中药熏洗法联合保湿润肤膏治疗小儿湿疹的临床研究  

Clinical Study on the Treatment of Pediatric Eczema with Traditional Chinese Medicine Fumigation Method Combined with Moisturizing Cream

作　　者：袁业红[1,2] 孙晓旭[1,2] 罗文欣 段欢欢 闫永彬 YUAN Yehong;SUN Xiaoxu;LUO Wenxin;DUAN Huanhuan;YAN Yongbin(Department of Pediatrics,The First Affiliated Hospital of Henan University of Traditional Chinese Medicine,Zhengzhou Henan 450000,China;Institute of Pediatrics,Henan University of Traditional Chinese Medicine,Zhengzhou Henan 450000,China)

机构地区：[1]河南中医药大学第一附属医院儿科,河南郑州450000 [2]河南中医药大学儿科医学院,河南郑州450000

出　　处：《临床研究》2024年第12期117-120,共4页Clinical Research

基　　金：2023年度河南省中医药科学研究专项课题(2023ZY2049)。

摘　　要：目的观察小儿湿疹(湿热浸淫型)予以中药熏洗法联合保湿润肤膏治疗的临床效果研究。方法选取2023年1月至2024年2月河南中医药大学第一附属医院72例小儿湿疹患儿为研究对象,按照随机对照试验原则分为两组,具体为中药外洗联合保湿肤膏组36例、西药对照组36例。分别统计治疗前后各症状计分、临床效果、复发率、安全性。结果治疗前,两组的皮肤瘙痒程度、皮损程度(红斑)、渗出程度、丘疹和丘疱疹、干燥程度、皮损面积差异无统计学意义(P>0.05);治疗后,中药外洗联合保湿肤膏组对比西药对照组的皮肤瘙痒程度、皮损程度(红斑)、渗出程度、丘疹和丘疱疹、干燥程度、皮损面积评分更低,差异均有统计学意义(P<0.05);中药外洗联合保湿肤膏组对比西药对照组的临床治疗有效率、复发率、安全性更优,差异均有统计学意义(P<0.05)。结论使用中药外洗联合保湿润肤膏治疗小儿湿疹疗效较为理想,复发率较低,安全性较高。Objective To observe the clinical effects of treating pediatric eczema(damp-heat infiltration type)with a combination of traditional Chinese medicine Fumigation Method and moisturizing cream.Methods A total of 72 pediatric patients with eczema admitted to The First Affiliated Hospital of Henan University of Traditional Chinese Medicine from January 2023 to February 2024 were selected for the study.Based on the principles of randomized controlled trials,they were divided into two groups:the traditional Chinese medicine Fumigation combined with moisturizing cream group(36 cases)and the Western medicine control group(36 cases).The scores of various symptoms,clinical efficacy,relapse rates,and safety were statistically analyzed before and after treatment.Results Before treatment,the differences in skin itching severity,lesion severity(erythema),exudation degree,papules and vesicles,dryness,and lesion area between the two groups were not statistically significant(P>0.05).After treatment,the traditional Chinese medicine Fumigation combined with moisturizing cream group had significantly lower scores for skin itching severity,lesion severity(erythema),exudation degree,papules and vesicles,dryness,and lesion area compared to the Western medicine control group,with statistically significant differences(P<0.05).The traditional Chinese medicine Fumigation combined with moisturizing cream group showed superior clinical efficacy rates,lower relapse rates,and higher safety compared to the Western medicine control group,all with statistically significant differences(P<0.05).Conclusion The combination of traditional Chinese medicine Fumigation and moisturizing cream is an effective treatment for pediatric eczema,with a lower relapse rate and higher safety.

关 键 词：小儿湿疹 中药熏洗法 祛湿止痒洗剂 

分 类 号：R272[医药卫生—中医儿科学]