苦参止痒汤治疗肛周湿疹100例疗效观察

Curative Observation of Applying Kushen Zhiyang Decoction to 100 Cases of Perianal Eczema Patients

目的:通过实验对比分析出苦参止痒汤治疗肛周湿疹的疗效,为肛周湿疹的临床治疗做出贡献。方法:选取100例肛周湿疹患者作为实验组,采用苦参止痒汤坐浴,每天2剂;另选取100例肛周湿疹患者作为对照组,采用醋酸氟氢松软膏外擦,每天2次。对比两组患者的治疗结果。结果:实验组和对照组的总治愈率分别为94.0%和56.0%,差异有统计学意义(P<0.05)。实验组和对照组的复发率分别为4.9%和26.7%,差异有统计学意义(P<0.05)。实验组和对照组治疗前病症总积分无显著性差异,具有可比性。两组用药前与用药后病症总积分有显著性差异,说明两组均有疗效。但用药后两组在用药后病症总积分存在显著性差异,治疗组疗效明显优于对照组。结论:苦参止痒汤坐浴外用的治疗方式效率比现有西药外用方式更为显著,适合在肛周湿疹临床治疗中推广。

Objective： Observing the curative effect of using Kushen Zhiyang Decoction to treat perianal eczema. Methods： The diagnosis of 200perianal eczema patients were randomly divided into two groups, observation group contained 100patients and the controlled group contained lOOpatients. The observation group were treated with the outside Kushen Zhiyang Decoetion bath wash and the controlled group were partially coated with fluocinonide ointment cream. Results ： The total cure rate of the observa- tion group was 94% , the controlled group was 56.0% , the difference between the two groups was significant （ P〈0.05 ） under the X^2 test （X2 = 6. 074）. The recovery rate between the observation group and controlled group were tested with X^2 test method ： X^2= =4. 112, P=0. 043〈0. 05. Before the treatment, the recurrence rate between the two group was not significantly different （t = 1. 353, P〉0. 05）, while according to t test of the recurrence rate after treatment, t = 5. 715, P〈0. 05, the recurrence rate of the observation group was significantly lower than the controlled group. Conclusions： Using Kushen Zhiyang Decoction bath wash to treat perianal eczema have a high cure rate, relapse rate is low, less side effects, which is an effective treatment.