摘要
目的探讨茵陈蒿汤合五苓散治疗湿疹的临床疗效及影响疗效的相关因素。方法回顾性分析我院在2019年3月-2020年3月收治的100例采用茵陈蒿汤合五苓散治疗的湿疹患者临床资料,分析其治疗一个疗程后的临床疗效以及治疗前后的EASI评分变化,并且对可能影响其临床疗效的相关因素采用强迫引入法予以单因素分析,应用向前逐步法进行多因素分析。结果100例患者的治疗有效率为81.00%,同时其治疗后的皮损程度评分明显低于治疗前,皮损面积评分明显低于治疗前,瘙痒感评分明显低于治疗前,差异有统计学意义(P<0.05)。性别、年龄、病程、饮食诱发或加重、劳累加重、夜间加重、尿赤口渴、遇热加重以及皮损渗出对患者疗效影响无显著相关(P>0.05),消化系统症状、温热舌脉以及肢体酸痛对患者疗效影响显著相关(P<0.05),影响患者疗效的主要因素为消化系统症状、温热舌脉以及肢体酸痛(P<0.05),存在上述症状的患者,其临床疗效明显更佳。结论在湿疹患者的临床治疗中,茵陈蒿汤合五苓散治疗效果良好,其中对伴有消化系统症状、温病舌脉以及肢体酸痛症状的患者,其疗效更为显著。
Objective To explore the clinical efficacy of Yinchenhao Decoction and Wuling Powder in the treatment of eczema and related factors affecting the efficacy.Methods Retrospective analysis in March 2019 to March 2020 treated 100 cases with artemisia capillaris decoction and five three dispersion treatment of eczema patients clinical data,analysis of the the clinical curative effect of treatment after a period of treatment and EASI scores before and after treatment,and may affect the clinical curative effect of single factor analysis of related factors using the force to introduce method of,The forward stepwise method was used for multifactor analysis.Results The effective rate of 100 patients was 81.00%,and the score of skin lesion degree after treatment was significantly lower than that before treatment,the score of skin lesion area was significantly lower than that before treatment,and the score of itching sensation was significantly lower than that before treatment,with statistical significance(P<0.05).There was no significant correlation between gender,age,course of disease,diet induced or aggravated,fatigue aggravated,night aggravated,urine red and thirsty,heat aggravated and skin exudation on the effect of patients(P>0.05),while digestive system symptoms,warm tongue and sore limbs were significantly related to the effect of patients(P<0.05).The main factors affecting the efficacy of patients were digestive system symptoms,warm tongue and pulse,and limb soreness(P<0.05).The clinical efficacy of patients with the above symptoms was significantly better.Conclusion In the clinical treatment of eczema patients,yinchenhao Decoction combined with Wuling Powder has a good effect,especially for patients with digestive system symptoms,warm tongue and sore limbs.
作者
谢鑫
李海雄
燕婷
杨伟霞
吴丽丽
XIE Xin;LI Haixiong;YAN Ting;YANG Weixia;WU Lili(Department of Pharmacy,Foshan Gaoming District people's Hospital,Foshan,Guangdong 528500;Department of Orthopaedics,Foshan Gaoming District people's Hospital,Foshan,Guangdong 528500)
出处
《智慧健康》
2022年第4期139-141,共3页
Smart Healthcare
关键词
湿疹
茵陈蒿汤合五苓散
治疗效果
疗效影响因素
Eczema
Yinchenhao decoction combined with Wuling Powder
Therapeutic effect
Influencing factors of curative effect
