中药浸泡联合复方氟米松治疗掌跖角化性湿疹68例疗效分析  

Therapeutic Effect of Traditional Chinese Medicine Immersion Combined with Compound Flumetasone on 68 Cases of Palmoplantar Keratotic Eczema

作　　者：张雪燕[1] 王大见[1] 翟学英[1] ZHANG Xue-yan;WANG Da-jian;ZHAI Xue-ying(Department of TCM Dermatology, Jinan Dermatology Control and Prevention Hospital, Jinan, Shandong Province, 250001 China)

机构地区：[1]山东省济南市皮肤病防治院中医皮肤科

出　　处：《中外医疗》2019年第21期161-163,共3页China & Foreign Medical Treatment

摘　　要：目的探讨中药浸泡联合复方氟米松治疗掌跖角化性湿疹的疗效。方法方便选取2014年1月-2016年1月该院收治的68例掌跖角化性湿疹患者随机分为治疗组(34例)和对照组(34例)。治疗组采用中药浸泡每日l次,30 min/次,1次/d,同时外用复方氟米松软膏治疗,2次/d,共8周。对照组:仅外用复方氟米松软膏治疗,2次/d,连用8周,比较两组临床疗效、复发情况及不良反应情况。结果治疗前两组临床症状、体征评分分别为(9.30±3.02)分和(10.18±2.82)分,两组比较差异无统计学意义(t=-1.30,P>0.05);治疗后两组评分分别为(1.89±0.62)分和(4.18±1.37)分,两组比较差异有统计学意义(t=-3.38,P<0.01)。两组有效率比较差异有统计学意义(χ^2=8.173,P<0.05)。治疗组痊愈率52.9%,有效率91.2%,对照组痊愈率32.4%,有效率61.8%,两组比较差异有统计学意义(P<0.05).6个月后,治疗组复发率为5.6%,对照组为36.4%,两组比较差异有统计学意义(P<0.05)。结论使用中药浸泡联合复方氟米松治疗掌跖角化性湿疹疗效高、复发率低。Objective To investigate the efficacy of traditional Chinese medicine soaking combined with compound flumetasone in the treatment of keratotic keratotic eczema. Methods Convenient select from January 2014 to January 2016, 68 patients with sputum keratotic eczema admitted to our hospital were randomly divided into treatment group(34 cases) and control group(34 cases). The treatment group was treated with traditional Chinese medicine for 1 time, 30 min/time, 1 time/d, and external compound flumetasone ointment for 2 times/d for 8 weeks. Control group: only topical compound flumetasone ointment, 2 times/d, for 8 weeks, comparing the clinical efficacy, recurrence and adverse reactions of the two groups. Results The clinical symptoms and physical signs of the two groups were(9.30±3.02)points and(10.18±2.82)points, respectively. There was no significant difference between the two groups(t=-1.30, P>0.05). After treatment, the scores of the two groups were(1.89±0.62)points and(4.18±1.37)points, respectively. The difference between the two groups was statistically significant(t=-3.38, P<0.01). There was a statistically significant difference between the two groups(χ^2=8.173, P<0.05). The cure rate of the treatment group was 52.9%, the effective rate was 91.2%, the cure rate of the control group was 32.4%, and the effective rate was 61.8%. The difference between the two groups was statistically significant(P<0.05). After 6 months,the recurrence rate of the treatment group was 5.6%, the control group was 36.4%, and the difference between the two groups was statistically significant(P <0.05). Conclusion The use of traditional Chinese medicine soaking combined with compound flumetazone in the treatment of sputum keratotic eczema has high efficacy and low recurrence rate.

关 键 词：中药 浸泡 复方氟米松软膏 掌跖角化性湿疹 

分 类 号：R758.23[医药卫生—皮肤病学与性病学]