穴位注射加中药外洗治疗慢性肛周湿疹临床观察.DOCVIP

临床医学论文-穴位注射加中药外洗治疗慢性肛周湿疹临床观察 【摘要】? 目的 观察醋酸曲安奈德穴位注射加中药外洗治疗慢性肛周湿疹的疗效。方法 80例慢性肛周湿疹患者随机分为治疗组40例和对照组40例。治疗组采用曲安奈德穴位注射加中药外洗治疗；对照组采用温水坐浴后外涂糠酸莫米松乳膏治疗，两组均以2周为1个疗程。结果 治疗组有效率及复发率为90%和15%；对照组有效率及复发率为70%和53%，两组比较，差异有统计学意义(P0.05或P0.01)；治疗2周后瘙痒症状及皮损面积治疗组与对照组相比亦有显著性差异（P0.01），治疗组明显优于对照组。结论 曲安奈德穴位注射加中药外洗治疗慢性肛周湿疹疗效满意，值得临床推广。 【关键词】? 慢性肛周湿疹；穴位注射；中药外洗 ??? [Abstract]? Objective? To evaluate the clinical effects of point injection of triamcinolone acetonide plus external washout with traditional Chinese herbs in the treatment of chronic perianal eczema. Methods?Eighty patients wit射h chronic perianal eczema were divided randomly into the treatment group (n=40) and the control group (n=40). The treatment group was treated by point injection of triamcinolone acetonide plus external washout with traditional Chinese herbs，and the control group was treated by warm water sitz bath with external use of mometasone furoate cream. The treatment period was two weeks. Results? The improvement rate and the recurrence rate was 90％and 15％, respectively, in the treatment group, and 70％and 53％, respectively, in the control group (P0.05 and P0.01). The treatment group experienced significantly greater improvement than the control group in pruritus and eczema area after two weeks of treatment (P0.01). Conclusion?Point injection of triamcinolone acetonide plus external washout with traditional Chinese herbs is an effective method in the treatment of chronic perianal eczema and can be widely used clinically. 牋?[Key words]?Chronic perianal eczema; Point injection; External washout with traditional Chinese herbs ??? 慢性肛周湿疹是一种常见的变态反应性疾病，以局部皮肤瘙痒剧烈，皮损表面粗糙、肥厚、苔藓样变、色素脱失，肛门皮肤裂口为主要临床表现。病情反复发作，缠绵难愈，给患者带来极大痛苦。我们于2004年起采用醋酸曲安奈德穴位注射加中药外洗治疗慢性肛周湿疹40例，疗效显著，现总结分析如下。 ??? 1? 资料与方法 ??? 1.1? 一般资料? 从2005年1月至2008年1月，选取符合慢性肛周湿疹诊断的病例80例，按数字表法，将样本简单随机分为治疗组及对照组。治疗组40例中，男23例，女17例，年龄21～70岁，平均40.5岁，病程3个月至4年，平均1.2年；对照组40例中，男21例，女19例，年龄19～68岁，平均38.5岁，病程4个月至5年，平均1.1年。经统计学处理，两组性别、年龄、病程均无显著性差异(P0.05)。 ??? 1.2? 诊断标准? 符合国家中医药管理局颁布的《中医病证诊断疗效标准