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目的:探讨中西医结合在外阴瘙痒症的临床治疗效果,为本病临床治疗方案的制定提供参考。方法:选取在医院就诊的外阴瘙痒症患者124例,随机分为观察组和对照组各62例。对照组针对外阴瘙痒症的病因,采用对应的西医常规治疗方案进行治疗,观察组在对照组治疗方案的基础上,采用龙胆泻肝汤加减内服同时行外阴熏洗。治疗4周后,对比两组患者的临床疗效,通过症状评分,对比两组患者的瘙痒评分结果。同时通过随访,对比两组患者治疗后3个月和治疗后6个月的复发率。结果:观察组治疗后的痊愈率为67.74%,总有效率为96.77%,对照组治疗后的痊愈率为50.00%,总有效率为77.42%。观察组的痊愈率和总有效率均显著高于对照组,差异有统计学意义(均P<0.05)。经过治疗后,观察组的瘙痒评分为(1.32±0.58)分,对照组的瘙痒评分为(2.26±1.03)分,均显著低于治疗前,且观察组治疗后的瘙痒评分结果显著低于对照组(均P<0.05)。通过随访,观察组治疗后3个月的复发率为4.84%,治疗后6个月的复发率为6.45%,对照组治疗后3个月的复发率为17.74%,治疗后6个月的复发率为32.26%。观察组治疗后3个月和治疗后6个月的复发率均显著低于对照组,差异有统计学意义(均P<0.05)。结论:在西医治疗的基础上,联合龙胆泻肝汤加减内服外用可提高外阴瘙痒症的临床疗效,降低本病的复发率。
Objective: To explore the clinical treatment of genital pruritus with integrated traditional Chinese and Western medicine, and to provide a reference for the formulation of clinical treatment of this disease. Methods: 124 cases of genital pruritus were selected in the hospital and randomly divided into observation group and control group with 62 cases each. The control group for the cause of genital pruritus, the corresponding Western conventional treatment programs for treatment, the observation group in the control group based on the treatment program, the use of Longdan Xiegan decoction plus external fumigation at the same time fumigation. After 4 weeks of treatment, the clinical efficacy was compared between the two groups, and the symptom score was used to compare the pruritus scores of the two groups. At the same time through the follow-up, compared two groups of patients after treatment for 3 months and 6 months after treatment, the recurrence rate. Results: The cure rate of observation group after treatment was 67.74%, the total effective rate was 96.77%. The cure rate of the control group after treatment was 50.00%, the total effective rate was 77.42%. The cure rate and total effective rate of the observation group were significantly higher than the control group, the difference was statistically significant (P <0.05). After treatment, the itching score (1.32 ± 0.58) in the observation group and the itching score (2.26 ± 1.03) in the control group were significantly lower than those before treatment, and the results of the itching score in the observation group after treatment were significantly lower than those in the control group Group (all P <0.05). After follow-up, the recurrence rate of the observation group was 4.84% at 3 months after treatment, the recurrence rate was 6.45% at 6 months after treatment, and the recurrence rate was 17.74% at 3 months after treatment in the observation group and 6 months after the treatment The rate was 32.26%. The recurrence rate of observation group 3 months after treatment and 6 months after treatment were significantly lower than that of the control group, the difference was statistically significant (both P <0.05). Conclusion: On the basis of Western medical treatment, combined with Long Dan Xie Gan Decoction topical external use can improve genital pruritus clinical efficacy and reduce the recurrence rate of the disease.