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Clinical Efficacy of Huanglian Ointment in the Treatment of Chronic Eczema
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作者 Xintong Fu 《Journal of Clinical and Nursing Research》 2024年第6期382-386,共5页
Objective:To investigate and analyze the clinical efficacy of Huanglian ointment in the treatment of chronic eczema.Methods:114 cases of chronic eczema patients admitted to the Department of Dermatology of our hospita... Objective:To investigate and analyze the clinical efficacy of Huanglian ointment in the treatment of chronic eczema.Methods:114 cases of chronic eczema patients admitted to the Department of Dermatology of our hospital from January 2023 to January 2024 were selected as the study subjects.They were divided into a study group(n=57)and a reference group(n=57)using the double-blind method.The study group was treated with dialyzed Huanglian ointment,while the reference group was treated with conventional treatment.Symptom scores,inflammatory levels,treatment effects,and immune indexes of the two groups were similar before treatment.Results:After treatment,the symptom scores of the study group were significantly lower than those in the reference group(P<0.05).Besides,the interleukin-2(IL-2),tumor necrosis factor-a(TNF-a),interferon-(IFN-),and other inflammatory indicators of the study group were significantly better than those of the reference group(P<0.05).The total efficacy of treatment in the study group was significantly higher than that in the reference group(P<0.05).Furthermore,after treatment,the immunity indexes such as CD3+,CD4+,and CD8+of the study group were significantly better than those of the reference group,(P<0.05).Conclusion:Huanglian ointment is extremely effective for treating chronic eczema so this treatment program should be popularized. 展开更多
关键词 Huanglian ointment chronic eczema TREATMENT
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Low-dose intralesional injection of 5-fluorouracil and triamcinolone reduces tissue resident memory T cells in chronic eczema 被引量:4
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作者 Yun Wu Guo-Jiang Wang +6 位作者 Hui-Qiong He Hai-Hong Qin Wen-Tong Shen Yue Yu Xun Zhang Mao-Lin Zhou Jian-Biao Fei 《World Journal of Clinical Cases》 SCIE 2022年第1期166-176,共11页
BACKGROUND Tissue resident memory T(TRM)cells have been reported to play a significant role in the pathogenesis and relapse of chronic eczema.AIM To compare the efficacy and safety of the intralesional injection of 5-... BACKGROUND Tissue resident memory T(TRM)cells have been reported to play a significant role in the pathogenesis and relapse of chronic eczema.AIM To compare the efficacy and safety of the intralesional injection of 5-fluorouracil(5-FU)and triamcinolone(TA)with those associated with TA alone for the treatment of chronic eczema.METHODS A total of 168 patients were randomized to 5-FU+TA or TA groups and received a one-time intralesional injection of 5-FU+TA or TA only.Biopsies were collected before and 2 wk after treatment for evaluation of histopathological changes.All patients were followed up monthly for up to 1 year.RESULTS No serious adverse event was observed in either group.Although the mean atopic dermatitis severity index scores and effective rates were comparable between the two groups after 2 wk of treatment,the relapse rate was significantly lower in the 5-FU+TA group than in the TA group.Histological examination showed significantly fewer CD8^(+)and CD103^(+)T cells but not CD4^(+)T cells in the 5-FU+TA group.CONCLUSION One-time intralesional injection of 5-FU+TA is effective and safe for chronic eczema treatment and can further reduce the retention of T_(RM) cells in the lesional skin and the relapse rate of chronic eczema. 展开更多
关键词 chronic eczema 5-FLUOROURACIL TRIAMCINOLONE Intralesional injection Tissue resident memory T cell
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Research Progress of Cymbaria mongolica Maxim.in the Treatment of Chronic Eczema 被引量:2
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作者 Gerile Jinbao +2 位作者 Wuyuntana Wulangerile Sarentuya 《Medicinal Plant》 CAS 2020年第3期21-23,共3页
Chronic eczema is a kind of skin disease which is difficult to treat.It is easy to occur repeatedly,and itching is intolerable during the attack,which seriously affects the daily life of patients.Through the review of... Chronic eczema is a kind of skin disease which is difficult to treat.It is easy to occur repeatedly,and itching is intolerable during the attack,which seriously affects the daily life of patients.Through the review of the treatment of chronic eczema with Mongolian medicine Cymbaria mongolica Maxim.,it has the advantages of improving the cure rate and the quality of life,and reducing the recurrence rate,and so on,which provides a scientific basis for the promotion and further research of traditional Mongolian medicine Cymbaria mongolica Maxim. 展开更多
