摘要
目的探讨特应性皮炎(atopicdermatitis,AD)中医证候特征与中药临床疗效。方法运用中医辨证理论与AD严重度评估方法———SCORAD相结合,对44例AD患者的证候、严重度和中药临床疗效进行分析研究。结果中医辨证无单一证型,均为多证相兼。证型机率由高到低依次为:脾虚证81.82%,血热血燥证70.45%,湿热证56.82%,肾虚证20.45%,肝郁证18.18%。中药治疗4周后,SCORAD积分和VAS积分均较治疗前明显下降(P<0.01);治疗8周后与治疗4周后比较,SCORAD积分明显下降(P<0.01),VAS积分下降(P<0.05)。治疗4周后总有效率54.55%,8周后总有效率70.45%。结论中医辨证治疗AD有较好临床疗效,其治疗机理有待进一步研究。
Objective To analyse the signs and symptoms of traditional Chinese medicine and the clinical effects of TCM on atopic dermatitis.Methods The signs and symptom s of44patients with atopic dermatitis,the degree of severity of the disease and the clinical effect of the traditional Chinese medicine by the combination of the theory of differentiation of TCM and SCORAD serious degree of AD.Re sults There was no single sign and symptom in differentiation of symp-toms and signs of TCM.Many signs and symptoms were mingled.The morbidity of spleen deficiency was81.82%,blood heat and blood dry was70.45%,dampness and heat was56.82%,kidney deficiency was20.45%,and stagnation of liver Qi was18.18%.After4weekstreatment with traditional Chinese medicine,the accumulated points of both SCORAD and VAS were obviously lower than those before(P<0.01).Compared with4weekstreatment,the accumulated points of SCORAD was obviously lower after8weekstreatment (P<0.01),the accumulated points of VAS was decreased(P<0.05).The total effect rate was54.55%after4weeks treatment,and70.45%after8weeks treatment.Conclusion The treat-ment of atopic dermatitis by TCM is satisfied although the mechanism is not known very well.
出处
《中国中西医结合皮肤性病学杂志》
CAS
2003年第2期71-73,共3页
Chinese Journal of Dermatovenereology of Integrated Traditional and Western Medicine
关键词
特应性皮炎
AD
中医
临床证候
辨证治疗
诊断
中药
atopic dermatitis
differentiation of traditional Chinese medicine
Chinese medicinal herbs
