活血化瘀法治疗寻常型血瘀型银屑病临床疗效观察和对血液流变学影响的研究.pdfVIP

提 要 目的：观察活血化瘀法，即桃红土苓饮联合中药药浴疗法，治疗寻常型血瘀型银 屑病临床疗效，并观察对血液流变学的影响。 方法：将60例血瘀型银屑病患者随机分为两组，治疗组30例口服桃红土苓饮加 药浴疗法并外用青鹏软膏，对照组30例口服消银胶囊、大黄蛰虫丸并外用青鹏软膏， 疗程 12 周。观察两组患者治疗前后皮损面积、形态、自觉症状、中医症候变化及不 良反应发生情况。测两组患者治疗前后全血粘度（低切、中切、高切）、血浆粘度、 红细胞压积变化。 结果：总有效率治疗组 93.33%，对照组 73.33%，治疗组与对照组对比有明显差 异（P＜0.05），治疗组疗效优于对照组。治疗后两组患者血液流变学指标均较治疗前 下降，治疗前后两组组内比较差异有统计学意义（P＜0.05），治疗后两组组间比较差 异有统计学意义（P＜0.05），治疗组优于对照组。 结论：桃红土苓饮联合中药药浴疗法治疗血瘀型银屑病疗效确切，副作用少；明 显降低患者血液流变学指标。 关键词 血瘀型银屑病；中药药浴疗法；血液流变学 The Clinical Study of Blood Circulation method Treating Psoriasis of Blood Stasis and its Influence on hemorheology Speciality： Dermatology ，Surgery of TCM Auther ： Zhao Yumei Tuter： Professor Geng Lidong Abstract Objective ：To observe the Blood Circulation method,Taohongtuling decoction combined with Chinese medicine medicated bath therapy, Treating Psoriasis of Blood Stasis and its Influence on hemorheology. Methods ：60 patients with blood stasis type psoriasis vulgaris were randomly divided into two groups, treatment group，30 cases oral Taohongtuling decoction combined with Chinese medicine medicated bath therapy and topical Qingpeng ointment for 12 weeks, the other 30 received Xiaoyin capsules and Dahuangzhechong pill and Qingpeng ointment. Observing lesions size,shape,subjective symptoms,TCM symptoms and adverse reaction ,measure the level of hemorheology before and after the treating. Results ：The treatment group’s effective rate was 93.33%, the control group was 73.33%. There were significant differences between the two groups.The hemorheology indexes of two groups after treatment have all been reduced, the treatment group changed significantly, the two groups had a significant difference. Conclusions：Taohongt