红光联合中药面膜湿敷治疗面部糖皮质激素依赖性皮炎的效果及其护理体会

Effect and Nursing Experience of Red Light Combined with Traditional Chinese Medicine Facial Mask Wet Compress in Treating Facial Corticosteroid Addictive Dermatitis

目的:分析红光联合中药面膜湿敷干预面部糖皮质激素依赖性皮炎(Facial corticosteroid addictive dermatitis,FCAD)的效果,并总结护理体会。方法:采用随机数字表法将笔者医院2020年10月-2023年10月收治的108例FCAD患者分为观察组和对照组,各54例。两组均接受红光治疗,治疗后对照组常规护理干预,观察组联合中药面膜湿敷护理干预;比较两组干预4周后的主观及客观症状评分、中医证候积分,并进行皮肤无创检测,调查患者生活质量。结果:干预后,观察组主观症状、客观症状,以及症状总积分、中医证候积分显著低于对照组(P<0.05),干预后,观察组皮肤含水量、皮脂含量显著高于对照组(P<0.05),透皮失水量显著低于对照组(P<0.05),干预后,观察组生活质量量表各项评分显著低于对照组(P<0.05)。结论:红光照射治疗FCAD,配合中药面膜湿敷护理干预疗效可靠,可有效改善临床症状,修复皮肤,提高患者的生活质量,值得临床借鉴推广。

Objective To evaluate the effect of red light combined with a traditional Chinese medicine(TCM)facial mask wet compress in the intervention for facial corticosteroid addictive dermatitis(FCAD)and to summarize nursing practices.Methods A total of 108 patients with FCAD who are admitted to the hospital between October 2020 and October 2023 were selected and randomly assigned into an observation group and a control group,each comprising 54 patients.Both groups received red light therapy.Post-treatment,the control group was provided with routine nursing interventions,while the observation group received additional TCM facial mask wet compress intervention.Scores for subjective and objective symptoms,as well as TCM syndrome scores,were analyzed after 4 weeks of intervention.A non-invasive skin test was conducted,and patient quality of life was assessed.Results Following the intervention,the observation group exhibited significantly lower scores for subjective and objective symptoms,total symptom scores,and TCM syndrome scores compared to the control group(P<0.05).Additionally,skin hydration and sebum content in the observation group were significantly higher,while transepidermal water loss was significantly lower than in the control group(P<0.05).Quality of life scores for the observation group were also notably improved compared to the control group(P<0.05).Conclusion The combination of red light therapy and TCM facial mask wet compress effectively improves clinical symptoms,promotes skin repair,and enhances the quality of life for patients with FCAD.This approach is valuable for clinical application and further dissemination.