关键词 Cymbaria mongolica Maxim. TREATMENT chronic eczema PROGRESS
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Shizhenqing granule stimulates the hypothalamic-pituitary-adrenal axis and reduces serum pro-inflammatory factors in a rat model with chronic eczema 被引量:1
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作者 Jinrui Lu Xiaoyan Liu +1 位作者 Yao Xiao Shuran Ma 《Journal of Traditional Chinese Medical Sciences》 2020年第4期386-392,共7页
Objective:In this study,we examined the effects of Shizhenqing granule(SZQG)on hypothalamicpituitary-adrenal(HPA)axis and serum inflammatory factors in a rat model of chronic eczema,in order to explore the mechanism o... Objective:In this study,we examined the effects of Shizhenqing granule(SZQG)on hypothalamicpituitary-adrenal(HPA)axis and serum inflammatory factors in a rat model of chronic eczema,in order to explore the mechanism of action of SZQG in treatment of this disease.Methods:Sixty SpragueeDawley male rats were randomly divided into six groups(with 10 rats per group):blank group;model group;positive control group(prednisone);and the low-,medium-,and high-dose SZQG groups.Except for the blank group,rats in all other groups were treated with 2,4-dinitrochlorobenzene to induce chronic eczema.These rats were administered prednisone or SZQG for 7 consecutive days after successful establishment of the chronic eczema model,and samples were collected 12 h after the last administration.The degree of skin lesions and the changes in serum levels of corticotropin-releasing hormone(CRH),adrenocorticotropic hormone(ACTH),cortisol(CORT),interleukin(IL)-4,interferon(IFN)-g,IL-25,and IL-31 among the groups were compared.Results:SZQG effectively increased the levels of CRH,ACTH,and CORT,which decreased in the serum of rats with chronic eczema,stimulated the function of the HPA axis,and promoted the expression of glucocorticoids.SZQG reduced the serum levels of inflammatory factors including IL-4,IL-25 and IL-31,which were overexpressed in rats with chronic eczema,and increased those of anti-inflammatory factor IFN-g,thereby alleviating the inflammatory symptoms and itching,and ameliorating the clinical symptoms of chronic eczema.Conclusion:SZQG effectively alleviates skin lesions in the chronic eczema rat model by stimulating the function of the HPA axis. 展开更多
关键词 Shizhenqing granule chronic eczema Hypothalamic-pituitary-adrenal axis Inflammatory factors
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Clinical efficacy of combined skin acupuncture and external washing therapy of Zhuang nationality medicine in the treatment of chronic eczema
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作者 Zu-Ling Jiang An Huang +3 位作者 Gui-Yan Deng Jing Xu Jing Tang Feng-Zhen Liang 《Traditional Medicine Research》 2018年第5期237-242,共6页
To evaluate the clinical efficacy of combined skin acupuncture and external washing therapy of Zhuang nationality medicine in the treatment of chronic eczema.Methods:One hundred and twenty patients with chronic eczema... To evaluate the clinical efficacy of combined skin acupuncture and external washing therapy of Zhuang nationality medicine in the treatment of chronic eczema.Methods:One hundred and twenty patients with chronic eczema were randomly divided into an experimental group(60 cases)and a control group(60 cases).The experimental group was treated with skin acupuncture combined with external washing therapy,and the control group was treated with externally applied mometasone furoate cream.The patients’symptoms and total severity were scored and analyzed before and after the 4-week treatment.The symptoms scored included:erythema,papule/hard swelling,epidermal exfoliation,mossy lesion,exudation/scab,and pruritus.Clinical efficacy and adverse reactions were compared before and after the 4-week treatment.Results:Scores for the different kinds of skin derogation,pruritus symptoms,the eczema area,and severity index(EASI)were all reduced after the treatments.Pruritus symptoms and EASI scores in the experimental group were lower than those of the control group(P<0.05).The total effective rate in the experimental group was 81.03%,which was much higher than the 61.11%in the control group(Z=-2.391,P=0.017).Conclusion:The clinical efficacy of combined skin acupuncture and external washing therapy of Zhuang nationality medicine in the treatment of chronic eczema was better than that of mometasone furoate cream. 展开更多
