探究马拉色菌毛囊炎患者应用中药熏洗、远红外线治疗的临床疗效  

Investigation on the clinical efficacy of traditional Chinese medicine fumigation and far-infrared treatment in patients with Malassezia folliculitis

作　　者：张建胜 ZHANG Jian-sheng(Jinan Hospital of Integrated Chinese and Western Medicine,Jinan 271199,China)

机构地区：[1]济南市中西医结合医院,271199

出　　处：《中国实用医药》2024年第2期29-33,共5页China Practical Medicine

摘　　要：目的 探讨马拉色菌毛囊炎患者应用中药熏洗、远红外线治疗的临床疗效。方法 160例马拉色菌毛囊炎患者,随机分为对照组和研究组,每组80例。对照组接受远红外线治疗,研究组接受远红外线联合中药熏洗治疗。比较两组临床疗效,治疗前后的血清炎症因子水平、症状评分、舒适度评分、睡眠质量评分、焦虑评分、抑郁评分、生活质量评分。结果 研究组总有效率97.50%高于对照组的87.50%(P<0.05)。治疗后,两组患者C反应蛋白(CRP)、降钙素原(PCT)、白细胞介素-6(IL-6)、肿瘤坏死因子-α(TNF-α)水平均低于治疗前,且研究组患者CRP(5.89±1.06)mg/L、PCT(0.46±0.15)ng/ml、IL-6(87.64±19.32)pg/ml、TNF-α(10.83±2.07)ng/L低于对照组的(7.02±1.27)mg/L、(0.69±0.23)ng/ml、(114.50±25.87)pg/ml、(13.49±2.46)ng/L(P<0.05)。治疗后,两组患者丘疹、脓疱、皮肤瘙痒、皮损评分均低于治疗前,研究组患者丘疹评分(1.06±0.31)分、脓疱评分(1.24±0.38)分、皮肤瘙痒评分(1.16±0.40)分、皮损评分(1.19±0.32)分均低于对照组的(1.52±0.48)、(1.64±0.37)、(1.61±0.45)、(1.62±0.35)分(P<0.05)。治疗后,两组患者舒适度评分升高,焦虑、抑郁、睡眠质量评分均降低,且研究组患者舒适度评分(102.80±6.57)分高于对照组的(93.25±6.30)分,焦虑评分(40.90±3.74)分、抑郁评分(41.85±3.81)分、睡眠质量评分(10.49±1.31)分均低于对照组的(45.61±3.96)、(46.98±4.37)、(12.36±1.58)分(P<0.05)。治疗后,两组患者生理、心理、环境、社会关系评分均高于治疗前,且研究组患者生理评分(89.75±6.48)分、心理评分(89.07±6.02)分、环境评分(90.14±6.15)分、社会关系评分(89.96±6.27)分均高于对照组的(82.93±6.85)、(82.40±6.13)、(83.27±6.30)、(83.14±6.54)分(P<0.05)。结论 对于马拉色菌毛囊炎患者,在远红外线治疗的同时实施中药熏洗治疗,可增强治疗效果,减轻炎症反应,缓解症状,有利于增加躯体舒�Objective To investigate the clinical efficacy of traditional Chinese medicine fumigation and far-infrared treatment in patients with Malassezia folliculitis.Methods 160 cases of Malassezia folliculitis were randomly divided into a control group and a study group,with 80 cases in each group.The control group received far-infrared treatment,and the study group received far-infrared treatment combined with traditional Chinese medicine fumigation.The total efficacy,serum inflammatory factors,symptom score,comfort score,sleep quality score,anxiety score,depression scores,and quality of life score before and after treatment were compared between the two groups.Results The total effective rate of 97.50% in the study group was higher than that of 87.50% in the control group(P<0.05).After treatment,the levels of C-reactive protein(CRP),procalcitonin(PCT),interleukin-6(IL-6) and tumor necrosis factor-α(TNF-α) in both groups were lower than those before treatment;and CRP of(5.89±1.06) mg/L,PCT of(0.46±0.15) ng/ml,IL-6 of(87.64±19.32) pg/ml and TNF-αof(10.83±2.07) ng/L in the study group were lower than those of(7.02±1.27) mg/L,(0.69±0.23) ng/ml,(114.50±25.87) pg/ml and(13.49±2.46) ng/L in the control group(P<0.05).After treatment,the scores of papules,pustules,skin pruritus and skin lesions in both groups were lower than those before treatment;the papular score in the study group was(1.06±0.31) points,the pustule score was(1.24±0.38) points,the skin pruritus score was(1.16±0.40) points and the skin lesion score was(1.19±0.32) points,which were lower than those of(1.52±0.48),(1.64±0.37),(1.61±0.45) and(1.62±0.35) points in the control group(P<0.05).After treatment,the comfort scores of patients in the two groups increased,and the scores of anxiety,depression and sleep quality decreased;and the comfort scores of(102.80±6.57) points in the study group were higher than that of(93.25±6.30) points in the control group;the anxiety score in the study group was(40.90±3.74) points,the depression score was(41.85

关 键 词：皮肤科 马拉色菌毛囊炎 远红外线 中药熏洗 

分 类 号：R756[医药卫生—皮肤病学与性病学]