克银汤治疗血瘀型银屑病的临床观察  

The Clinical Effect of Keyin Decoction on Psoriasis Vulgaris Patients with Blood-stasis Syndrome

作　　者：李美红[1,2] 孙丹 李文彬 闫小宁 

机构地区：[1]天津中医药大学,天津300193 [2]陕西省中医医院皮肤科,陕西西安710003

出　　处：《中国皮肤性病学杂志》2017年第4期445-447,共3页The Chinese Journal of Dermatovenereology

基　　金：陕西省科技惠民计划项目--银屑病中西医结合诊疗体系在陕南山区的推广与示范(2015HM-13)

摘　　要：目的观察克银汤治疗血瘀型银屑病的临床疗效。方法采用随机对照分组试验,将107例中医辨证为血瘀型银屑病的患者随机分为两组:治疗组55例,口服克银汤,外用复方氟米松软膏;对照组52例,外用复方氟米松软膏。于治疗前后分别对病患病情程度进行PASI评分和生活质量评分,4周后观察两组临床疗效。结果治疗组治疗后皮损的PASI评分、DLQI评分较治疗前差异有统计学意义(P<0.01)。血瘀型银屑病患者的DLQI评分与PASI评分和有效率具有相关性(P<0.01)。结论克银汤可能是通过提高外用复方氟米松软膏利用率达到治疗血瘀型银屑病临床效果。Objective To observe the clinical effect of Keyin decoction on psoriasis vulgaris patients with blood-stasis syndrome. Methods One hundred and seven cases of psoriasis vulgaris patients with blood-stasis syndrome were divided into two groups in order of been diagnosed initially. 55 cases in the treatment group were treated with Keyin decoction orally and compound flumetasone ointment externally; 52 cases in the control group were treated with compound flumetasone ointment externally. The clinical effect were evaluated by PASI score and DLQI score at baseline and 4th weekends. Results At the end of 4 weeks, the PASI score and DLQI score of the treatment group showed significant differences（P〈0.01）; the DLQI score was positively correlated with PASI score and efficacy rate in psoriasis vulgaris patients with blood-stasis syndrome（P〈0.01）. Conclusion Good efficacy of the Keyin decoction in psoriasis vulgaris patients with blood-stasis syndrome may effected by increasing the utilization of compound flumetasone ointment.

关 键 词：克银汤 血瘀型 银屑病 

分 类 号：R758.63[医药卫生—皮肤病学与性病学]