中药熏洗为主治疗皮肤镜纠正的误诊老年患者疥疮

Herbal fumigation-based treatment of dermoscopically-corrected misdiagnosed scabies in elderly patients

目的:探讨以中药熏洗为主治疗皮肤镜纠正的误诊老年患者疥疮的疗效评估。方法:选取我院皮肤科门诊2021年1月至2022年9月收治的使用皮肤镜纠正误诊的老年疥疮患者共62例,随机分为2组,对照组外用硫乳膏(颈部以下全身)、地奈德(局部)、口服盐酸左西替利嗪口服液治疗,在此基础上治疗组加用中药熏洗,均连续治疗6 d。观察患者的总有效率和1个月后复发率以及瘙痒的发作情况。结果:与对照组比较,治疗组显著提高患者总有效率,并减轻患者瘙痒的发生,同时也降低复发率(P<0.05)。结论:以中药熏洗为主治疗皮肤镜纠正的误诊老年患者疥疮取得良好疗效。

Objective:To assess the efficacy of dermoscopically-corrected scabies in elderly patients treated mainly with herbal fumigation.Methods:A total of 62 elderly patients with scabies misdiagnosed by invoking dermoscopic correction in our dermatology outpatient clinic from Jan 2021 to Sep 2022 were selected and randomly divided into two groups.The control group was treated with topical sulfur cream and topical desonide cream(all over the body below the neck)plus oral levocetirizine hydrochloride solution,on the basis of which the experimental group was additionally treated with herbal fumigation.All patients were treated continuously for 6 days.The total effective rate and recurrence rate of the patients and the pruritus episodes after 1 months were observed.Result:Compared with the control group,the experimental group significantly increased the effective rate and reduced the occurrence of pruritus,as well as the recurrence rate(P<0.05).Conclusion:Treatment of scabies in elderly patients corrected by dermatoscope with mainly herbal fumigation has achieved good efficacy.