黄地汤治疗婴儿湿疹临床观察  

Clinical Observation on Huangdi Decoction in the Treatment of Infantile Eczema

作　　者：文文兵[1] 聂晶莉 姚霞秋 卢宏昌[1] 傅睿[3] 张磊昌[4] WEN Wenbing;NIE Jingli;YAO Xiaqiu;LU Hongchang;FU Rui;ZHANG Leichang(Department of Dermatology of Traditional Chinese Medicine, Jiangxi Children's Hospital, Jiangxi Province, Nanchang 330006, China;Department of Rehabilitation, Jiangxi Children's Hospital, Jiangxi Province, Nanchang 330006, China;Department of Nephrology, Jiangxi Children's Hospital, Jiangxi Province, Nanchang 330006, China;Department of Proctology, the Affiliated Hospital of Jiangxi University of Traditional Chinese Medicine, Jiangxi Province, Nanchang 330006, China)

机构地区：[1]江西省儿童医院中医皮肤科,江西南昌330006 [2]江西省儿童医院康复科,江西南昌330006 [3]江西省儿童医院肾内科,江西南昌330006 [4]江西中医药大学附属医院肛肠科,江西南昌330006

出　　处：《中国中医药现代远程教育》2019年第18期71-73,共3页Chinese Medicine Modern Distance Education of China

基　　金：江西省卫生计生委中医药科研课题【No.2017A056,2017Z003】

摘　　要：目的研究黄地汤治疗婴儿湿疹的临床疗效。方法将2013年5月—2015年9月门诊就诊的婴儿湿疹患者112例,随机分为治疗组和对照组,各56例。对照组患者采用丁酸氢化可的松乳膏治疗婴儿湿疹,治疗组采用黄地汤治疗婴儿湿疹;治疗2周后,对比2组患者的临床疗效、安全性及治疗结束后1个月和6个月时的复发率。结果治疗后,治疗组的临床总有效率为96.4%,对照组的临床总有效率为85.7%,治疗组高于对照组(P<0.05);治疗组患者的不良反应率为1.8%,对照组患者的不良反应率为5.4%,对照组高于治疗组(P<0.05);治疗组患者在治疗结束后1个月和6个月的复发率分别为17.9%和32.149%;对照组患者在治疗结束后1个月和6个月的复发率分别为39.3%和55.4%,对照组高于治疗组(P<0.05)。结论黄地汤外洗治疗婴儿湿疹疗效确切,安全性较好,且复发率相对较低,值得临床推广。Objective To study the clinical effect of Huangdi decoction on infantile eczema. Methods 112 cases of infantile eczema in our hospital from May 2013 to September 2015 were randomly divided into treatment group and control group, with 56 cases in each group. The control group was treated with hydrocortisone butyrate cream, while the treatment group was treated with Huangdi decoction. Two weeks later, the clinical efficacy, safety and recurrence rate one month and six months after treatment were compared between the two groups. Results After treatment, the total effective rate of the treatment group was 96.4%, the total effective rate of the control group was 85.7%, and the total effective rate of the treatment group was higher than the control group (P <0.05). The adverse reaction rate of the treatment group was 1.8%, the adverse reaction rate of the control group was 5.3%, and the adverse reaction rate of the control group was higher than the control group (P <0.05). The recurrence rate of the treatment group was 17.9% and 32.149% months after the end of treatment, respectively. The recurrence rate of the control group was 39.3% and 55.4% in 1 month and 6 months after the end of treatment, respectively. The recurrence rate of the control group was higher than that of the treatment group (P < 0.05). Conclusion Huangdi decoction is effective and safe in the treatment of infantile eczema, and the recurrence rate is relatively low. It is worthy of clinical promotion.

关 键 词：黄地汤 婴儿湿疹 奶癣 中医药疗法 儿科 

分 类 号：R275.9[医药卫生—中西医结合]