关键词 chronic eczema Skin acupuncture of Zhuang nationality medicine External washing of Zhuang nationality medicine
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Exploring the association between gastrointestinal heat retention syndrome and adult chronic eczema: A caseecontrol study
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作者 Chencheng Mei He Yu +7 位作者 Wenlong Li Xueyan Ma Yunbi Zhang Qi Sun Yuhong Kong Tiegang Liu Teck Chuan Kong Xiaohong Gu 《Journal of Traditional Chinese Medical Sciences》 2020年第2期114-120,共7页
Objective:To investigate the association between gastrointestinal heat retention syndrome(GHRS)and adult chronic eczema.Methods:This caseecontrol study compared GHRS/GHRS accompanied by damp-heat syndrome(GHRSDHS)and ... Objective:To investigate the association between gastrointestinal heat retention syndrome(GHRS)and adult chronic eczema.Methods:This caseecontrol study compared GHRS/GHRS accompanied by damp-heat syndrome(GHRSDHS)and other patient characteristics between subjects with(cases)and without chronic eczema(controls)to identify potential factors associated with this condition.Semi-structured questionnaires were used to collect data via face-to-face interviews.Participants were recruited from Dongzhimen Hospital affiliated with Beijing University of Chinese Medicine.A logistic regression analysis was performed on the collected data,and odds ratios(ORs)were calculated.Results:A total of 168 cases and 172 controls were recruited.Among the cases of adult chronic eczema,there were 79 subjects with GHRS and 68 with GHRS-DHS.Sex(P=.02,OR=0.54,95%confidence interval[CI]:0.32-0.91),GHRS(P=.04,OR=1.90,95%CI:1.02-3.51),GHRS-DHS(P<.001,OR=4.89,95%CI:2.36-10.15),high sweet food consumption(P=.04,OR=2.03,95%CI:1.03-3.97),and mental stress(P=.01,OR=2.37,95%CI:1.26-4.47)were each found to be associated with chronic eczema.Furthermore,GHRS had a weak positive correlation with eczema EASI severity as measured by the eczema area and severity index(EASI)(P=003).Conclusion:GHRS/GHRS-DHS may be associated with adult chronic eczema.In the future,prospective cohort studies with larger samples should be conducted to investigate the cause and effect association between GHRS and adult chronic eczema. 展开更多
关键词 Adult chronic eczema Gastrointestinal heat retention syndrome Case-control study Traditional Chinese medicine
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A Case of Invasive Pulmonary Aspergillosis Resulted from the Treatment of Chronic Eczema
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作者 Mimi Zhou Jianbo Hong Yue Chen 《Journal of Geriatric Medicine》 2022年第2期1-3,共3页
This was an advanced male(87-year-old)with refractory chronic eczema for over 40 years,based on his allergic constitution,accompanied with chronic kidney disease due to primary hypertension(CKD,phase 3).It was so diff... This was an advanced male(87-year-old)with refractory chronic eczema for over 40 years,based on his allergic constitution,accompanied with chronic kidney disease due to primary hypertension(CKD,phase 3).It was so difficult to tolerate the severe itching that the glucocorticoids(GC)had to be applied to it,but some new-onset respiratory symptoms,such as cough,dyspnea after exertion etc.,occurred to this patient.Some classical IPA images were found on his pulmonary CT scanning,which were further comfirmed by the positive findings of GM-test,and then a final diagno­sis of IPA was accordingly established.Unfortunately,a persistent fever emerged after starting an antifungal therapy to the patient,and his IL-2 level was detected to be superhigh.As a response to allergic fever,GC was carefully given intravenously again to treat it,and it turned out to be totally improved since then;suggesting that systemic thinking(integrated with the other clinical evidences)is essential to diagnose IPA,and GC can also be used to improve its symptoms with the existence of antifungal therapy. 展开更多
关键词 chronic eczema GLUCOCORTICOIDS Invasive pulmonary aspergillosis Allergic fever Antifungal therapy
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TREATMENT OF 40 CASES OF CHRONIC ECZEMA WITH POINT-INJECTION OF COMPOUND RADIX SALVIAE MILTIORRHIZAE INJECTION
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作者 郭志伟 陈汉章 《World Journal of Acupuncture-Moxibustion》 2000年第2期21-23,共3页
The authors have used point-injection of compound Radix Salviae Miltiorrhizae Injection to treat 40 cases of chronic eczema and achieved a satisfactory therapeutic effect. The total effective rate was 95%.
