过敏煎加减联合洁尔阴洗液湿敷治疗急性湿疹疗效探讨.docVIP

过敏煎加减联合洁尔阴洗液湿敷治疗急性湿疹疗效探讨 　　[摘要] 目的 探讨过敏煎加减联合洁尔阴洗液湿敷治疗急性湿疹疗效。方法 随机选择2013年4月―2014年7月收治的120例急性湿疹患者随机分为治疗组，对照一组和对照二组，每组各40例。对照二组采用常规治疗，氯雷他定片口服1次/d，1片/次（10 mg）；3%洁尔阴洗液湿敷患处3次/d，30 min/次；对照一组在常规治疗的基础上加用龙胆泻肝丸，1剂/d分2次服用；治疗组在常规治疗的基础上加用以过敏煎加减为主的中药汤剂。三组治疗周期均为4周，治疗结束后评定疗效。结果 治疗组总有效率100%，对照一组总有效率92.5%， 对照二组总有效率82.5%三组疗效差异有统计学意义（P0.05）。 结论 在常规治疗的基础上，以过敏煎加减联合洁尔阴洗液湿敷治疗急性湿疹疗效显著，值得推广。 　　[关键词] 过敏煎；洁尔阴；急性湿疹 　　[中图分类号] R4 [文献标识码] A [文章编号] 1674-0742（2015）06（c）-0168-03 　　[Abstract] Objective To observe the clinical efficacy of modified guomin decoction combined with wet dressing of jieeryin lotion in the treatment of acute eczema. Methods 120 patients with acute eczema admitted between April 2013 and July 2014 were randomly divided into a treatment group and two control groups， 40 cases in each group. All the three groups were received oral loratadine tablet （10mg） once a day and 3% jieeryin lotion wetted three times a day， once 30 minutes. The first control group received oral longdanxiegan pills two times a day on the basis of conventional treatment； the treatment group was treated with guomin decoction. 4 weeks was a period of treatment， and effects of the three groups were evaluated after treatment. Results The total efficiency rate of the treatment group and the first control group and the second control group were 100% and 92.5% and 82.5% respectively， there were statistically significant differences between the three groups（P 0.05）. Conclusion On the basis of conventional treatment， the clinical efficacy of modified guomin decoction combined with wet dressing of jieeryin lotion in the treatment of acute eczema was effect and it is worthy of promotion. 　　[Key words] Guomin Decoction； Jieeryin； Acute eczema 　　湿疹是皮肤科常见病，多发病[1]。其特点是多形性损害，皮损呈对称分布，剧烈瘙痒，有湿润倾向，反复发作，易成慢性。中医认为湿疹是由于风，湿，热邪毒内侵所致，现代医学认为该病病因复杂，常由多种内外因素引起的一种过敏性疾病。该研究在2013年4月―2014年7月对120例急性湿疹患者在常规治疗的基础上，采用以过敏煎加减联合洁尔阴洗液湿敷治疗急性湿疹，取得例显著的疗效，现报道如下。 　　1 资料与方法 　　1.1 一般资料 　　随机选择2013年4月―2014年7月收治的120例急性湿疹患者，均符合急性湿疹的标准[2]：其中男72例，女48例；年