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目的探讨中西医结合在社区湿疹治疗中的效果。方法选择2010年1月—2012年7月治疗的湿疹患者52例,随机分为对照组和观察组各26例。对照组采用常规西医治疗,包括氯雷他定每日10 mg,丁酸氢化可的松软膏每日涂抹2次。2周为1个疗程,共治疗2个疗程。观察组在对照组基础上采用中医治疗方案:口服中药,10 d为1个疗程,共治疗3个疗程,每个疗程间隔1周;中药坐浴熏洗,7 d为1个疗程,共治疗3个疗程;按摩,3 d为1个疗程,共治疗3个疗程,每个疗程间隔3 d;针刺,每2天治疗1次,共治疗7次。各疗程结束后比较两组瘙痒程度得分、疗效及疾病相关生活质量得分。计量资料采用t检验,计数资料采用χ2检验,P<0.05为差异有统计学意义。结果治疗后观察组瘙痒程度得分[(2.13±0.46)分]低于对照组[(2.94±0.52)分],比较差异有统计学意义(t=5.95,P<0.05)。总有效率对照组46.15%,观察组76.92%,比较差异有统计学意义(χ2=5.20,P<0.05)。治疗后观察组心理健康状态、白日功能和睡眠质量得分[(85.49±6.59)、(86.92±4.01)、(83.60±5.80)分]均高于对照组[(76.85±6.98)、(77.59±4.38)、(73.28±7.33)分],比较差异均有统计学意义(t=4.59、8.01、5.63,均P<0.05)。结论中西医结合在社区治疗湿疹可提高治疗效果,并改善患者生活质量。
Objective To explore the effect of integrated traditional Chinese and western medicine in the treatment of eczema in the community. Methods Fifty-two patients with eczema treated from January 2010 to July 2012 were randomly divided into control group and observation group with 26 cases each. The control group was treated with conventional Western medicine, including loratadine 10 mg daily and hydrocortisone butyrate ointment twice daily. 2 weeks for a course of treatment, a total of 2 courses of treatment. The observation group on the basis of the control group using traditional Chinese medicine treatment program: oral traditional Chinese medicine, 10 d for a course of treatment, a total of three courses of treatment, each course of 1 week interval; Chinese bath fumigation, 7 d for a course of treatment 3 courses; Massage, 3 d for a course of treatment, a total of three courses of treatment, each course of treatment 3 d; acupuncture, treatment every 2 days, a total of 7 treatment. After each course of treatment, the scores of pruritus degree, curative effect and disease-related quality of life score were compared between the two groups. Measurement data using t test, count data using χ2 test, P <0.05 for the difference was statistically significant. Results The score of pruritus in the observation group after treatment [(2.13 ± 0.46) points] was lower than that in the control group [(2.94 ± 0.52) points), the difference was statistically significant (t = 5.95, P <0.05). The total effective rate was 46.15% in the control group and 76.92% in the observation group, the difference was statistically significant (χ2 = 5.20, P <0.05). After treatment, the scores of mental health status, daytime function and sleep quality score in the observation group were significantly higher than those in the control group [(85.49 ± 6.59), (86.92 ± 4.01) and (83.60 ± 5.80) points, respectively] (76.85 ± 6.98 and 77.59 ± 4.38), (73.28 ± 7.33) points respectively. The difference was statistically significant (t = 4.59, 8.01, 5.63, all P <0.05). Conclusion Integrative treatment of eczema in the community can improve the therapeutic effect and improve the quality of life of patients.