中药熏洗治疗头部银屑病血热证临床观察

Chinese Medicine Fumigation in the Treatment of Blood Heat Syndrome of Head Psoriasis

目的观察自拟中药熏洗方治疗头部银屑病血热证的临床疗效。方法选取2020年6月—2022年12月收治的60例头部银屑病血热证患者,按照随机分配原则分为对照组和观察组,每组30例。2组均给予盐酸左西替利嗪片、复方甘草酸苷片口服,观察组同时外用中药熏洗方,疗程均为4周。比较2组患者治疗前后头部PASI评分、瘙痒评分及治疗效果。结果治疗后,观察组总有效率显著优于对照组,差异具有统计学意义(P<0.05)。2组患者PASI评分和瘙痒评分均较治疗前下降(P<0.05),且观察组较对照组降低更明显(P<0.05)。结论采用中药熏洗方治疗头部银屑病血热证疗效显著,可明显改善皮损严重程度、缓解瘙痒,值得临床推广和应用。

Objective To observe the clinical effect of Chinese medicine fumigation prescription on blood heat syndrome of head psoriasis.Methods Sixty patients with blood heat syndrome of head psoriasis treated from June 2020 to December 2022 were selected and divided into control group and observation group according to the principle of random allocation,with 30 cases in each group.Both groups were given levocetirizine hydrochloride tablets and compound glycyrrhizin tablets orally,while the observation group was also given external Chinese medicine fumigation prescription,the course of treatment was 4 weeks.The head PASI score,pruritus score and therapeutic effect of the two groups were compared before and after treatment.Results After treatment,the total effective rate of the observation group was significantly better than that of the control group,and the difference was statistically significant(P<0.05).PASI score and itch score in 2 groups were decreased compared with before treatment(P<0.05),and the decrease in observation group was more obvious than that in control group(P<0.05).Conclusion Chinese medicine fumigation prescription in the treatment of blood heat syndrome of head psoriasis is more effective,can significantly improve the severity of skin lesions,relieve itching,and is worthy of clinical promotion and application.