关键词 Point-injection Compound Radix Salviae Miltiorrhizae Injection chronic eczema
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Study on effect of Traditional Chinese Medicine Jianpi Chushi decoction and ointment on chronic eczema 被引量:8
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作者 Hui-Lei Wan Hui-Zhi Chen Xiu-Qin Shi 《Asian Pacific Journal of Tropical Medicine》 SCIE CAS 2016年第9期897-900,共4页
Objective:To study the effects of Traditional Chinese Medicine Jianpi Chushi decoction and ointment on chronic eczema.Methods:DNCB acetone solution was used to sensitize the skin of back and ears of 36 rats in order t... Objective:To study the effects of Traditional Chinese Medicine Jianpi Chushi decoction and ointment on chronic eczema.Methods:DNCB acetone solution was used to sensitize the skin of back and ears of 36 rats in order to establish chronic eczema model.A total of 36 rats were divided into four groups of 9 randomly including oral medicine group,external inunctum group,combination therapy group,and model control group respectively.Besides,the blank group of 4 healthy rats were set.The oral medicine group was given Traditional Chinese Medicine Jianpi Chushi decoction [(Poria cocos,Chinese yam,Cortex dictamni,Zaocys dhumnade,Rhizoma atractylodis,Pericarpium citri reticulatae,Scutellaria baicalensis,Radix Sophorae Flavescentis,Raw Radix Paeoniae Alba,Licorice roots(Northwest Origin)] by gastric infusion(1.6 g/m L·5 m L/d); the external inunctum group was given Qingpeng ointment on the skin,the combination therapy group was given Jianpi Chushi decoction by gastric infusion and Qingpeng ointment combination therapy.The model control group was given normal saline(NS) of the same volume by gastric infusion and vaseline on skin.Continuous administration 15 d and stopped for 3 d.The thickness difference and weight difference of left and right ear of every group were measured and the degree of ear swelling were evaluated.The CD4^+ and CD8^+ content and the IL-2,IL-4 level of serum were detected,and the inflammatory cells counts of back skin were recorded.Results:After treatment,the degree of ear swelling of oral medicine group,external inunctum group and combination therapy group significant decreased compared with model control group(P<0.05).The CD4^+,CD8^+ cell content and IL-2 level of oral medicine group,external inunctum group,combination therapy group and model control group