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观察中药坐浴联合太宁栓治疗慢性肛周湿疹的疗效

作者:朱增威 贾 雄 彭柳花 李崇彪

所属单位:深圳市南山区西丽人民医院肛肠科 (广东 深圳 518050)

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摘要

目的 观察中药坐浴联合太宁栓治疗慢性肛周湿疹的疗效。方法 将116例慢性肛周湿疹患者分为观察组和对照组, 每组各58例。对照组给予温水坐浴后太宁栓纳肛治疗;观察组给予中药坐浴联合太宁栓治疗,疗程均为1个月,疗 程结束后观察两组患者临床疗效指标。结果 观察组治疗总有效率89.66%高于对照组72.41%,差异均有统计学意义 (P<0.05);两组患者治疗后瘙痒程度,皮损面积,皮损形态评分均有明显降低且观察组低于对照组,差异均有统 计学意义(P<0.05)。结论 中药坐浴联合太宁栓能明显缓解慢性肛周湿疹的瘙痒程度,降低皮损面积,改善皮损形 态,疗效显著。

Objective To observe the efficacy of traditional Chinese medicine sitting bath combined with Titanoreine Suppository in the treatment of chronic perianal eczema. Methods 116 patients with chronic perianal eczema were divided into observation group and control group, with 58 cases in each group. Control group was given Titanoreine Suppository anal treatment after warm water sitting bath, and observation group was given traditional Chinese medicine sitting bath combined with Titanoreine Suppository, and they were treated for 1 month. The clinical efficacy indexes of the two groups were observed after the end of course. Results The total effective rate of treatment in observation group was higher than that in control group (89.66% vs 72.41%) (P<0.05). The scores of pruritus degree, lesion area and lesion morphology in the two groups were significantly decreased after treatment, and the scores in observation group were lower than those in control group (P<0.05). Conclusion Traditional Chinese medicine sitting bath combined with Titanoreine Suppository can significantly alleviate the pruritus degree of chronic perianal eczema, reduce the area of skin lesions, and improve the morphology of skin lesions, and it has remarkable efficacy.

【关键词】中药坐浴;太宁栓;慢性肛周湿疹;瘙痒;皮损

【中图分类号】R758.23;R986;R454.5

【文献标识码】A

【DOI】10.3969/j.issn.1009-3257.2019.01.028

前言

慢性肛周湿疹是常见于肛门周围皮肤的临床非传 染性皮肤病,多由急性肛周湿疹长期反复发作演变而 来[1]。其临床症状主要有皮肤增厚、苔藓化皮损、瘙 痒明显,伴轻微疼痛、潮湿感等,湿疹病因复杂多 变,由多种因素相互影响而发病,难以确认某一单纯 因素引发湿疹,因病因未明,临床对湿疹的治疗中使 用常规抗组胺药物对症处理,但因局部皮肤萎缩、 毛细血管扩张等药物的不良反应影响,临床疗效不 佳[2]。该病具有病程长,反复发作,任何年龄均可发 病等特点,若不及时干预,将严重影响患者的生活质 量,因此临床治疗湿疹目的是缓解症状、提高疗效、 提高患者生活质量[3]。相关研究报道,中药坐浴对肛周湿疹疗效明显,改善肛周症状[4]。以期为临床治疗 该病提供用药新途径,笔者采用中药坐浴联合太宁栓 治疗慢性肛周湿疹,现将结果报告如下。