Ascophyllum nodosum and Fucus vesiculosus ameliorate restenosis via improving inflammation and regulating the PTEN/PI3K/AKT signaling pathway

Restenosis is a common complication following coronary angioplasty.The traditional use of seaweeds for health benefits has increasingly been explored,however few studies exist reporting its protective effects on the development of restenosis and gut dysbiosis.The aim of this study was to investigate the potential of seaweed extracts(SE) of Ascophyllum nodosum and Fucus vesiculosus in inhibiting intimal hyperplasia in a rat model of restenosis and its underlying mechanisms in macrophages and vascular smooth muscle cells(vSMCs).16S rRNA sequencing was done to investigate the regulatory effect of SE on the gut microbiome of injured rats.As indicated by the results,SE significantly inhibited the progression of intimal hyperplasia in vivo,attenuated inflammation in macrophages and could inhibit the proliferation,dedifferentiation and migration of vSMCs.It was observed through immunoblotting assays that treatment with SE significantly upregulated PTEN expression in macrophages and inhibited the upregulation of PI3K and AKT expression in vSMCs.Meanwhile,according to the 16S rRNA gene sequencing analysis,supplementation with SE modulated gut microbiota composition in injured rats.In conclusion,SE could ameliorate intimal hyperplasia by inhibiting inflammation and vSMCs proliferation through the regulation of the PTEN/PI3K/AKT pathway and modulating the gut microbiome.

A New Steroid from Polygonum nodosum Pers

A new steroid named as Zhonghualiaoine I (1) was isolated from Polygonum nodosum Pers (Chinese name 揨honghualiao? Berberidaceae). Its structure was deduced on the basis of its spectral data.

Potential of a fucoidan-rich Ascophyllum nodosum extract to reduce Salmonella shedding and improve gastrointestinal health in weaned pigs naturally infected with Salmonella

Background:Dietary supplementation with a fucoidan-rich Ascophyllum nodosum extract(ANE),possessing an in vitro anti-Salmonella Typhimurium activity could be a promising on-farm strategy to control Salmonella infection in pigs.The objectives of this study were to:1)evaluate the anti-S.Typhimurium activity of ANE(containing 46.6%fucoidan,18.6%laminarin,10.7%mannitol,4.6%alginate)in vitro,and;2)compare the effects of dietary supplementation with ANE and Zinc oxide(ZnO)on growth performance,Salmonella shedding and selected gut parameters in naturally infected pigs.This was established post-weaning(newly weaned pig experiment)and following regrouping of post-weaned pigs and experimental re-infection with S.Typhimurium(challenge experiment).Results:In the in vitro assay,increasing ANE concentrations led to a linear reduction in S.Typhimurium counts(P<0.05).In the newly weaned pig experiment(12 replicates/treatment),high ANE supplementation increased gain to feed ratio,similar to ZnO supplementation,and reduced faecal Salmonella counts on d 21 compared to the low ANE and control groups(P<0.05).The challenge experiment included thirty-six pigs from the previous experiment that remained on their original dietary treatments(control and high ANE groups with the latter being renamed to ANE group)apart from the ZnO group which transitioned onto a control diet on d 21(ZnO-residual group).These dietary treatments had no effect on performance,faecal scores,Salmonella shedding or colonic and caecal Salmonella counts(P>0.05).ANE supplementation decreased the Enterobacteriaceae counts compared to the control.Enterobacteriaceae counts were also reduced in the ZnO-residual group compared to the control(P<0.05).ANE supplementation decreased the expression of interleukin 22 and transforming growth factor beta 1 in the ileum compared to the control(P<0.05).Conclusions:ANE supplementation was associated with some beneficial changes in the composition of the colonic microbiota,Salmonella shedding,and the expression of inflammatory genes associated with persistent Salmonella infection.

