中医火疗应用于斑块型银屑病的临床研究

Clinical observation on treating plaque psoriasis by TCM fire treatment

目的:探究中医火疗应用于斑块型银屑病的临床应用效果。方法:2015年1月-2016年12月将至我院皮肤科就诊的104例斑块型银屑病患者,随机数字表法分为研究组52例,采用火疗治疗,常规组52例,采用他扎罗汀软膏,观察对比两组患者治疗后30d的皮损情况,根据皮损评分情况计算痊愈和显效率(愈显率)以及对愈显患者进行为期3个月随访所得的复发率。结果:研究组和常规组患者的愈显率分别为76%和69%,总有效率分别为94.0%和94.1%,P均>0.05,不具有统计学意义。研究组患者中显愈患者治疗30d后随访3个月过程中的复发率为15.8%,对照组为48.6%,P<0.05,具有统计学意义。结论:中医火疗对斑块型银屑病的具有一定的治疗意义,能够有效地降低斑块型银屑病的复发率。

Objective： To explore clinical effects of TCM fire therapy on plaque psoriasis. Methods： 104 cases in our hospital from January 2015 to December 2016 were selected and randomly divided into two groups, 52 cases in the study group received fire therapy, and 52 cases in the control group received tazarotene ointment. Skin condition in 30 days in the groups was compared. According to the score of the lesions healed and explicit calculation efficiency（rate）, the recurrence rate was calculated in 3 months. Results： The markedly effective rates in the study group and the control group were 76% and 69% respectively; and the total efficiency was 94% and 94.1% respectively,P〉0.05, which was not statistically significant. The patients in the study group were treated for 30 days and followed up for 3 months; the recurrence rate was 15.8%, compared with 48.6% in the control group, P〈0.05, the difference was statistically significant. Conclusion：TCM fire therapy had certain significance in the treatment of plaque type psoriasis, could effectively reduce the recurrence rate of plaque psoriasis.