臭氧水疗联合红外线照射治疗肛周湿疹56例疗效观察

Clinical Efficacy of Ozone Hydrotherapy Combined with Infrared Irradiation on 56 Cases of Perianal Eczema

目的:分析臭氧水疗联合红外线照射治疗肛周湿疹的临床疗效及对预后的影响。方法:选择2021年9月至2022年9月,本院治疗的112例肛周湿疹患者,随机分为观察组和对照组,每组各56例。对照组给予复方黄柏液湿敷联合地奈德软膏外用治疗,观察组给予臭氧水疗联合红外线照射治疗,比较2组疗效,皮肤病生活质量指数(DLQI)和复发等情况。结果:观察组总有效率为96.43%,明显高于对照组的75.00%(P<0.05)。治疗后2组患者症状评分及DLQI评分均明显降低,其中观察组肛周瘙痒程度、皮损面积、渗液程度、皮损形态及DLQI评分均明显低于对照组(P<0.05)。观察组愈合时间明显短于对照组(P<0.05),治疗后2个月复发率及总复发率分别为3.57%、5.36%,明显低于对照组的14.29%、21.43%(P<0.05)。结论:相较于常规疗法,臭氧水疗联合红外线照射治疗肛周湿疹疗效更好,可有效缓解患者症状、降低DLQI评分,加快愈合,且复发率明显降低,有助于改善预后。

Objective To analyze the clinical efficacy and prognosis of ozone hydrotherapy combined with infrared irradiation in the treatment of perianal eczema.Methods From September 2021 to September 2022,total 112 patients with perianal eczema treated in our hospital were randomly divided into the obser-vation group and the control group,with 56 cases in each group.The control group was given Compound Huangbai Liquid Liniment combined with Desonide Ointment for external treatment,and the observation group was given ozone hydrotherapy combined with infrared irradiation treatment.The efficacy,dermato-sis life quality index(DLQI)and recurrence of the two groups were compared.Results The total effec-tive rate of the observation group was 96.43%,which was significantly higher than 75.00%of the control group(P<0.05).After treatment,the scores of symptom and DLQI of both groups were significantly de-creased,and the perianal pruritus degree,skin lesion area,exudation degree,skin lesion shape and DLQI scores of the observation group were significantly lower than those of the control group(P<0.05).The healing time of the observation group was significantly shorter than that of the control group(P<0.05),and the recurrence rate and total recurrence rate of 2 months after treatment were 3.57%and 5.36%,re-spectively,which were significantly lower than 14.29%and 21.43%of the control group(P<0.05).Conclusion Compared with the conventional therapy,ozone hydrotherapy combined with infrared irradia-tion is more effective in treating perianal eczema,which can effectively relieve symptoms,reduce DLQI scores,accelerate healing,and significantly reduce recurrence rate,which is conducive to improving progno-sis.