significant decreased compared with blank group,and IL-2 level and the inflammatory cells count increased.After 15 d of treatment,the CD4^+,CD8^+ cell content and IL-2 level of serum of oral medicine group,external inunctum group and combination therapy group raised and the IL-4 level and the inflammatory cells count had significant decreased compared with model control group,and the effect of combination therapy group was more obvious(P<0.05).Conclusions:Qral Jianpi Chushi decoction could treat chronic eczema effectively,and oral Chinese medicine combined with ointment could enhance and speed up the efficacy. 展开更多
关键词 chronic eczema Rat Jianpi Chushi DECOCTION Qingpeng OINTMENT Combination THERAPY
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火针联合黄连膏包敷治疗慢性湿疹血虚风燥证的临床观察
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作者 秦宗碧 李伶华 +3 位作者 蔡翔 邱百怡 王首帆 徐爱琴 《河北中医》 2024年第8期1325-1327,1332,共4页
目的观察火针联合黄连膏包敷治疗慢性湿疹血虚风燥证的临床疗效。方法将100例慢性湿疹血虚风燥证患者按照随机数字表法分为2组,对照组50例予局部火针方法治疗,治疗组50例在对照组基础上予黄连膏包敷方法治疗。2组均治疗4周。比较2组治... 目的观察火针联合黄连膏包敷治疗慢性湿疹血虚风燥证的临床疗效。方法将100例慢性湿疹血虚风燥证患者按照随机数字表法分为2组,对照组50例予局部火针方法治疗,治疗组50例在对照组基础上予黄连膏包敷方法治疗。2组均治疗4周。比较2组治疗前后湿疹面积及严重程度指数(EASI)评分、瘙痒程度评分、瘙痒频率评分,并统计2组疗效及复发率。结果治疗组总有效率96.00%(48/50),对照组总有效率82.00%(41/50),治疗组临床疗效优于对照组(P<0.05)。2组治疗后EASI各项评分均较本组治疗前降低(P<0.05),且治疗组治疗后均低于对照组(P<0.05)。2组治疗后瘙痒程度评分、瘙痒频率评分均较本组治疗前降低(P<0.05),且治疗组治疗后均低于对照组(P<0.05)。治疗组复发率低于对照组(P<0.05)。结论火针联合黄连膏包敷治疗慢性湿疹血虚风燥证患者效果显著,能够减轻患者的瘙痒症状,降低复发率,值得推广应用。 展开更多
关键词 慢性湿疹 火针疗法 中药外敷
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基于JAK1/STAT5信号通路探讨肤痒静凝胶治疗慢性湿疹作用机制
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作者 李彦梅 马超超 +4 位作者 牛凡琪 杨鹏斐 王宁 王思农 李廷保 《中国临床药理学与治疗学》 CAS CSCD 北大核心 2024年第9期1011-1018,共8页
目的:探讨肤痒静凝胶对慢性湿疹大鼠模型蛋白酪氨酸激酶1(janus protein kinase 1,JAK1)/信号转导与转录激活子5(signal transducerand activator of transcription 5,STAT5)信号通路调控作用的分子机制。方法:将36只SPF级Wistar大鼠随... 目的:探讨肤痒静凝胶对慢性湿疹大鼠模型蛋白酪氨酸激酶1(janus protein kinase 1,JAK1)/信号转导与转录激活子5(signal transducerand activator of transcription 5,STAT5)信号通路调控作用的分子机制。方法:将36只SPF级Wistar大鼠随机分为正常组、模型组、青鹏软膏组(2500 mg·kg^(-1)·d^(-1))、肤痒静凝胶低(0.08 g/g)、中(0.16 g/g)、高(0.32 g/g)剂量组。除正常组外,其余组大鼠均采用2,4-二硝基氯苯丙酮液背部诱导慢性湿疹样病变。造模3周后青鹏软膏组及肤痒静凝胶低、中、高剂量组分别涂抹相应药物治疗;模型组涂抹空白凝胶基质,每日1次,共2周,正常组不做处理。观察慢性湿疹大鼠背部皮损的严重程度和病理变化;Western blot法检测大鼠背部皮肤组织中磷酸化蛋白酪氨酸激酶1(p-JAK1)和磷酸化信号转导与转录激活子5(p-STAT5)蛋白表达;qRT-PCR法检测大鼠背部皮肤组织中胸腺基质淋巴细胞生成素(thymic stromallymphopietin,TSLP)、JAK1、STAT5、白细胞介素-10(IL-10)和IL-17 mRNA表达水平;酶联免疫吸附法(ELISA)测定大鼠血清中IL-4、IL-6、IL-10、IL-13和IL-17水平。