目的:评价不同中医外治法对慢性扁桃体炎的临床疗效。方法:计算机检索PubMed、Web of Science、Embase、The Cochrane Library、中国生物医学文献服务系统(SinoMed)、中国知网(CNKI)、万方数据知识服务平台(WanFang)、维普中文期刊服务...目的:评价不同中医外治法对慢性扁桃体炎的临床疗效。方法:计算机检索PubMed、Web of Science、Embase、The Cochrane Library、中国生物医学文献服务系统(SinoMed)、中国知网(CNKI)、万方数据知识服务平台(WanFang)、维普中文期刊服务平台(VIP),搜集有关中医外治法治疗慢性扁桃体炎的随机对照试验(RCT),检索时限均从各数据库建库至2023年9月30日。由2名研究者独立筛选文献和提取数据,并运用Review Manager5.4软件评估纳入研究的偏倚风险,运用Stata14.0和R4.2.2软件进行网状Meta分析。结果:共纳入23个RCT,包括2780例患者、8种干预措施。网状Meta分析及累计曲线下面积(SUCRA)概率排序结果显示:啄治、烙治、推拿、针刺、针刀刺营、啄治+烙治、针刀刺营+烙治的总有效率均优于西药,且针刀刺营+烙治成为最优治疗措施的概率较大。结论:中医外治法治疗慢性扁桃体炎更具优势,其中针刀刺营+烙治临床疗效较佳,但尚待更多高质量、多中心临床研究予以证实。展开更多
玫瑰痤疮是常见的皮肤科疾病,在全球的发病率为5.46%,临床上以颜面中部以皮肤潮红毛细血管扩张及丘疹脓疱为主要特点。其病易反复发作,病程迁延,缺乏特效治疗。临床上常以“中西医协同、内外同治”联合治疗,其中中药面膜、中药水剂、洗...玫瑰痤疮是常见的皮肤科疾病,在全球的发病率为5.46%,临床上以颜面中部以皮肤潮红毛细血管扩张及丘疹脓疱为主要特点。其病易反复发作,病程迁延,缺乏特效治疗。临床上常以“中西医协同、内外同治”联合治疗,其中中药面膜、中药水剂、洗剂、火针、放血疗法等疗效显著。本文通过查阅近些年中医外治法治疗玫瑰痤疮的相关文献,观察其研究证据并进行分析,以期为临床中玫瑰痤疮的中医外治工作提供理论支持。Rosacea is a common dermatological disorder with a global prevalence of 5.1%, clinically characterized by central facial erythema, telangiectasia, papules, and pustules. The disease is prone to recurrence, has a prolonged course, and lacks specific therapeutic interventions. Current clinical management often adopts an integrated approach combining traditional Chinese medicine (TCM) and Western medicine, emphasizing both internal and external treatments. This review focuses on the external therapies of TCM for rosacea, including acupuncture, bloodletting, herbal masks, and topical applications, aiming to summarize their mechanisms and efficacy. By analyzing evidence from randomized controlled trials and observational studies, this article evaluates the role of TCM external therapies in reducing inflammation, improving microcirculation, and alleviating symptoms. The findings aim to provide theoretical support for optimizing clinical protocols and promoting the integration of TCM external therapies in rosacea management.展开更多
文摘玫瑰痤疮是常见的皮肤科疾病,在全球的发病率为5.46%,临床上以颜面中部以皮肤潮红毛细血管扩张及丘疹脓疱为主要特点。其病易反复发作,病程迁延,缺乏特效治疗。临床上常以“中西医协同、内外同治”联合治疗,其中中药面膜、中药水剂、洗剂、火针、放血疗法等疗效显著。本文通过查阅近些年中医外治法治疗玫瑰痤疮的相关文献,观察其研究证据并进行分析,以期为临床中玫瑰痤疮的中医外治工作提供理论支持。Rosacea is a common dermatological disorder with a global prevalence of 5.1%, clinically characterized by central facial erythema, telangiectasia, papules, and pustules. The disease is prone to recurrence, has a prolonged course, and lacks specific therapeutic interventions. Current clinical management often adopts an integrated approach combining traditional Chinese medicine (TCM) and Western medicine, emphasizing both internal and external treatments. This review focuses on the external therapies of TCM for rosacea, including acupuncture, bloodletting, herbal masks, and topical applications, aiming to summarize their mechanisms and efficacy. By analyzing evidence from randomized controlled trials and observational studies, this article evaluates the role of TCM external therapies in reducing inflammation, improving microcirculation, and alleviating symptoms. The findings aim to provide theoretical support for optimizing clinical protocols and promoting the integration of TCM external therapies in rosacea management.