Production of bio-fertilizer from Ascophyllum nodosum and Sargassum muticum (Phaeophyceae)

Oceans and seas form a large body of water that contains a natural biodiversity.For humans,represents a resource,which makes this a point of interest,from researches to improve the economy.Seaweeds produce many compounds and secondary metabolites that can be used in different fi elds of industry such as food,agricultural,pharmaceutical and health.Even though seaweeds are ancestral resources,recently it was notorious a global interest in knowing more about its potentials,where biotechnology plays an important role in research.Studies showed that seaweed has many bioactive compounds benefi cial to plant development,giving them a great potential as an agricultural fertilizer.Adding seaweeds to the soil provides organic matter,minerals,trace elements,growth plant regulator,metabolites,vitamins,and amino acids and it can work as a soil conditioner.In Portugal,the use of seaweeds for agriculture is important since long time ago.In the past,populations that lived near coastal zone depended on the seaweeds as a family subsistence but,throughout the years,synthetic fertilizers replaced seaweeds.Our work aimed to assess the potential of the extracts obtained from Ascophyllum nodosum and from Sargassum muticum as an agricultural fertilizer.This evaluation was carried out with rice plants(Oryza sativa)and lettuce(Lactuca sativa),in germination bioassays,the culture of rice and lettuce plants in pots,and culture of lettuce plants in hydroponics.For that,seaweed liquid extracts were used in different concentrations in different bioassays.Results show that extracts obtained from two seaweeds,A.nodosum and S.muticum,can be promissory plant biofertilizer at a concentration of 25% and had a positive effect on seed germination,plant development,and production.

Granulomatous Mastitis with Erythema Nodosum That Responded to Low-Dose Steroid: Case Report and Literature Review of Nine Patients

A 31-year-old woman was referred with a painful mass in the left breast that was initially treated with antibiotics. Three weeks later, the mass had increased and polyarthritis and erythema nodosum had developed in both legs. A core needle biopsy led to a diagnosis of granulomatous mastitis with arthritis and erythema nodosum. Low-dose prednisolone (10 mg) rapidly improved the arthritis and the erythema nodosum. Granulomatous mastitis is a very rare, chronic inflammatory disease and only nine patients with granulomatous mastitis with erythema nodosum have been described. We reviewed the literature to determine the clinicopathological features and treatment of granulomatous mastitis. Appropriate diagnosis and steroid therapy should result in excellent outcomes.

Clinical characteristics predicting erythema nodosum leprosum(ENL) among patients with multibacillary leprosy(MBL) in Sarawak

Objective:To determine the clinical features predicting erythema nodosum leprosum(ENL) in a non endemic leprosy area.Methods:Twenty newly diagnosed patients with MBL attending the skin clinic,Sarawak General Hospital from 1992 to 2007 were analyzed.They were divided into 2 groups,one with ENL and one without. Analysis of the presenting clinical features was done to determine the risk factors for ENL.Chi square and student t test was used for statistical analysis.Level of significance was set at 0.05.Results:ENL was present in 40%patients,all with lepromatous leprosy(LL).Clinical features that were seen more frequently in patients developing ENL include earlobe thickening(100%cf.25%,P =0.00),loss of the lateral third of the eyebrows(75%cf.16.7%,P=0.02) and mean bacteriology index(BI)(5.1 cf.2.9,P=0.03) and mean morphological index(MI)(17.8 cf.7.0,P =0.02).Number of thickened nerves(mean 2.5 cf. 1.4,P = 0.12),number of skin lesions(mean 19.4 cf.10.9,P = 0.15) and duration of illness(mean 15. 3 cf.12.8 months,P =0.68) did not predict ENL development.Conclusion:Finding LL patients with thickened earlobes,loss of lateral third of the eyebrow,high BI and MI should alert treating clinician to the possibility of ENL in a non endemic leprosy area.

Erythema Nodosum Following EBV Infection in a Child

Epstein-Barr virus (EBV) is one of the eight known human herpesviruses, which is widespread in nature and infects most of the world population. In infants and young children, primary infection is usually asymptomatic or produces an acute illness that is often not recognized as being due to EBV. It has a well-established oncogenic potential, and has been implicated in the pathogenesis of various autoimmune diseases. Here is reported the case of a 32-months old boy, who presented with a history of two days of low-grade fever, pain in both legs, swollen ankles and inability to walk. On physical examination, the child appeared moderately ill, without fever. On both shins were observed nodules 2 - 3 cm in diameter, red to bluish in color, firm and poorly demarcated. Clinically, a diagnosis of Erythema nodosus was performed. Laboratory examinations revealed increased inflammatory parameters. After a full workup, EBV was established as the causative agent. Erythema nodosum is the most common form of panniculitis in children;however, it is relatively uncommon in the pediatric population. It is a self-limited disease, and most of infectious origin in children. Although uncommon, EBV infection is a potential cause of pediatric erythema nodosum.