结果:与正常组比较,模型组大鼠血清中IL-4、IL-6、IL-13和IL-17水平明显升高,IL-10水平明显降低(P<0.05),背部皮损组织中p-JAK1、p-STAT5蛋白和TSLP、JAK1、STAT5、IL-17 mRNA表达水平明显升高,IL-10 mRNA水平明显降低(P<0.05)。与模型组比较,青鹏软膏组、肤痒静凝胶低、中、高剂量组大鼠血清中IL-4、IL-6、IL-13和IL-17水平明显降低,IL-10水平明显升高(P<0.05),背部皮损组织中p-JAK1、p-STAT5蛋白和TSLP、JAK1、STAT5、IL-17 mRNA表达水平明显降低,IL-10 mRNA水平明显升高(P<0.05)。与肤痒静凝胶低、中剂量组比较,青鹏软膏组大鼠血清中IL-4、IL-6、IL-13和IL-17水平明显降低,IL-10水平明显升高(P<0.05),背部皮损组织中p-JAK1、p-STAT5蛋白和TSLP、JAK1、STAT5、IL-17 mRNA表达水平明显降低,IL-10 mRNA水平明显升高(P<0.05)。与青鹏软膏组比较,肤痒静凝胶高剂量组大鼠血清中IL-4、IL-6、IL-10、IL-13和IL-17水平无明显差异(P>0.05),背部皮损组织中p-JAK1、p-STAT5蛋白和TSLP、JAK1、STAT5、IL-10、IL-17 mRNA表达水平无明显差异(P>0.05)。结论:肤痒静凝胶可能通过调控JAK1/STAT5信号通路相关炎症因子、蛋白和基因的表达发挥治疗慢性湿疹的作用。 展开更多
关键词 肤痒静凝胶 慢性湿疹 大鼠 模型 JAK1/STAT5信号通路
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朱仁康运用滋阴除湿汤治疗慢性湿疹经验
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作者 李一平 沈冬 +2 位作者 罗婉婷 张洪雨 曾雪 《中国中医药信息杂志》 CAS CSCD 2024年第6期171-174,共4页
本文对朱仁康教授运用滋阴除湿汤治疗慢性湿疹经验进行总结。朱仁康教授认为,湿疹发病不离湿邪,湿邪贯穿疾病各阶段。发作期以标实为主,风邪袭表,腠理疏松,营阴外泄,留滞为湿,风湿相结于皮腠;慢性期以阴虚为主,久病伤正,湿伏于里,营阴... 本文对朱仁康教授运用滋阴除湿汤治疗慢性湿疹经验进行总结。朱仁康教授认为,湿疹发病不离湿邪,湿邪贯穿疾病各阶段。发作期以标实为主,风邪袭表,腠理疏松,营阴外泄,留滞为湿,风湿相结于皮腠;慢性期以阴虚为主,久病伤正,湿伏于里,营阴亏虚而外燥。朱仁康教授针对慢性湿疹营阴亏损、湿邪留恋的疾病特点,创立滋阴除湿汤,并强调营阴与湿邪同源异途,并存不悖,滋阴与除湿之法并用,使阴复而无助湿之弊,湿去而无伤阴之瑕,可取得满意疗效。 展开更多
关键词 慢性湿疹 滋阴除湿汤 名医经验 朱仁康
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消银颗粒与他克莫司联合应用对慢性湿疹患者疼痛及免疫指标的改善
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作者 程燕 王春花 吴晓莉 《世界复合医学》 2024年第4期21-24,共4页
目的 探究消银颗粒与他克莫司联合应用对慢性湿疹患者疼痛及免疫指标改善效果。方法 选取2022年1月—2023年2月山东省荣军总医院收治的94例慢性湿疹患者为研究对象,以电脑随机分配法分为对照组、观察组,各47例。对照组应用他克莫司治疗... 目的 探究消银颗粒与他克莫司联合应用对慢性湿疹患者疼痛及免疫指标改善效果。方法 选取2022年1月—2023年2月山东省荣军总医院收治的94例慢性湿疹患者为研究对象,以电脑随机分配法分为对照组、观察组,各47例。对照组应用他克莫司治疗,观察组应用消银颗粒联合他克莫司治疗。比较两组治疗效果、治疗前后中医证候积分、免疫功能及睡眠质量。结果 观察组治疗总有效率为95.74%,高于对照组的78.72%,差异有统计学意义(χ^(2)=6.114,P<0.05)。治疗后,观察组中医证候积分低于对照组,差异有统计学意义(P<0.05)。治疗后,观察组CD4^(+)、CD4^(+)/CD8^(+)水平高于对照组,CD8^(+)水平低于对照组,差异有统计学意义(P均<0.05)。治疗后,观察组匹兹堡睡眠质量指数评分低于对照组,差异有统计学意义(P<0.05)。结论 对慢性湿疹患者实施他克莫司联合消银颗粒治疗,可提升治疗效果,降低中医证候积分,提升免疫功能,提高患者睡眠质量。 展开更多
关键词 慢性湿疹 他克莫司 消银颗粒
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新安解燥汤加减联合中药浸泡治疗慢性手部湿疹临床研究
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作者 陈金润 姜瀚 +1 位作者 王建锋 张虹亚 《安徽中医药大学学报》 CAS 2024年第4期12-16,共5页
