摘要
目的:观察枇杷清肺饮联合中药面膜外敷治疗肺胃蕴热证痤疮的临床疗效。方法:选择2013年7月—2014年11月就诊于本院的肺胃蕴热证痤疮患者122例为研究对象,随机分为对照组和治疗组患者各61例。对照组患者给予盐酸米诺环素胶囊内服联合维A酸软膏外用治疗;治疗组患者则给予枇杷清肺饮内服联合中药面膜外敷,1周为1个疗程,连续治疗4个疗程。观察两组患者临床疗效。结果:对照组有效率为77.0%,治疗组有效率为91.8%,两组有效率比较,差异具有统计学意义(χ2=5.05,P=0.044<0.05);患者经治疗后皮损状况与治疗前相比有所改善,其皮损数目、颜色、痒痛评分与治疗前相比有所下降,治疗组患者的改善程度较对照组更为明显,差异具有统计学意义(P<0.05);治疗组不良反应发生率为6.6%,明显低于对照组(χ2=5.536,P=0.034<0.05)。结论:枇杷清肺饮内服联合中药面膜外敷治疗肺胃蕴热证痤疮,有利于改善患者的皮损症状,不良反应少,疗效显著。
Objective： To observe tile clinical curative effect of Decoction of Eriobotryae for Removing Lung Heat （DERLH） in combination with Chinese herbal mask on acne due to lung-stomach syndrome of accumulated heat. Methods： One hundred and twenty-two patients with aene due to lung-stomach syndrome of accumulated heat who were treated in our hospital between July 2013 and Nov. 2014 were randomly divided into the control group and the treatment group, with 61 cases in each group. The ones in the control group were given minocycline hydroehloride capsules for oral administration in combination with Tretinoin ointment, while the ones in the treatment group were given DERLH for oral administration in combination with Chinese herbal mask for external application. One week was regarded as 1 medical treatment course and both groups were treated for 4 weeks cnntinunusly. Then the clinical curative effects of both groups were observed. Results： The eftective rate of the control group was 77.0% , while that of＂ the treatment group was 91.8% ; And the difference between them had statistical significance （X-＂ = 5.05, P =0.044 〈0.05 ）. After the treatment, the skin impairment was improved; The skin impairment quantity, color, itching and pain score decreased; And the improved degree of the treatment group was more obviously Ihan that of the control group; The differences between them had statistical significance （P 〈 0.05）. The occurrence rate of adverse reactions of the treatment group was lower obviously than that of the control group （χ2 = 5. 536,P = 0. 034 〈 0.05 ）. Conclusion ： DERLH for oral administration in combination with Chinese herbal mask for external application has remarkable clinical curative effect on acne due to lung-stonmch syndrome of accumulated heat, and （：an improve the patients＇skin impairment with few adverse reactions.
出处
《河南中医》
2015年第8期1914-1916,共3页
Henan Traditional Chinese Medicine
关键词
痤疮
肺胃蕴热证
枇杷清肺饮
中药面膜
外敷治疗
acne
lung-stomach syndrome of accumulated heat
Decoction of Eriobotryae for Removing Lung Heat （DERLH）
Cbinese herbal mask
external application treatment
