国际中医中药杂志
國際中醫中藥雜誌
국제중의중약잡지
INTERNATIONAL JOURNAL OF TRIDITIONAL CHINESE MEDICINE
2013年
7期
597-599
,共3页
卢佳宏%孟宏%郑晓阳%吕旭%王虹%周允娴%王宏才
盧佳宏%孟宏%鄭曉暘%呂旭%王虹%週允嫻%王宏纔
로가굉%맹굉%정효양%려욱%왕홍%주윤한%왕굉재
温胆汤%痤疮%饮食控制
溫膽湯%痤瘡%飲食控製
온담탕%좌창%음식공제
Acne vulgaris%Wendan decoction%Dietary control
目的 观察温胆汤加减方对痰热瘀结型寻常性痤疮的临床疗效.方法 收集2011年4月至2012年12月中国中医科学院针灸医院皮肤科门诊、专家门诊以及首都医科大学附属同仁医院传统医学科的痤疮患者,采用随机数字表法,按1∶1的比例随机分为两组各31例,治疗组在饮食控制的基础上口服温胆汤加减以清热化痰,对照组只进行饮食控制,不予口服汤药,两组均治疗6周后判定疗效.结果 ①皮损严重程度变化比较:治疗后,治疗组在皮损症状如压痛、潮红、囊肿、结节积分[分别为(0.71±0.32)分、(0.47±0.63)分、(0.59±0.53)分、(0.63±0.54)分]改善,与对照组治疗后[分别为(1.12±0.32)分、(1.44±0.21)分、(1.40±0.36)分、(1.18±0.43)分]比较,差异均有统计学意义(P均＜0.05).②症状积分变化比较:治疗后治疗组中医症状评分与同组治疗前比较,差异有统计学意义[分别为(42.95±1.53)分、(52.89±1.98)分,P＜0.05],且优于对照组疗效[(49.42±1.56)分,P＜0.05].③临床疗效比较:治疗后,治疗组总有效率为96.77％ (30/31)、对照组为54.83％ (17/31),两组总有效率比较,差异有统计学意义(x2=14.862,P＜0.05).结论 温胆汤加减方能有效的治疗痰热瘀结型寻常性痤疮.
目的 觀察溫膽湯加減方對痰熱瘀結型尋常性痤瘡的臨床療效.方法 收集2011年4月至2012年12月中國中醫科學院針灸醫院皮膚科門診、專傢門診以及首都醫科大學附屬同仁醫院傳統醫學科的痤瘡患者,採用隨機數字錶法,按1∶1的比例隨機分為兩組各31例,治療組在飲食控製的基礎上口服溫膽湯加減以清熱化痰,對照組隻進行飲食控製,不予口服湯藥,兩組均治療6週後判定療效.結果 ①皮損嚴重程度變化比較:治療後,治療組在皮損癥狀如壓痛、潮紅、囊腫、結節積分[分彆為(0.71±0.32)分、(0.47±0.63)分、(0.59±0.53)分、(0.63±0.54)分]改善,與對照組治療後[分彆為(1.12±0.32)分、(1.44±0.21)分、(1.40±0.36)分、(1.18±0.43)分]比較,差異均有統計學意義(P均＜0.05).②癥狀積分變化比較:治療後治療組中醫癥狀評分與同組治療前比較,差異有統計學意義[分彆為(42.95±1.53)分、(52.89±1.98)分,P＜0.05],且優于對照組療效[(49.42±1.56)分,P＜0.05].③臨床療效比較:治療後,治療組總有效率為96.77％ (30/31)、對照組為54.83％ (17/31),兩組總有效率比較,差異有統計學意義(x2=14.862,P＜0.05).結論 溫膽湯加減方能有效的治療痰熱瘀結型尋常性痤瘡.
목적 관찰온담탕가감방대담열어결형심상성좌창적림상료효.방법 수집2011년4월지2012년12월중국중의과학원침구의원피부과문진、전가문진이급수도의과대학부속동인의원전통의학과적좌창환자,채용수궤수자표법,안1∶1적비례수궤분위량조각31례,치료조재음식공제적기출상구복온담탕가감이청열화담,대조조지진행음식공제,불여구복탕약,량조균치료6주후판정료효.결과 ①피손엄중정도변화비교:치료후,치료조재피손증상여압통、조홍、낭종、결절적분[분별위(0.71±0.32)분、(0.47±0.63)분、(0.59±0.53)분、(0.63±0.54)분]개선,여대조조치료후[분별위(1.12±0.32)분、(1.44±0.21)분、(1.40±0.36)분、(1.18±0.43)분]비교,차이균유통계학의의(P균＜0.05).②증상적분변화비교:치료후치료조중의증상평분여동조치료전비교,차이유통계학의의[분별위(42.95±1.53)분、(52.89±1.98)분,P＜0.05],차우우대조조료효[(49.42±1.56)분,P＜0.05].③림상료효비교:치료후,치료조총유효솔위96.77％ (30/31)、대조조위54.83％ (17/31),량조총유효솔비교,차이유통계학의의(x2=14.862,P＜0.05).결론 온담탕가감방능유효적치료담열어결형심상성좌창.
Objective To observe the clinical efficacy of Wendan decoction in the treatment of phlegm-heat accumulation type acie vulgaris.Methods 62 patients with phlegm-heat accumulation type ache vulgaris were randomly divided into a treatment group and a control group randomly,with 31 patients in each group.The control group was given dietary advice and skin cleansing techniques,while the treatment group was given oral administration of Wendan decoction on the basis of the control group.Results ①skin damage comparison:after the treatment,skin damage symptoms such as tenderness (0.71 ±0.32),redness (0.47±0.63),cyst(0.59±0.53),and tubercle (0.63±0.54) in the treatment group were significantly improved than the control group [the values were (1.12±0.32),(1.44±0.21),(1.40±0.36),(1.18±0.43),respectively] (P＜0.05).②symptoms score comparison:The symptoms score in the treatment group after the treatment (42.95±1.53) was significantly improved than that before the treatment (52.89± 1.98),(P＜0.05),and also obviously better than the control group after the treatment.③clinical efficacy comparison:Total efficacy was 96.77％ in the treatment group and 54.83％ in the control group,showing marked difference(P＜0.05).Conclusion Wendan decoction is effective in treating phlegm-heat accumulation type acne vulgaris.