A Case of Erythema Nodosum Associated with Subareolar Abscess

While erythema nodosum is a nodular, erythematous eruption predominantly affecting the extensor aspects of the legs, breast abscesses are the result of relatively common bacterial infections, and only 2 studies have reported an association between erythema nodosum and breast abscesses. Here, we report the case of a patient with repeated erythema nodosum associated with subareolar abscesses. The patient was a 34-year-old woman with painful erythematous nodules on her right shin, accompanied by an indurated lesion on her right breast 4 days before the onset of the nodules. Therefore, the patient underwent circumareolar incision, and consequently the painful erythematous nodules disappeared. However, after 39 days, the patient developed another tender, painful lesion in her right breast and painful erythematous nodules on her right shin. After another circumareolar incision, the painful erythematous nodules disappeared again. Therefore, we suggested a significant association between erythema nodosum and breast abscess in this patient. The most common underlying causative organism in breast abscess is Staphylococcus aureus;however, erythema nodosum has rarely been proven to be associated with staphylococcal infections. Therefore, the relationship between S. aureus and erythema nodosum is rather controversial. However, the resistance to the usual treatment methods and prolonged clinical course in our case suggest that the pathogenesis of erythema nodosum associated with breast abscesses might be different from that of the common form of erythema nodosum.

Erythema Nodosum Manifestation Post COVID-19 Vaccine: A Case Report

Erythema nodosum (EN) is a delayed hypersensitivity response that may be triggered by a range of conditions, including infections and vaccines. Rare cases of EN caused by COVID-19 were recently reported but none due to COVID-19 vaccines were documented. We report here a case of EN occurring after COVID-19 vaccination. Patient presented with painful nodular lesions of all 4 limbs, evolving for one month. These lesions appeared 48 h after the second dose of COVID-19 vaccination. The patient reported no recent infectious episodes. The physical examination found numerous, erythematous dermohypodermatitis knots with no palpable adenopathy. Some were regressive according to biligenesis shades. Biology and radiology findings eliminated other common causes of this dermatosis. The skin biopsy was done and suggested EN. The final diagnosis was post COVID-19 vaccine EN. Patient received a symptomatic treatment and had a slight improvement of the lesions 10 days after diagnosis. Physicians should be aware of the side effects of the vaccine including skin manifestations, especially since more people are bound to be vaccinated.

Various Organic Nutrient Sources in Combinations with Inorganic Fertilizers Influence the Yield and Quality of Sweet Corn(Zea mays L.saccharata)in New Alluvial Soils of West Bengal,India

Nutrient management plays a crucial role in the yield and quality of sweet corn.A field experiment was conducted in consecutive two kharif seasons in 2018 and 2019 to investigate the effect of various organic sources of nutrients in combination with inorganic sources on the yield and quality of sweet corn under new alluvial soils of West Bengal,India.Treatments were:T_(1):Control(without fertilizers);T_(2):100%recommended dose(RDF)of chemical fertilizers(CF)(RDF CF_(100%));T_(3):100%recommended dose of N(RDN)through vermicompost(VC)(RDN VC_(100%));T_(4):50 RDN through CF+50%RDN through VC(RDN CF_(50%)+RDN VC50%);T_(5):50%RDF through CF+50%RDN through organic source(OS)1,Soligro(Ascophyllum nodosum)granular(RDN CF_(50%)+RDN OS_(150%));T6:50%RDN through CF+50%RDN through OS 2,Bioenzyme(liquid)(RDN CF_(50%)+RDN OS250%);T7:50%RDN through CF+50%RDN through OS 3,Opteine(Ascophyllum nodosum)filtrate[RDN CF_(50%)+RDN OS350%];T8:50%RDN through VC+50%RDF through OS 1,Soligro(Ascophyllum nodosum)granular(RDN VC50%+RDN OS_(150%)).The OS of fertilizers were VC,SoliGro Gr(OS1)(Ascophyllum nodosum),Bioenzyme liquid(OS2),and Opteine(Ascophyllum nodosum)filtrate(OS3).The inorganic source was traditional CF applied at the RDF(150:75:75 kg ha^(−1) of N:P2O5:K2O).The VC was used to supply 100%RDN as one source or 50%RDN when combined with CF or OS.Maximum fruit yield(10.75 and 10.79 t ha^(−1) in 2018 and 2019,respectively)was recorded when RDF was substituted through CF only,being statistically at par with 50%CF+50%VC on a nitrogen equivalent basis(9.92 and 10.00 t ha^(−1) in 2018 and 2019,respectively)and 100%VC(8.22 and 8.32 t ha^(−1) in 2018 and 2019,respectively).Compared to chemical sources of nutrients,VC-based treatments produced a larger percentage of large-size cob(>25 cm).The 100%VC increased antioxidant(8.35 and 8.45 mg g^(−1)),carotenoid(0.59 and 0.61 mg/100 g),and phenol(55.06 and 55.02 mg 100 g^(−1))content compared with its 50%dose in combination with other sources.The study revealed the potentiality of organic sources towards achieving improved cob quality of sweet corn.

