蔡氏三联疗法治疗白癜风的结果观察与护理

Clinical observation and preventing side-issuse in Vitiligo treatment using traditional chinese method combined PUVA

目的探讨蔡瑞康教授三联疗法治疗白癜风的结果观察与护理对策。方法采用中西医结合的方法对68例白癜风患者进行门诊治疗,以2个月为1疗程按拟定标准进行阶段疗效评估,3个疗程结束后进行总体疗效评价和不良反应统计。结果 68例共计142处靶皮损中,61.3%的靶皮损在治疗2个月时已见效,随着疗程的增加,有效率逐渐升高,治疗4个月时,总有效率达84.5%,治愈率达24.6%,治疗6个月时,总有效率达95%,治愈率达43.7%;3个疗程结束后,共计3例患者出现不良反应(占4.41%),均发生在PUVA照射的局部皮肤,1例患者出现红肿水泡伴痒感,2例患者出现皮肤增厚脱屑。结论蔡瑞康教授原创的中西医结合三联疗法治疗白癜风安全有效,但治疗过程应注意加强专科临床观察,个别情况下出现不良反应时应及时采取相应的专科护理措施。

Objective The purpose of this study was to expropriate clinical observation and preventing side-issues during course of treatment using traditional Chinese medicine combined PUVA method in vitiligo.Methods Total 68 patients had been treated with this method and lasted three course of treatment.During period of treatment,observation of therapeutic condition had been taken closely and local PUVA treat interval could be adjusted according to side effect condition.Results In total 68 cases,side effect had been happened in 3 cases（4.41%）.And treatment had been delay in these cases.Conclusion Traditional Chinese medicine combined PUVA method is a valuable and effective treatment tool for vitiligo.But during course of treatment,nursing management issues should be taken closely to preventing side-issues.