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目的:观察清胃败毒方配合西医常规疗法治疗复发性口腔溃疡(ROU)的临床疗效。方法:将100例ROU患者随机分为对照组和观察组各50例。对照组,用冰硼散涂敷溃疡面;地喹氯铵含片,含服转移因子胶囊;口服甘草锌颗粒。观察组在对照组的基础上加服清胃败毒方,每天1剂。2组疗程8周。结果:经有序资料χ2检验分析,观察组疗效优于对照组(P<0.05);治疗后5天,疼痛评分、其它症状体征评分较治疗前下降,溃疡面积和充血面积均较治疗前缩小(P<0.01);治疗后观察组疼痛评分、其它症状体征评分低于对照组,溃疡面积和充血面积小于对照组(P<0.01)。治疗后3月,对照组复发21例,复发率42.0%;观察组复发9例,复发率18.0%,观察组复发率低于对照组(P<0.05)。结论:清胃败毒方配合西医常规疗法治疗ROU近期和远期疗效均有良好效果,优于单纯西医常规疗法。
Objective: To observe the clinical efficacy of Qingwei Huodu Decoction combined with Western conventional therapy in the treatment of recurrent oral ulcer (ROU). Methods: 100 cases of ROU were randomly divided into control group and observation group of 50 cases. The control group, coated with Bingpeng scattered ulcer surface; dequalinium chloride tablets, containing transfer factor capsule; oral licorice zinc particles. On the basis of the control group, the observation group was given Qingfeishenduo decoction once a day. Two groups of treatment for 8 weeks. Results: The curative effect of the observation group was better than that of the control group (χ2 test) (P <0.05). On the 5th day after treatment, pain scores and other symptoms and signs scores decreased compared with those before treatment, ulcer area and hyperemia area decreased (P <0.01). After the treatment, the pain scores in the observation group were lower than those in the control group. The ulcer area and the hyperemic area were smaller than those in the control group (P <0.01). After 3 months of treatment, the control group recurred 21 cases, the recurrence rate was 42.0%. The recurrence rate was 18.0% in the observation group, and the recurrence rate in the observation group was lower than that in the control group (P <0.05). Conclusion: Qingwei decoction combined with conventional Western medicine treatment of ROU both long-term and long-term efficacy of good results, better than simple Western conventional therapy.