以结节性红斑为首发的结核性中耳炎1例并文献复习

耳鼻咽喉结核以喉结核多见,咽结核次之,耳、鼻结核相对最少,随着广泛抗结核治疗,其临床表现越来越不典型。现报道1例以结节性红斑为首发的结核性中耳炎病例,并对相关文献进行复习,以提高对中耳结核感染的警惕性。1临床资料患者女性,27岁,因右耳间断流脓伴听力下降、耳闷16个月于2021年10月25日于河北医科大学第二医院耳鼻咽喉二科就诊。患者曾多次于外院诊断为“慢性化脓性中耳炎”,长期行冲洗、抗炎治疗均无效。查体见右外耳道深部苍白肉芽样组织,鼓膜窥不清。

Efficacy and Safety of Prednisolone Monotherapy Versus Prednisolone Plus Methotrexate in Erythema Nodosum Leprosum (Type 2 Lepra Reaction)

Objective:This study was performed to compare the efficacy and safety of methotrexate(MTX)plus prednisolone versus prednisolone monotherapy in patients with erythema nodosum leprosum(ENL).Methods:This comparative clinical study was performed in the Chittagong Medical College Hospital,Bangladesh from June 2018 to December 2019.Nineteen patients were selected according to inclusion criteria and randomly allocated to either the MTX plus prednisolone group(Group A,n=10)or the prednisolone monotherapy group(Group B,n=9).All patients were followed up until the end of the 6-month duration of therapy to observe the clinical outcomes and adverse effects.Results:All patients in both groups showed significant improvement(P=0.005 and P=0.008 in Group A and B,respectively).However,prednisolone-related adverse events were more frequent in Group B.Conclusion:The present study has demonstrated that a combination of prednisolone and MTX is a safer and more effective treatment than steroid monotherapy in ENL patients including the healing of nodules.However,this combination therapy did not appear to have a significant steroid-sparing effect,possibly because of the small sample size and short study period.Therefore,a well-designed multicenter randomized controlled trial is recommended for validation of MTX with prednisolone for the management of ENL.

85例结节性红斑患者复发因素分析

目的:探讨结节性红斑(Erythema nodosum,EN)复发的有关因素。方法:将2016年1月—2022年6月在赣南医科大学第一附属医院诊断为EN的患者分为复发组(26例)和未复发组(59例),对其临床资料进行回顾性对比分析。采用χ^(2)检验及t检验比较2组临床特征及实验室检验指标,并对其进行多因素Logistic回归分析;比较EN患者结核菌素纯蛋白衍生物(Purified protein derivative of tuberculin,PPD)试验与结核感染T细胞斑点试验(T cell spot test of tuberculosis infection,T-SPOT.TB)的结果。结果:EN的复发与发病部位(χ^(2)=8.137,P=0.004)、C反应蛋白(χ^(2)=5.412,P=0.020)、中性粒细胞数目(χ^(2)=8.485,P=0.014)有关;多因素Logistic回归分析显示,发病部位(OR=5.394,95%CI=1.744~16.689)、C反应蛋白偏高(OR=3.383,95%CI=1.006~11.375)为EN复发的独立危险因素(P<0.05);T-SPOT.TB结果阳性时抗结核治疗的复发率(10%)比PPD试验结果阳性的复发率(81.4%)低(P<0.05)。结论:EN的复发与发病部位、C反应蛋白、中性粒细胞数目有关;影响EN复发的独立危险因素为发病部位、C反应蛋白;T-SPOT.TB与PPD试验联合应用有助于发现EN患者的结核感染,2项结果阳性时抗结核治疗的EN复发率较低。

Type 2 reaction associated sensorineural hearing loss in a drug resistant lepromatous leprosy patient: A case report

