中药煎剂浸泡疗法在部队中治疗足癣的疗效观察  

Clinical observation on treating tinea pedis in troops with decoction of traditional Chinese medicine for immersion therapy

作　　者：黄艳春[1] 高雅婷 章俊[1] 姚芳 杨美平[1] 谢娟[1] HUANG Yanchun;GAO Yating;ZHANG Jun(Jiangxi Provincial People’s Hospital,Nanchang 330006,China;Health Team of Nanchang Branch of Jiangxi Armed Police Corps,Nanchang 330008,Jiangxi,China;Jiangxi Provincial Armed Police Corps Hospital,Nanchuang 330001,China)

机构地区：[1]江西省人民医院,南昌330006 [2]武警江西总队南昌支队卫生队,南昌330038 [3]武警江西省总队医院,南昌330001

出　　处：《江西医药》2019年第4期319-322,共4页Jiangxi Medical Journal

基　　金：江西省卫生计生委中医药科研项目,编号2016A115

摘　　要：目的观察中药煎剂及其联合2%硝酸咪康唑乳膏治疗足癣的疗效。方法 93例足癣患者随机分为三组,中药组、西药组及联合组。中药组用中药煎剂浸泡患足0.5h,2次/d,西药组使用2%硝酸咪康唑乳膏涂于患足2次/d,联合组采用中药组及西药组药物联合应用,连续治疗28d。于治疗14d、治疗28d及治疗后28d对比3组临床疗效及真菌学疗效。结果治疗第14d,中药组、西药组及联合组临床有效率分别为54.84%、60%及83.87%,真菌清除率分别为32.26%、36.67%及64.52%,联合组临床疗效和真菌学疗效均明显优于中药组和西药组(P<0.05),西药组与中药组比较差异无统计学意义(P>0.05);治疗第28d,中药组、西药组及联合组临床有效率分别为74.19%、80%及93.55%,真菌清除率分别为70.97%、76.67%及93.55%,联合组临床疗效和真菌学疗效均明显优于中药组(P<0.05),西药组与联合组及中药组比较差异均无统计学意义(P>0.05)。停药28d时中药组、西药组及联合组临床有效率分别为67.74%、70%及90.32%,真菌疗效分别为54.84%、60%及83.87%,联合组临床疗效和真菌学疗效均明显优于中药组和西药组(P<0.05),西药组与中药组比较差异无统计学意义(P>0.05)。结论单用中药煎剂与单用硝酸咪康唑膏治疗足癣疗效相似,中西药联合治疗足癣能在治疗初期迅速控制症状抑制致病真菌生长并能有效控制复发率,中药煎剂联合2%硝酸咪康唑乳膏治疗部队足癣疗效显著值得推广。Objective To observe the clinical efficacy of traditional Chinese medicine immersion therapy combined with 2%miconazole nitrate cream in the treatment of tinea pedis. Methods Totally 93 patients with tinea pedis in troops were randomly divided into 3 groups,traditional Chinese medicine group、western medicine group and combined group. There are 31 cases in each group. The traditional Chinese medicine group was treated with decoction of traditional Chinese medicine by soaking foot for half an hour twice daily,western medicine group treated with 2% miconazole nitrate cream twice daily,and combined group was treated with the above of two therapy. Three groups were treated for 28 days. Patients were evaluated at 0、14、28 days and 28 days after treatment. Results At 14 days,the clinical effective rates were 54.84%、60% and 83.87% in traditional Chinese medicine group、western medicine group and combined group,while the fungus clearance rates were 32.26%、36.67% and 64.52%,the two rates of combined group were better than the other two groups(P<0.05),but there no significant difference between the two latter(P>0.05).At 28 days. the clinical effective rates were 74.19%、80% and 93.55% in traditional Chinese medicine group、western medicine group and combined group,while the fungus clearance rates were 70.97%、76.67% and 93.55%,the two rates in the combined group were better than traditional Chinese medicine group(P<0.05),but there no significant difference between combined group and western medicine group(P >0.05),there no significant difference between traditional Chinese medicine group and western medicine group(P>0.05). At 28 days after treatment,the clinical effective were 67.74%、70% and 90.32% in traditional Chinese medicine group、western medicine group and combined group,while the fungus clearance rates were 54.84%、60% and 83.87%,the two rates in the combined group were better than the other two groups(P<0.05),but there no significant difference between the two latter(P>0.05). Conclusion The efficac

关 键 词：煎剂 中药 足癣 部队 疗效 

分 类 号：R275[医药卫生—中医皮科]