control group, n=25 in each group. The patients in control group were treated with conventional treatment and the patients in treatment group were treated with silver and yellow cleanser. The treatment course of both groups was 30 d, the clinical efficacy was observed, and the clinical symptoms and signs (pain degree, color, smell, exudation and size of wound), as well as the changes of relevant indicators of in?ammation (white blood cell value and hypersensitive C-reactive protein value) were compared. Results The clinical curative rate and total effective rate of the treatment group were 52 % and 96 %, and those of the control group were 24 % and 76 %. The difference of clinical curative effect between the two groups was statistically signi?cant, and the curative effect of the treatment group was superior to that of the control group (P<0.05). The size, color, smell and exudation of the wound were signi?cantly reduced in treatment and control groups after treatment, and the pain was signi?cantly reduced in the patients (P <0.05). The white blood cell value and hypersensitive C-reactive protein value of treatment and control groups were significantly decreased after treatment (P < 0 . 05 ), and the decrease was more obvious in treatment group than that in control group (P<0.05). Conclusion Yinhuang lotion combined with Diosmin can signi?cantly improve the clinical symptoms and physical signs of patients, and signi?cantly reduce the laboratory indexes of patients.
Key words:  Yinhuang lotion  warp-stain therapy  ecthyma  damp-heat type

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