柴芍舒郁汤治疗女性青春期后痤疮的临床疗效观察-中医外科学专业论文.docxVIP

成都中医药大学硕士学位论文 成都中医药大学硕士学位论文 万方数据 万方数据 中文摘要 目的：通过对就诊的女性青春期后痤疮患者的病情调查，了解女性青春期后痤 疮患者的皮损特点、症状特点、常见证型的分布情况。通过随机对照试验，比较 柴芍舒郁汤和丹参酮胶囊治疗女性青春期后痤疮的临床疗效。 方法：○1 以现场问诊和查体的方法获取 80 例女性青春期后痤疮患者的病情资料， 综合整理数据后进行统计分析。○2 依据病例选择标准，纳入 80 例女性青春期后 痤疮患者，随机分为柴芍舒郁汤治疗组和丹参酮胶囊对照组，连续治疗 4 周，定 时观察疗效，用 SPSS19.0 软件作统计分析，进行疗效判定。 结果：本次调查中，女性青春期后痤疮年龄以 25～29 岁居多。病程主要集中在 1～6 年。病情分级以Ⅱ级和Ⅲ级为最多。主要兼症中以胸胁乳房胀痛、失眠多 梦和手足不温者居多。统计分析得出治疗后两组皮损总疗效、主要兼症疗效比较 P 值均小于 0.05，具有统计学意义。 结论：女性青春期后痤疮的主要兼症中存在着被忽略的内容，应当给予必要的 总结，并进行理论分析和研究。本次试验结合导师经验，归纳出女性青春期后痤 疮的根本病机是：卫阳郁闭、阴虚血热、火毒凝滞、痰瘀互结所致。柴芍舒郁汤 是治疗女性青春期后痤疮的有效验方，能显著改善患者的临床症状和体征，疗效 优于丹参酮胶囊，配合姜黄消痤搽剂外用效果更佳，无明显不良反应，值得临床 应用和推广。 关键词：柴芍舒郁汤；女性青春期后痤疮；卫阳郁闭；阴虚血热 1 Abstract Objective: Through the female post-adolescent acne patients seek treatment for the disease survey to understand the characteristics of acne lesions in patients with symptoms characteristic of the distribution of common syndromes. Positive randomized controlled trials comparing Chaishaoshuyu soup and Danshentong capsules clinical efficacy of treatment the female post-adolescent acne. Methods: ○1 The clinical information about 80 patients was collected by questionnaire and physical examnation , and all data was analyzed by SPSS19.0 . ○2 According to the choice of cases standard included patients with acne after 80 patients, were randomly divided into Chaishaoshuyu soup treatment group and Danshentong capsules control group, four weeks of continuous treatment, timing efficacy, by SPSS19.0 for statistical analysis, determine the efficacy. Results: The survey, the patients aged 25 to 29 years old mostly. Course mainly between 1 to 6 years. Disease classification to grade Ⅱ Ⅲ the most. The main symptoms to breast and chest pain, insomnia and foot and not warm majority. According to statistical analysis,i concluded that after treatment that the total curative effects of the lesions, and main accompanied syndromes’ treatment effects in treatment group were all better improved than control group,P