张建婷（1988.4-），女，陕西咸阳人，本科，主治医师，主要从事儿科临床工作
冯亚东（1989.1-），男，陕西延安人，本科，主治医师，主要从事儿科临床工作
R758.23
目的 研究在儿童湿疹治疗中应用中医湿疹方的效果及对患儿临床症状的影响。方法 选取2023年 3月-2024年3月我院收治的58例湿疹患儿为研究对象，采用随机数字表法分为对照组和观察组，各29例。 对照组采用西医常规治疗，观察组在对照组基础上采用中医湿疹方治疗，比较两组临床疗效、临床症状 评分、临床症状消失时间、满意度及不良反应发生情况。结果 观察组治疗总有效率为96.55%，高于对 照组的82.76%（P ＜0.05）；两组治疗后瘙痒、皮损面积、皮损形态评分均低于治疗前，且观察组低于对 照组（P ＜0.05）；观察组瘙痒消失时间、疼痛消失时间、红肿消失时间均短于对照组（P ＜0.05）；观察 组治疗后满意度评分高于对照组（P ＜0.05）；观察组不良反应发生率为6.90%，低于对照组的10.34%，但 差异无统计学意义（P＞0.05）。结论 在西医常规治疗基础上应用中医湿疹方治疗儿童湿疹的效果良好， 可提高治疗总有效率及满意度，缩短临床症状消失时间，减轻患儿临床症状，且无显著不良反应，是一种 安全、有效、可行的中西医联合治疗方案。
Objective To study the effect of traditional Chinese medicine eczema prescription in the treatment of eczema in children and its effect on clinical symptoms. Methods A total of 58 children with eczema admitted to our hospital from March 2023 to March 2024 were selected as the research objects. They were divided into control group and observation group by random number table method, with 29 children in each group. The control group was treated with conventional western medicine, and the observation group was treated with traditional Chinese medicine eczema prescription on the basis of the control group. The clinical efficacy, clinical symptom score, clinical symptom disappearance time, satisfaction and adverse reactions were compared between the two groups. Results The total effective rate of treatment in the observation group was 96.55%, which was higher than 82.76% in the control group (P <0.05). After treatment, the scores of pruritus, skin lesion area and skin lesion morphology in the two groups were lower than those before treatment, and those in the observation group were lower than the control group (P <0.05). The disappearance time of itching, pain and swelling in the observation group were shorter than those in the control group (P <0.05). The satisfaction score of the observation group after treatment was higher than that of the control group (P <0.05). The incidence of adverse reactions in the observation group was 6.90%, which was lower than 10.34% in the control group, but the difference was not statistically significant (P >0.05). Conclusion On the basis of conventional western medicine treatment, the application of traditional Chinese medicine eczema prescription in the treatment of eczema in children has a good effect. It can improve the total effective rate and satisfaction of treatment, shorten the disappearance time of clinical symptoms, reduce the clinical symptoms of children, and has no significant adverse reactions. It is a safe, effective and feasible combination of traditional Chinese and western medicine.
张建婷,冯亚东.中医湿疹方在儿童湿疹患者中的应用效果及对临床症状的影响[J].医学美学美容,2024,33(21):46-49.
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