清热除湿汤与皮炎汤治疗面部脂溢性皮炎的临床疗效评价  

Evaluation on the Clinical Effect of Qingre Chushi Decoction and Piyan Decoction on Facial Seborrheic Dermatitis

作　　者：吕景晶 陈朝霞[2] 徐景娜[1] 周涛[1] 张金超 刘正荣 LUY Jingjing;CHEN Zhaoxia;XU Jingna;ZHOU Tao;ZHANG Jinchao;LIU Zhengrong(Dermatology Department,Beijing Traditional Chinese Medicine Hospital Affiliated to Capital Medical University,Beijing 100010 China;Beijing Institute of Traditional Chinese Medicine,Beijing Key Laboratory of Clinical Basic Research of Psoriasis,Beijing 100010,China;Clinical College of Beijing Traditional Chinese Medicine Hospital,Beijing University of Chinese Medicine,Beijing 100029,China)

机构地区：[1]首都医科大学附属北京中医医院皮肤科,北京100010 [2]北京市中医研究所银屑病中医临床基础研究北京市重点实验室,北京100010 [3]北京中医药大学北京中医医院临床医学院,北京100029

出　　处：《中国中医药现代远程教育》2018年第18期88-90,共3页Chinese Medicine Modern Distance Education of China

摘　　要：目的观察清热除湿汤与皮炎汤治疗湿热内蕴型面部脂溢性皮炎的临床疗效,初步探讨清热除湿汤、皮炎汤治疗面部脂溢性皮炎的疗效优势。方法选取2015年4月—2017年4月在本院接受治疗的88例面部脂溢性皮炎患者作为研究对象,将患者随机分为3组,治疗组A予以清热除湿汤治疗;治疗组B予以皮炎汤治疗;对照组予以龙胆泻肝丸治疗,疗程2周,观察2组患者瘙痒程度、皮疹面积、皮疹颜色的变化。结果治疗组A与治疗组B皮肤瘙痒、皮疹面积、皮疹颜色治疗前后差值评分无统计学差异。治疗组A、B与对照组相比差异有统计学意义(P<0.05)。治疗组A与治疗组B中医症状评分无统计学差异,治疗组A、B与对照组患者相比皮肤油腻改善情况、口渴及便干情况中医症状评分均低于对照组,差异有统计学意义(P<0.05)。结论清热除湿汤、皮炎汤治疗湿热内蕴型脂溢性皮炎均具有较高的临床效果,可以改善患者的皮肤病状况以及临床症状,具有一定的临床应用价值。Objective To observe the clinical efficacy of Qingre Chushi decoction and Piyan decoction in the treatment of hot and humid facial seborrheic dermatitis and to discuss the therapeutic advantages of Qingre Chushi decoction and Piyan decoction in the treatment of facial seborrheic dermatitis. Methods 86 patients with facial seborrheic dermatitis who were treated in our hospital from April 2015 to April 2017 were selected as study subjects. Patients were randomly divided into treatment group A treated with Qingre Chushi decoction, treatment group B treated with Piyan decoction and control group treated with Longdan Xiegwan pills. After 2 weeks course of treatment, itching skin rash area rash color changes was observed. Results There was no significant difference between treatment group A and treatment group B in skin pruritus, skin rash area, skin rash color difference before and after treatment. The difference in data between the treatment group A and B and the control group was statistically significant（ P0.05）.There was no significant difference in TCM symptom scores between treatment group A and treatment group B, There was significant difference between the treatment group and the control group（ P〈0.05）. There was no significant difference in TCM symptom scores between treatment group A and treatment group B. there was significant difference between treatment group and control group（ P〈0.05）. There was no significant difference between treatment group and control group（ P〈0.05）. The scores of TCM symptoms of thirsty and dry stool in treatment group were lower than those in control group（ P〈0.05）. Conclusion Qingre Chu shi decoction and Piyan Decoction have a higher clinical effect on the treatment of damp heat and seborrheic seborrheic dermatitis. It can improve the skin condition and clinical symptoms of patients and has certain clinical application value.

关 键 词：脂溢性皮炎 清热除湿汤 皮炎汤 湿热内蕴 

分 类 号：R275.9[医药卫生—中西医结合]