红光结合面部综合治疗皮质类固醇激素依赖性皮炎的疗效观察及护理

Effect and nursing of red light irradiation corticosteroid dependent dermatitis

目的探讨红光结合面部综合治疗皮质类固醇激素依赖性皮炎(简称激素依赖性皮炎)的效果,并总结护理要点。方法 2015年6月至2016年3月对在本皮肤病防治所治疗的160例激素依赖性皮炎患者,按照就诊顺序将患者分为对照组与研究组,每组分别为80例,对照组患者采用常规综合治疗方法 ,研究组患者在对照组的基础上采用红光照射治疗30 min。治疗前及治疗后4周比较两组患者症状体征总评分(total symptom score,TSS),治疗后4周采用症状下降指数(symptom score reduce index,SSRI)进行评价,比较两组患者症状改善率及治疗效果。结果两组患者治疗前TSS比较,P>0.05,差异无统计学意义;两组患者治疗后TSS、SSRI比较,均P<0.05,差异具有统计学意义,研究组患者TSS、SSRI明显低于对照组;两组患者治疗后治疗效果比较,均P<0.05,差异具有统计学意义,研究组患者治疗效果明显优于对照组。结论红光结合面部综合治疗激素依赖性皮炎疗效更明显;护理方面应做好患者红光照射护理及向患者做好面部护理指导,以便促进患者疾病尽快康复。

Objective To observe the effect of red light facial synthesis combined with comprehensive facial therapy on corticosteroid dependent dermatitis （hormone dependent dermatitis） and summarize the nursing strategies. Methods About 160 patients with hormone dependent dermatitis hospitalized in our hospital from June 2015 to March 2016, were equally divided into control group and study group：the control group was treated with conventional comprehensive therapy, while the study group with 30 min red light irradiation together with the nursing measures in the control group. The total symptom scores of the two groups were evaluated before treatment and 4 weeks after treatment. Results Before treatment, the total symptom scores of the control group were no significant difference between them （P〉0.05）. After treatment,the treatment effect of the study group was significantly better than that of the control group and the scores of ISS SSRI were lower than those of the control group . Conclusion The red light radiation combined with comprehensive facial therapy is effective in the treatment of corticosteroid dependent dermatitis and related nursing should be done well to promote patients relovery.