中药外洗与护理干预对60例婴幼儿湿疹临床症状及生活质量的影响  

Effect of external washing with Chinese medicine and nursing intervention on clinical symptoms and quality of life of 60 infants with eczema

作　　者：黄长婷 王红娟[1] 肖和印[1] 赵秋华 张文艳 张艳坤 郭凯[1] HUANG Changting;WANG Hongjuan;XIAO Heyin;ZHAO Qiuhua;ZHANG Wenyan;ZHANG Yankun;GUO Kai(Chinese Academy of Traditional Chinese Medicine Wangjing Hospital, Beijing 100102,China)

机构地区：[1]中国中医科学院望京医院儿科,北京100102

出　　处：《中国中西医结合儿科学》2022年第2期164-168,共5页Chinese Pediatrics of Integrated Traditional and Western Medicine

基　　金：首都临床特色应用研究与成果推广项目(Z161100000516112)。

摘　　要：目的观察中药外洗配合护理干预对婴幼儿湿热浸淫型湿疹的临床症状及生活质量的影响。方法选择2016年9月至2019年4月就诊我院儿科门诊的湿热浸淫型湿疹患儿120例,随机分为观察组和对照组各60例。对照组给予中药外洗,观察组在对照组治疗基础上配合护理干预,疗程14 d。观察两组皮损面积、瘙痒程度、皮炎家庭影响调查表及饮食、睡眠程度的变化。结果观察组总有效率为98.33%(59/60),高于对照组81.67%(49/60),差异有统计学意义(P<0.05)。两组全身皮损面积积分、瘙痒程度积分、睡眠、食欲、烦躁、腹胀、便溏积分比较差异有统计学意义(P<0.05),观察组改善明显优于对照组。观察组皮炎家庭影响情况积分为(8.93±3.86)分,低于对照组(20.52±3.74)分,差异有统计学意义(P<0.05)。结论中药外洗配合护理干预对湿热浸淫型婴幼儿湿疹,能明显减轻患儿临床症状,改善食欲及睡眠,提高家长及患儿的生活质量。Objective To observe the effect of external washing with Chinese medicine combined with nursing intervention on the clinical symptoms and quality of life of 60 infants with dampness-heat eczema.Methods A total of 120 infants with dampness-heat eczema treated in the Pediatric Outpatient Department of Chinese Academy of Chinese Medical Sciences from September 2016 to April 2019 were chosen,and they were randomly divided into treatment group and control group,60 in each group.Both groups were given external washing with Chinese medicine,and in addition,the treatment group received nursing intervention.The treatment lasted for 14 days.Observe the skin lesion area,degree of pruritus,survey on family influence on dermatitis and the changes in diet and sleep in the two groups.Results The total effective rate of treatment group was 98.33%(59/60),higher than that of control group(81.67%,49/60),and the difference was of statistical significance(P<0.05).The scores in skin lesion area,degree of pruritus,sleep,appetite,irritation,abdominal distension and loose stool were statistically different between the two groups(P<0.05),and the improvement was significantly better in the treatment group than in the control group.The score in the family influence on dermatitis in the treatment group was(8.93±3.86),lower than that in the control group(20.52±3.74)(P<0.05).Conclusion The treatment of external washing with Chinese medicine in combination with nursing intervention for infants with dampness-heat eczema can greatly relieve clinical symptoms,improve appetite and sleep and increase the life quality of parents and patients.

关 键 词：婴幼儿湿疹 湿热浸淫型 护理干预 生活质量 

分 类 号：R758.23[医药卫生—皮肤病学与性病学]