采用中西医结合治疗黄褐斑56例临床观察.docVIP

采用中西医结合治疗黄褐斑56例临床观察 何新会，付宝国 姜新春 [摘要]目的：观察中医辨证分型结合口服维生素C治疗黄褐斑的疗效。方法：将患者随机分为治疗组和对照组，治疗组按中医辨证分型给予方药阿胶黄精丸治疗，同时服用维生素C、维生素E，局部涂5％二氧化钛霜；对照组口服维生素C、维生素E，同时局部涂5％二氧化钛霜，观察患者面部皮损的消退情况。结果：治疗组总有效率为91．1％，对照组有效率为62．5％。治疗组与对照组相比有统计学差异(P0．05)。结论：辨证使用中西医结合治疗黄褐斑能取长补短，且治愈率高、作用持久，复发率低，值得临床推广应用。 6455(2012)l O一1 795—02 The curative effect observation of combining Traditional Chinese and western medicine on Treatment of 56 Patients with Chloasma CAO Ya—fei (Department of Dermatological，Shaanxi Sengong Hospital，Xi an 710300，Shaanxi，China) Abstract：Objective To observe the c¨nicaI effecl of syndrome differentiation combined with oraI vitamin C in the treatment of Chloasma． Methods Patients with Chloasma were randomly divided into the treatment group and controI group．The patients of the treatment g roup were differentiated by syndrome differentiation and treated by plus or minus TCM (traditional chinese medicine)accordingly；In the meantime，the patients took vitamin E or C and localy coated with 5％ Titanium dioxide frost．whereas the patients of the control g roup only took V_iamin E or C and locally coated with 5％ Titanium dioxide frost．Clinical treatment effect was evaluated through the lesions of faciaI skin subsided．Results There was a significant difference effective rate between two group (P0．05)the total effective rate was 91．1％ ．Bv contrast．in the control group the effective rate was 62 5％ Conclusion The dialecticaI use of combining traditionaI Chinese and western medicine are more efficient，more lasting function and lower recurrence rate than simple western． which is worthy of clinical promotion and application Key words：chloasma；Integrated Chinese and western medical；The dialectical use of lraditional Chinese；Vitamin 黄褐斑是多见于中青年女性面部的色素沉着性皮肤病， 其发生与多种因素有关，如妊娠、口服避孕药、内分泌紊乱、 滥用化妆品、日晒、遗传等，目前尚无满意的治疗方法。自 2006年以来，笔者科室使用中西医结合辨证施治的原则为指 导，运用中西医结合的方法治疗黄褐斑患者56例，获得了较 好疗效，现报道如下。 1 临床资料1．1分组：共选择门诊黄褐斑女性患者96例，随机分为治疗组与对照组。其中治疗组56例，年龄l9～51岁，平均33．60岁，病程0．3～10．0年，平均3．96年；对照组4O例，年龄l7～48岁，平均32．99岁，病程0．5～7．0