目的观察新安解燥汤加减联合中药浸泡治疗慢性手部湿疹的临床疗效。方法将60例慢性手部湿疹患者随机分为对照组和观察组,每组30例。对照组采用慢性手部湿疹外洗方浸泡后立即外用尿素乳膏,观察组在对照组基础上予以新安解燥汤加减治疗。... 目的观察新安解燥汤加减联合中药浸泡治疗慢性手部湿疹的临床疗效。方法将60例慢性手部湿疹患者随机分为对照组和观察组,每组30例。对照组采用慢性手部湿疹外洗方浸泡后立即外用尿素乳膏,观察组在对照组基础上予以新安解燥汤加减治疗。分别比较治疗前、治疗4周后、治疗8周后两组患者手部湿疹严重指数(hand eczema severity index,HECSI)评分、瘙痒和疼痛的视觉模拟量表(visual analogue scale,VAS)评分以及皮肤病生活质量指数(dermatology life quality index,DLQI)评分,并评估临床疗效、不良反应及复发情况。结果两组患者治疗4周后HECSI评分、VAS评分、DLQI评分均显著低于治疗前(P<0.05),治疗8周后上述评分均显著低于治疗4周后(P<0.05),且观察组降低程度更明显(P<0.05)。观察组临床疗效优于对照组(P<0.05),且复发率更低(P<0.05),两组均无明显不良反应。结论新安解燥汤加减联合中药浸泡治疗慢性手部湿疹临床疗效确切。 展开更多
关键词 新安解燥汤 燥湿为纲 中药浸泡 慢性手部湿疹
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盐酸左西替利嗪片内服与丙酸氟替卡松乳膏外用联合治疗慢性湿疹的效果与不良反应分析
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作者 黄宇锋 卞坤鹏 翟伟 《临床医学工程》 2024年第5期579-580,共2页
目的探讨盐酸左西替利嗪片内服与丙酸氟替卡松乳膏外用联合治疗慢性湿疹的效果与不良反应。方法选择2022年3月至2023年3月我院收治的慢性湿疹患者160例,随机分为对照组和观察组各80例。对照组给予盐酸左西替利嗪片内服,观察组在对照组... 目的探讨盐酸左西替利嗪片内服与丙酸氟替卡松乳膏外用联合治疗慢性湿疹的效果与不良反应。方法选择2022年3月至2023年3月我院收治的慢性湿疹患者160例,随机分为对照组和观察组各80例。对照组给予盐酸左西替利嗪片内服,观察组在对照组基础上给予丙酸氟替卡松乳膏外用。对比两组的临床疗效、临床症状消失时间、皮损情况和不良反应。结果观察组总有效率高于对照组(P<0.05)。观察组疼痛、肥厚、鳞屑、红斑消失时间短于对照组,治疗后皮损症状积分和皮损面积低于对照组(P<0.05)。两组的不良反应发生率比较无统计学差异(P>0.05)。结论盐酸左西替利嗪片内服与丙酸氟替卡松乳膏外用联合治疗慢性湿疹可显著提高临床疗效,加快患者临床症状消失,改善皮损情况,且安全性较高,值得临床推广应用。 展开更多
关键词 慢性湿疹 盐酸左西替利嗪片 丙酸氟替卡松 疗效 不良反应
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火针治疗慢性湿疹Meta分析
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作者 张笑 陈南萍 +1 位作者 陈林 周易芬 《中国中医药现代远程教育》 2024年第20期119-122,共4页
目的系统评价火针治疗慢性湿疹的临床有效性,为临床合理治疗慢性湿疹提供循证依据。方法检索各文献数据库创库至今所有火针治疗慢性湿疹的相关临床文献,运用Rev Man 5.4.1软件,辅以STATA 12.0对其总有效率结局指标进行分析。结果12篇文... 目的系统评价火针治疗慢性湿疹的临床有效性,为临床合理治疗慢性湿疹提供循证依据。方法检索各文献数据库创库至今所有火针治疗慢性湿疹的相关临床文献,运用Rev Man 5.4.1软件,辅以STATA 12.0对其总有效率结局指标进行分析。结果12篇文献符合纳入标准,累计病例779例。系统评价提示,试验组与对照组差异有统计学意义(OR=3.85,95%CI[2.42,6.12],P<0.00001)。结论Meta分析结果表明,相较于常规西药治疗,火针治疗慢性湿疹的效果存在明显优势。然而纳入文献数量不足或质量欠佳,影响结果的论证强度,尚需要更多大样本、高质量、多中心的随机对照试验加强此结论。 展开更多
关键词 火针 慢性湿疹 META分析
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基于数据挖掘的刘兰林教授运用温病学三焦理论辨治慢性难治性湿疹的用药规律
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作者 罗迪成 刘兰林 +3 位作者 郭锦晨 张宇 邢鹏飞 杨玉祥 《中国民族民间医药》 2024年第7期103-107,共5页
目的:运用数据挖掘技术研究刘兰林教授辨治慢性湿疹的用药规律。方法:收集整理刘兰林教授治疗慢性湿疹的105张门诊处方单,借助Microsoft Excel 2010、SPSS Statistics 22.0、SPSS Modeler 18.0计算机软件建立数据库并进行频数及聚类分... 目的:运用数据挖掘技术研究刘兰林教授辨治慢性湿疹的用药规律。方法:收集整理刘兰林教授治疗慢性湿疹的105张门诊处方单,借助Microsoft Excel 2010、SPSS Statistics 22.0、SPSS Modeler 18.0计算机软件建立数据库并进行频数及聚类分析。结果:所收集的处方涉及中药147味,18类,使用频数≥20次的常用药物有牡丹皮、蝉蜕、白鲜皮等,清热药、利水渗湿药位居前2位,药性上寒温搭配,药味以甘、苦、辛为主,归经多入肝、胃、脾、肺经。聚类分析出牡丹皮、大青叶、生地黄、淡竹叶、水牛角、玄参、首乌藤,蝉蜕、防风、僵蚕、徐长卿等7种组合。结论:刘兰林教授以温病学三焦理论为指导,将慢性湿疹病机核心责之于湿热内蕴,外发肌肤,治疗遵循三焦辨治原则,治以清热祛湿,调畅气机,分消上中下三焦湿热之邪,酌情配以凉血散瘀,祛风通络之品,用药喜寒温搭配,甘苦合化及苦辛相伍,擅以犀角地黄汤、升降散、五苓散、四妙散等经典名方加减。 展开更多