Rationale:Leprosy,a chronic granulomatous disease often present clinically as erythema nodosum leprosum,a type 2 reaction.The involvement of cochlear part of audiovestibular system is a rarity.Patient concerns:A 26-year-old male patient with lepromatous leprosy developed bilateral sensorineural hearing loss(SNHL)during type 2 reactional episode.Diagnosis:Recurrent erythema nodosum leprosum in rifampicin-resistant lepromatous leprosy.Interventions:Corticosteroids and second-line multidrug therapy.Outcomes:The patient improved significantly and was further referred for management of psychosocial impact due to sensorineural hearing loss.Lessons:The hearing impairment is a rare complication of type 2 reaction.Any patient with suspected cranial nerve involvement should essentially be screened by tuning fork tests for early detection of hearing impairment and offer timely intervention as required.All high bacteriological index cases should be investigated for antimicrobial resistance in high endemic areas.

肉芽肿性小叶性乳腺炎伴发结节性红斑的诊疗进展

肉芽肿性小叶性乳腺炎(granulomatous lobular mastitis, GLM)是一种病因和发病机制尚未阐明的乳腺良性疾病,好发于有生育哺乳史的育龄期女性,多表现为一侧乳房的疼痛性肿块。而结节性红斑的典型表现为双下肢红色触痛的皮下结节,它可作为GLM乳腺外症状出现于病人的病程中,这种伴发现象较为罕见。GLM伴发结节性红斑病人可能具有某些特殊的临床特征。本文对GLM伴发结节性红斑的病因、发病机制、临床表现、诊断和治疗方法等进行综述。

丹参化瘀汤联合芙蓉膏治疗肉芽肿性乳腺炎并发下肢结节红斑临床观察

目的:通过口服丹参化瘀汤联合芙蓉膏外敷治疗肉芽肿性乳腺炎(GM)并发下肢结节性红斑(EN),分析控制炎症表现的临床相关指标,探讨该法对GM并发下肢EN的疗效。方法:收集在安徽中医药大学第一附属医院乳腺外科就诊,符合GM并发下肢EN的40例患者,按随机数字表法随机分成两组,每组20例。研究组予丹参化瘀汤口服,对照组予头孢地尼胶囊口服,两组患者同时采用院内制剂芙蓉膏外敷下肢结节性红斑处,观察周期为14 d。观察且记录患者治疗前后红斑数目、颜色、平均直径大小、VAS疼痛评分,比较治疗前后外周血白细胞计数(WBC)、中性粒细胞百分比(NE)、超敏C反应蛋白(hsCRP)、血沉(ESR)相关实验室指标水平变化,评估两组患者疗效。结果:治疗后研究组患者下肢红斑数目、平均直径大小及疼痛评分与对照组患者比较,差异有显著统计学意义(P<0.01),且研究组低于对照组;治疗后研究组患者外周血WBC、NEUT、hsCRP、ESR水平低于对照组,差异有统计学意义(P<0.05)。结论:丹参化瘀汤口服联合芙蓉膏外敷治疗GM并发下肢EN时,其控制临床炎症的各项指标均优于对照组,表明该法治疗GM并发下肢EN,可以明显缓解炎症反应,从而改善临床症状,值得临床推广应用。

体外法研究泡叶藻和羊栖菜对高精料下湖羊瘤胃发酵参数的影响

本研究旨在探明泡叶藻(Ascophyllumnodosum)和羊栖菜(Sargassumfusiforme)不同添加比例对高精料日粮湖羊体外发酵参数的影响,阐明各自缓解瘤胃酸中毒的适宜添加比例及其作用机理。采用体外批次培养法,发酵底物精粗比为70꞉30,设置5个添加水平,分别为0(对照)、1%、2%、3%、4%的泡叶藻(ASC_(0)、ASC_(1)、ASC_(2)、ASC_(3)、ASC_(4))和羊栖菜(SAR_(0)、SAR_(1)、SAR_(2)、SAR_(3)、SAR_(4)),在6、9、12、24 h时测定发酵液的pH、氨态氮(NH_(3)-N)、微生物蛋白(MCP)、乳酸和挥发性脂肪酸(VFA)含量。结果表明:1)ASC3、ASC4和SAR3添加组的发酵液pH在发酵各时间点均显著高于各自对照组(P<0.05);2)ASC3组和SAR3组发酵液氨态氮(NH_(3)-N)在发酵12和24 h时浓度均显著低于对照组(P<0.05),且两者发酵液微生物蛋白质(MCP)浓度在发酵24 h时显著高于对照组(P<0.05);3)泡叶藻和羊栖菜各添加组发酵液乳酸浓度在发酵24 h时均显著低于各自对照组(P<0.05);4)对照组相比,泡叶藻各添加组发酵液乙酸/丙酸在发酵各时间点显著升高(P<0.05),丙酸比例显著降低(P<0.05),而羊栖菜添加组仅SAR3组发酵液乙酸比例和乙酸/丙酸在发酵24 h时显著升高(P<0.05),丙酸比例显著降低(P<0.05)。综上所述,添加泡叶藻和羊栖菜均能够有效缓解体外发酵液pH降低,降低乳酸浓度,提高乙酸/丙酸,改善瘤胃发酵模式,具有缓解瘤胃酸中毒的潜力。且在本研究条件下,两种海藻添加量均为3%时缓解瘤胃酸中毒的效果最佳。

