玉屏风散联合奥洛他定治疗慢性荨麻疹的临床观察

Feng Jiang
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摘要

目的研究分析玉屏风散联合奥洛他定治疗慢性荨麻疹患者的临床效果。方法:研究时间为 2023 年 1 月至 2024 年 1 月:研究时间为2023年1月至2024年1月,抽取46例确诊为慢性荨麻疹的患者作为评估样本,采用病历号随机抽取的方法将其随机分为观察组(n=23)和对照组(n=23)。对照组患者的治疗方案为奥洛他定,观察组患者的治疗方案为玉屏风散联合奥洛他定。比较两组患者的中医症状评分、荨麻疹活动评分(UAS7)、瘙痒VAS评分、临床有效率、复发率和不良反应发生率。结果治疗后观察组中医症状评分低于对照组(P < 0.05);治疗后观察组 UAS7 评分、瘙痒 VAS 评分低于对照组(P < 0.05);观察组治疗后临床有效率高于对照组,复发率低于对照组(P<0.05);两组不良反应发生率比较差异无学意义(P<0.05)。结论慢性荨麻疹患者使用玉屏风散联合奥洛他定治疗效果显著。该联合治疗方法能够缓解中药症状,控制病情发展,减轻瘙痒程度,复发率较低,用药安全性较高,适合在医疗机构推广应用。
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Clinical Observation on the Combination of Yu Ping Feng San and Olopatadine in the Treatment of Chronic Urticaria
Objective: To investigate and analyze the clinical effect of treating patients with chronic urticaria with Yu Ping Feng San combined with olopatadine. Methods: The study period was from January 2023 to January 2024, 46 patients diagnosed with chronic urticaria were extracted as assessment samples, which were randomly divided into an observation group (n = 23) and a control group (n = 23) by using the method of medical record number random drawing. The treatment program for patients in the control group was olopatadine, and the treatment program for patients in the observation group was Yu Ping Feng San combined with olopatadine. The TCM symptom scores, urticaria activity scores (UAS7), itching VAS scores, clinical efficiency, recurrence rate, and incidence of adverse reactions between the two groups were compared. Results: The TCM symptom scores of the observation group were lower than those of the control group after treatment (P < 0.05); the UAS7 score and itching VAS score of the observation group were lower than those of the control group after treatment (P < 0.05); the clinical effective rate of the observation group was higher than that of the control group after treatment, and the recurrence rate was lower than that of the control group (P < 0.05); the comparison of the incidence rates of adverse reactions between the two groups did not show any significant difference (P < 0.05). Conclusion: The treatment effect of patients with chronic urticaria using Yu Ping Feng San combined with olopatadine is remarkable. This combined treatment can relieve the symptoms of Chinese medicine, control the progression of the disease, and reduce the degree of itching, with a lower recurrence rate and higher safety of the medication, which is suitable for popularization and application in healthcare institutions.
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