中医综合疗法对寒冷性荨麻疹患者生活质量影响的观察

Observation on the effect of traditional Chinese medicine comprehensive therapy on quality of life of patients with cold urticaria

目的观察中医综合疗法对寒冷性荨麻疹患者生活质量的影响。方法 152例寒冷性荨麻疹患者,按照随机原则分为中医综合治疗组(51例)、单纯中药口服组(51例)、单纯西药组(50例)。中医综合治疗组给予口服散寒消疹饮联合中药熏蒸、温针疗法、隔药脐灸疗法治疗,单纯中药口服组给予口服散寒消疹饮治疗,单纯西药组给予赛庚啶和氯雷他定颗粒治疗。比较三组的治疗效果。结果中医综合治疗组愈显率和总有效率分别为96.08%、100.00%,均高于单纯中药口服组的66.67%、86.27%和单纯西药组的56.00%、80.00%,差异均具有统计学意义(P<0.05)。治疗后三组生活质量评分均低于本组治疗前,差异均具有统计学意义(P<0.05);治疗后中医综合治疗组生活质量评分均低于单纯中药口服组和单纯西药组,差异均具有统计学意义(P<0.05)。结论中医综合疗法治疗寒冷性荨麻疹疗效确切,可明显提高患者的生活质量,值得临床借鉴与推广。

Objective To observe the effect of traditional Chinese medicine comprehensive therapy on quality of life of patients with cold urticaria.Methods A total of 152 patients with cold urticaria were randomly divided into Chinese medicine comprehensive therapy group（51 cases）,oral Chinese medicine group（51 cases）and Western medicine group（50 cases）.Chinese medicine comprehensive therapy group received oral Sanhan Xiaozhen drink combined with fumigation of Chinese medicine,acupuncture,medicine separated umbilical moxibustion therapy,oral Chinese medicine group received oral Sanhan Xiaozhen drink,and Western medicine group received cyproheptadine and loratadine granules.The treatment effect in three groups was compared.Results Chinese medicine comprehensive therapy group had excellent rate and total effective rate respectively as 96.08% and 100.00%,which were higher than 66.67% and 86.27% in oral Chinese medicine group and 56.00% and 80.00% in Western medicine group.Their difference was statistically significant（P〈0.05）.After treatment,three groups had lower quality of life score than before treatment,and the difference was statistically significant（P〈0.05）.After treatment,Chinese medicine comprehensive therapy group had lower quality of life score than oral Chinese medicine group and Western medicine group,and their difference was statistically significant（P〈0.05）.Conclusion Chinese medicine comprehensive therapy shows affirmative efficacy in treating cold urticaria,and can obviously improve the quality of life of patients.It is worthy of clinical reference and promotion.