银屑病中医分型及中医辨证联合中医体质护理的干预效果观察

Intervention Effect Observation of Classification and Traditional Chinese Medicine Syndrome Differentiation and Traditional Chinese Medicine Syndrome Combined with Traditional Chinese Nursing Intervention for Psoriasis

目的:观察银屑病中医分型及中医辨证联合中医体质护理的干预效果。方法:选取2013年1月~2016年1月我院收治的银屑病患者45例,按数字奇偶法分为2组,奇数进入对照组23例,行紫外线照射治疗,偶数进入观察组22例,在对照组基础上联合中医辨证和中医体质护理,均治疗1个月后,采取银屑病面积与严重性指数(PASI评分)对患者病情进行评定,比较两组治疗效果,采用健康调查简表(SF-36)对患者生活质量进行评定,采用焦虑自评量表(SAS)和抑郁自评量表(SDS)对患者心理状况进行评定,并统计其复发情况。结果:与对照组比较,观察组干预后PASI评分降低,生活质量评分提高,SAS、SDS评分降低,且复发率降低(P<0.05)。结论:对银屑病患者在常规西医治疗基础上联合中医辨证和中医体质护理可取得良好效果,促进患者恢复,提高患者生活质量,同时可降低其复发率。

Objective: Discussing the intervention effect of psoriasis classification and TCM syndrome differentiation and TCM syndrome combined with TCM nursing intervention. Methods: 45 cases of psoriasis patients admitted in our hospital from January 2013 to January 2016 were divided into two groups according to the digital parity method. The odds entered the controlled group( n = 23),and the patients were treated with ultraviolet radiation; and the evens entered the observation group( n = 22),the patients of this group were treated with the combined method of TCM and TCM( traditional Chinese medicine) nursing. After one-month treatment( PASI score) to assess the patient's condition,compared the two groups of treatment results,the use of health survey Jane,the use of the results of the two groups of patients,( SF-36) was used to assess the quality of life of the patients. The psychological status of the patients was assessed by the self-rating anxiety scale( SAS) and the self-rating depression scale( SDS),and the recurrence was recorded. Results: Compared with the controlled group,the PASI score decreased,the quality of life score increased,SAS and SDS scores decreased,and the recurrence rate decreased( P < 0. 05). Conclusion: The patients with psoriasis receive conventional western medicine combined with traditional Chinese medicine syndrome and physical care can achieve good results,to promote patient recovery,improve patient quality of life,at the same time can reduce the recurrence rate.