中药熏蒸联合氦氖激光用于外阴白色病变的临床效果研究

Clinical Effect of Traditional Chinese Medicine Fumigation Combined with Helium Neon Laser on White Lesions of the Vulva

目的:分析中药熏蒸联合氦氖激光在外阴白色病变患者中的效果。方法:选取2021年7月—2023年7月信丰县妇幼保健院收治的68例外阴白色病变患者,按随机数字表法分为两组,各34例。对照组行氦氖激光治疗,观察组加以中药熏蒸治疗,1个月为1个疗程,持续治疗3个疗程。对比两组临床疗效、症状改善情况、生活质量、复发率。结果:观察组治疗总有效率高于对照组,外阴痒、阴痛、皮肤弹性、色素脱失改善时间短于对照组,有统计学差异(P<0.05);治疗前,两组生活质量综合评定问卷(GQOLI-74)内各维度评分相比,无统计学差异(P>0.05);治疗后,观察组GQOLI-74内各维度评分高于对照组,有统计学差异(P<0.05)。随访3个月,观察组复发率低于对照组,有统计学差异(P<0.05)。结论:中药熏蒸联合氦氖激光能够减轻外阴白色病变患者症状,提高生活质量,减少复发。

Objective:To analyze the effect of traditional Chinese medicine fumigation combined with helium neon laser on patients with white lesions of the vulva.Methods:68 patients with white lesions of the external genitalia admitted to Xinfeng County Maternal and Child Health Hospital from July 2021 to July 2023 were randomly divided into two groups,with 34 cases in each group.The control group received helium neon laser treatment,while the observation group received traditional Chinese medicine fumigation treatment.One month was a course of treatment,and the treatment lasted for three courses.Compare the clinical efficacy,symptom improvement,quality of life,and recurrence rate between the two groups.Results:The total effective rate of the observation group was higher than that of the control group,and the improvement time for external genital itching,vaginal pain,skin elasticity,and depigmentation was shorter than that of the control group.with a statistical difference(P<0.05).Before treatment,there was no statistically significant difference(P>0.05)in the scores of each dimension in the two groups’Comprehensive Quality of Life Assessment Questionnaire(GQOLI-74);After treatment,the scores of various dimensions in GQOLI-74 in the observation group were higher than those in the control group,with statistical differences(P<0.05).After a 3-month follow-up,the recurrence rate in the observation group was lower than that in the control group,with a statistical difference(P<0.05).Conclusion:Traditional Chinese medicine fumigation combined with helium neon laser can alleviate symptoms,improve quality of life,and reduce recurrence in patients with white lesions of the vulva.