除湿胃苓汤联合针刺治疗脾虚湿蕴型亚急性湿疹的临床疗效观察-东南大学学报医学版

除湿胃苓汤联合针刺治疗脾虚湿蕴型亚急性湿疹的临床疗效观察

作者：苏婕

单位：首都医科大学附属北京中医医院, 北京 100010

分类号：R758.23

出版年·卷·期（页码）：2016·35·第一期（75-78）

摘要：

目的:探讨除湿胃苓汤与针刺联合应用对脾虚湿蕴型亚急性湿疹的临床治疗效果。方法:选择2013年9月至2014年9月我院收治的119例脾虚湿蕴型亚急性湿疹患者为研究对象,根据自愿原则分为观察组79例、对照组40例,观察组患者在服用除湿胃苓汤的同时配合针刺治疗及外用派瑞松软膏,对照组患者应用西药依巴斯汀片联合派瑞松软膏外用。比较两组的临床治疗效果、不良反应发生率及复发情况。结果:观察组的有效率(89.9%)显著高于对照组(72.5%)(u=3.304,P<0.01)。观察组不良反应发生率(0)低于对照组(12.5%),差异具有统计学意义(χ²=9.167,P<0.05)。观察组复发率(4.2%)小于对照组(13.8%),差异具有统计学意义(χ²=2.895,P<0.05)。结论:除湿胃苓汤与针刺联合应用能明显提高脾虚湿蕴型亚急性湿疹的临床疗效,不良反应少,复发率低,值得临床推广。

Objective:To explore the clinical efficacy and safety of combination of eliminating dampness weiling decoction and acupuncture in the treatment of damp heat type of eczema. Methods:119 spleen wet type of subacute eczema patients from September 2013 to September 2014 in our hospital were divided into observation group(79 cases) and control group(40 cases) on a voluntary basis.The observation group were treated with eliminating dampness weiling decoction combined with acupuncture and pevisone ointment.The control group were treated with ebastine tablets combined with pevisone ointment. The clinical efficacy, adverse reactions and recurrence rate were compred between two groups. Results:The total effective rate of observation group was 89.9%,while control group was 72.5%.The efficacy of observation group was better than control group(u=3.304,P<0.05).The incidence of adverse events of observation group was significantly lower than that of the control group(χ²=9.167,P<0.05).The recurrence rate of observation group was significantly lower than that of the control group(χ²=2.895,P<0.05). Conclusion:Eliminating dampness weiling decoction combined with acupuncture method provides us an effective approach for treating spleen wet type of subacute eczema with fewer adverse reactions and recurrence rate.It has considerable value in the clinical promotion.

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