关键词 慢性湿疹 数据挖掘 刘兰林教授 三焦辨治
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麻黄连翘赤小豆汤加减对慢性湿疹患者的临床疗效
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作者 王庆兴 张步鑫 +3 位作者 徐胜东 王丽 李静 刘爱民 《中成药》 CAS CSCD 北大核心 2024年第9期2943-2949,共7页
目的探讨麻黄连翘赤小豆汤加减对慢性湿疹患者的临床疗效。方法195例患者随机分为中药组、西药组和联合组,每组65例,中药组给予麻黄连翘赤小豆汤加减,西药组给予盐酸左西替利嗪,联合组给予麻黄连翘赤小豆汤加减联合盐酸左西替利嗪,疗程... 目的探讨麻黄连翘赤小豆汤加减对慢性湿疹患者的临床疗效。方法195例患者随机分为中药组、西药组和联合组,每组65例,中药组给予麻黄连翘赤小豆汤加减,西药组给予盐酸左西替利嗪,联合组给予麻黄连翘赤小豆汤加减联合盐酸左西替利嗪,疗程3周。检测临床疗效、临床指标(EASI评分、DQOLS评分、中医证候评分、PINS)、皮肤生理功能指标(OCTS、TEWL、WCTC)、炎性因子(EOT、EOS、NK-κB、CCR3)、T淋巴细胞亚群(Treg、Th1、Th17、Th22)、p38MAPK信号通路指标(ERK1、ERK2、MEK1、MEK2)、复发率、不良反应发生率变化。结果联合组总有效率高于中药组、西药组(P<0.05),复发率更低(P<0.05)。治疗后,联合组EASI评分、中医证候评分、PINS、TEWL、炎性因子、Th1、Th17、Th22、p38MAPK信号通路指标低于其他2组(P<0.05),DQOLS评分、OCTS、WCTC、Treg更高(P<0.05)。中药组不良反应发生率低于其他2组(P<0.05)。结论基于“四位一体”疗法的麻黄连翘赤小豆汤加减可安全有效地减轻慢性湿疹患者皮损程度,提高皮肤生理功能,改善炎性因子、T淋巴细胞亚群水平,调节p38MAPK信号通路,联合盐酸左西替利嗪具有协同增效的作用。 展开更多
关键词 麻黄连翘赤小豆汤 盐酸左西替利嗪 慢性湿疹 “四位一体”疗法
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消风散加减联合复方黄柏液涂剂治疗血虚风燥型慢性肛周湿疹临床观察
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作者 牛晨懿 卢灿省 +1 位作者 孙玉敏 陈灿 《中医药临床杂志》 2024年第3期548-551,共4页
目的:观察消风散加减联合复方黄柏液涂剂治疗血虚风燥型慢性肛周湿疹的临床疗效。方法:将64例已确诊的血虚风燥型慢性肛周湿疹患者,按随机数字表法分组,观察组、对照组各32例,观察组采用消风散加减联合复方黄柏液涂剂外敷治疗,对照组采... 目的:观察消风散加减联合复方黄柏液涂剂治疗血虚风燥型慢性肛周湿疹的临床疗效。方法:将64例已确诊的血虚风燥型慢性肛周湿疹患者,按随机数字表法分组,观察组、对照组各32例,观察组采用消风散加减联合复方黄柏液涂剂外敷治疗,对照组采用复方黄柏液涂剂外敷治疗,疗程为4周,比较2组的治疗效果。结果:观察组的治疗总有效率明显高于对照组,差异具有统计学意义(P<0.05)。治疗后,观察组的肛周瘙痒、肛周渗液、皮损面积、皮损形态及白介素-4(IL-4)、肿瘤坏死因子-α(TNF-α)及血清总IgE水平均低于对照组,差异具有统计学意义(P<0.05)。结论:消风散加减联合复方黄柏液涂剂治疗血虚风燥型慢性肛周湿疹有较好疗效。 展开更多
关键词 消风散 复方黄柏液涂剂 慢性肛周湿疹
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火针联合甘草油封包治疗慢性湿疹的临床观察
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作者 栗伟 周荣新 +2 位作者 刘姝晨 田小磊 刘丽亚 《河北中医》 2024年第4期619-622,共4页
目的观察火针联合甘草油封包治疗慢性湿疹的临床疗效。方法将60例慢性湿疹患者按照随机数字表法分为2组,对照组30例予复方氟米松软膏治疗,治疗组30例在对照组的基础上加用火针联合甘草油封包治疗。2组均治疗1周为1个疗程,治疗3个疗程后... 目的观察火针联合甘草油封包治疗慢性湿疹的临床疗效。方法将60例慢性湿疹患者按照随机数字表法分为2组,对照组30例予复方氟米松软膏治疗,治疗组30例在对照组的基础上加用火针联合甘草油封包治疗。2组均治疗1周为1个疗程,治疗3个疗程后统计疗效,比较2组治疗前后湿疹面积及严重度指数(EASI)评分及瘙痒症状评分变化情况。结果治疗组总有效率93.33%(28/30),对照组总有效率66.67%(20/30),治疗组总有效率高于对照组(P<0.05)。与本组治疗前比较,2组治疗后EASI评分均降低(P<0.05),且治疗组治疗后EASI评分低于对照组(P<0.05)。与本组治疗前比较,2组治疗后瘙痒症状评分均降低(P<0.05),且治疗组治疗后瘙痒症状评分低于对照组(P<0.05)。结论火针联合甘草油封包治疗慢性湿疹临床疗效确切,可有效促进患者皮损修复,减轻瘙痒症状,提高临床疗效,安全可靠。 展开更多
关键词 慢性湿疹 火针 甘草油 封包疗法
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