结节性红斑患者皮损处CD68和VEGF的表达

目的 研究结节性红斑皮损中CD68和VEGF的表达情况,探讨上述因素在其发病中的作用机理。方法采用Max Vision TM免疫组织化学染色法检测49例结节性红斑患者皮损(疾病组)及10例正常皮肤组织(对照组)CD68和VEGF分子的表达情况。结果 疾病组CD68阳性表达率为95.92%,显著高于正常组CD68阳性表达率(60.00%),差异有统计学意义(P<0.01);疾病组VEGF阳性表达率为95.92%,显著高于正常组VEGF阳性表达率(60.00%),差异有统计学意义(P<0.01)。结论 CD68和VEGF在EN皮损处的高表达,提示EN皮损处有大量处于激活状态的炎细胞浸润、聚集,引起血管内皮细胞损伤,考虑炎症反应和内皮细胞损伤参与了结节性红斑皮损的发病。

柴胡桂枝干姜汤浅析及风湿病治验举隅

[目的]增进对柴胡桂枝干姜汤病机和功效的认识,扩大其临床应用范围。[方法]通过学习其他医家关于柴胡桂枝干姜汤的认识和论点,对柴胡桂枝干姜汤的原文论述、药物组成、配伍和功效进行分析和总结,结合诊疗风湿性疾病的临床实践,选用柴胡桂枝干姜汤治疗干燥综合征、结节性红斑的两则验案,详细叙述其诊疗过程并对医案加以按评,提出自己的认识和观点。[结果]柴胡桂枝干姜汤具有清火润燥、转输津液、化湿散结的功效。针对干燥综合征郁火伤津、津失传输的特点和结节性红斑水结内停、水火互结的情况,分别运用柴胡桂枝干姜汤治疗,或清郁润燥,或散结利水,均取得较好的临床疗效。[结论]临床上只要抓住柴胡桂枝干姜汤证火郁和水结两个关键病理特点,柴胡桂枝干姜汤可广泛应用于包括风湿性疾病等多种复杂病证的治疗。

自拟益气养血散结方治疗瓜藤缠(结节性红斑)气虚血瘀证的临床研究

目的:探讨自拟益气养血散结方治疗结节性红斑气虚血瘀证的疗效。方法:采用自拟益气养血散结方治疗结节性红斑,单独口服吲哚美辛肠溶片作为对照组。共治疗60例患者,其中治疗组32例,对照组28例,病程6个月至3年。两组在年龄与性别构成上的差异无统计学意义。治疗前后将结节数目、红斑颜色、疼痛程度、结节平均直径作为观察指标进行评分,采用4级评分法分别记录治疗组和对照组治疗前与治疗后的评分。结果:治疗组和对照组在治疗第3周末结节数量及结节直径差异显著(P <0.05),第4周末四种靶损害变化差异显著(P <0.05),其中结节数量及结节直径更为明显(P <0.01),差异均有统计学意义。治疗组患者总显效率为96.88%(31/32),明显高于对照组的85.71%(24/28);治疗组痊愈率为75.00%(24/32),明显高于对照组的42.86%(12/28)。差异有统计学意义(P <0.05)。在治疗组痊愈的24例患者中,治疗后随访有3例复发;对照组痊愈的12例患者中,有5例复发,两组的复发率分别为12.50%(3/24)和41.67%(5/12),治疗组复发率低,差异有显著统计学意义(P <0.05)。两组患者分别从各个阶段的靶损害变化、整体的疗效及复发率三个方面对比,治疗组均优于对照组。结论:益气养血散结方治疗结节性红斑有良好疗效,复发率低,能标本兼治,扶正而不留邪。