中药蒸汽浴联合辨证施膳对血热风盛型寻常型银屑病患者临床症状和康复进程的影响  

Effect of traditional Chinese medicine steam bath combined with meal guidance on clinical symptoms and rehabilitation process in patients with psoriasis vulgaris of blood-heat and wind-blooming type

作　　者：陶小娜 李文倩 侯熙钰 TAO Xiaona;LI Wenqian;HOU Xiyu(Department of Dermatology,Taihe Hospital of Traditional Chinese Medicine affiliated to Anhui University of Chinese Medicine,Hefei,Anhui 236600)

机构地区：[1]安徽中医药大学附属太和中医院皮肤科,安徽合肥236600

出　　处：《河北中医》2025年第2期296-299,共4页Hebei Journal of Traditional Chinese Medicine

基　　金：安徽中医药大学科研基金项目(编号:2023LCTH44)。

摘　　要：目的观察中药蒸汽浴联合辨证施膳对血热风盛型寻常型银屑病患者临床症状和康复进程的影响。方法将94例寻常型银屑病患者按照随机数字表法分为2组,2组均予临床常规治疗,对照组47例采用中药蒸汽浴治疗,观察组47例在对照组基础上联合辨证施膳。治疗时间为2周。比较2组治疗前后皮损面积评分、银屑病面积和严重程度指数(PASI)评分、瘙痒视觉模拟评分(VAS)、生活质量综合评定问卷(GQOLI-74)评分,并统计2组疗效。结果治疗组总有效率87.23%(41/47),对照组总有效率68.08%(32/47),治疗组临床疗效优于对照组(P<0.05)。2组治疗后皮损面积评分、PASI评分及瘙痒VAS均较本组治疗前降低(P<0.05),且观察组治疗后均低于对照组(P<0.05)。2组治疗后GQOLI-74各项评分均较本组治疗前升高(P<0.05),且观察组治疗后各项评分均高于对照组(P<0.05)。结论中药蒸汽浴联合辨证施膳可明显减轻血热风盛型寻常型银屑病患者临床症状,促进病情康复和生活质量的提高,临床疗效显著。Objective To study the effect of traditional Chinese medicine(TCM)steam bath combined with meal guidance on the clinical symptoms and rehabilitation process in patients with psoriasis vulgaris(PV)of blood-heat and wind-blooming type.Methods Ninety-four PV patients were randomly assigned into observation group(n=47)and control group(n=47).All patients were managed by routine clinical treatment and TCM steam bath,and those in observation group were additionally given meal guidance.Treated for 2 weeks,the aim was to compare lesion area score,Psoriasis Area and Severity Index(PASI)score,visual analogue scale(VAS)score for pruritus,Generic Quality of Life Inventory-74(GQOLI-74)scores between groups before and after treatment.The curative effect was assessed.Results The overall effective rate in the observation group was significantly better than that in the control group(87.23%[41/47]vs 68.08%[32/47],P<0.05).After treatment,the lesion area score,PASI and VAS scores in the both groups were significantly decreased(P<0.05),which were significantly lower in the observation group than the control group(P<0.05).GQOLI-74 scores in the both groups were significantly increased(P<0.05),the increase in the observation group was more common than the control group(P<0.05).Conclusion For patients with PV(blood-heat and wind-blooming type),TCM steam bath combined with meal guidance can significantly alleviate clinical symptoms,promote recovery and improve the quality of life,with a significant clinical efficacy.

关 键 词：寻常性银屑病 中药蒸汽浴 辨证施膳指导 

分 类 号：R758.63[医药卫生—皮肤病学与性病学]