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凉血解毒汤治疗白疕(寻常型银屑病)血热证的临床观察
引用本文:刘志勇,王莒生,王萍,李萍,王丽华.凉血解毒汤治疗白疕(寻常型银屑病)血热证的临床观察[J].世界中西医结合杂志,2010,5(4):317-320.
作者姓名:刘志勇  王莒生  王萍  李萍  王丽华
作者单位:1. 首都医科大学附属北京中医医院,北京,100010
2. 北京市中医研究所,北京,100010
基金项目:北京医学卫生科技重点支持项目资助 
摘    要:目的评价凉血解毒汤治疗白疕血热证的临床疗效、安全性及对血清炎症因子所产生的影响。方法对41例患者采用随机、单盲(病人)、对照的研究方法。治疗组(18例)采用凉血解毒汤,对照组(23例)采用医师自拟方,分别治疗8周,进行疗效判定及安全性检测;采用放免法测定治疗前后银屑病患者血清白介素6、肿瘤坏死因子α水平,采用双抗体夹心ELISA法测定血清白介素2、白介素8、可溶性白细胞介素2受体、干扰素含量。结果治疗后两组皮损的PASI评分均较治疗前降低,两组患者临床疗效比较无统计学差异(P0.05),治疗组总有效率为76.5%,对照组总有效率为82.6%;两组均未见确切的不良反应。两组治疗后较治疗前IL-6、TNF-α、sIL-2R、IL-8、IFN-γ水平均降低,与治疗前比较,差异有统计学意义(P0.05或P0.01),两组治疗后较治疗前IL-2水平均降低,但两组内和组间差异均无统计学意义(P0.05)。结论凉血解毒汤对寻常型银屑病血热证安全有效,而且能够下调IL-6、TNF-α、sIL-2R、IL-8、IFN-γ水平。

关 键 词:寻常型银屑病  白疕  血热证  细胞因子  凉血活血、清热解毒  凉血解毒汤

Clinical Observation of Liangxue Jiedu Decoction for White Facial Skin Disease(Psoriasis Vulgaris)of Blood Heat Syndrome
LIU Zhi-yong,WANG Ju-sheng,WANG Ping,LI Ping,WANG Li-hua.Clinical Observation of Liangxue Jiedu Decoction for White Facial Skin Disease(Psoriasis Vulgaris)of Blood Heat Syndrome[J].World Journal Of Integrated Traditional and Wesrern Medicine,2010,5(4):317-320.
Authors:LIU Zhi-yong  WANG Ju-sheng  WANG Ping  LI Ping  WANG Li-hua
Institution:LIU Zhi-yong1,WANG Ju-sheng1,WANG Ping1,LI Ping2,WANG Li-hua2 (1.Beijing Hospital of Chinese Medicine Affiliated to Capital Medical University,Beijing 100010,2.Beijing Institute of Traditional Chinese Medicine,Beijing 100010)
Abstract:Objective To evaluate the clinical effect and safety as well as the impacts on serum inflammatory factors in treatment of white facial skin disease(psoriasis vulgaris)of blood heat syndrome with cooling blood and removing toxin decoction(liangxue jied decoction,LXJDD for short).Methods The randomized,single-blind and controlled study was applied to 41 cases.The treatment group(18 cases)was treated with LXJDD and control group(23 cases)with self-prescribed formula.The treatment lasted for 8 weeks respectivel...
Keywords:Psoriasis Vulgaris  White Facial Skin Disease  Blood Heat Syndrome  Cytokine  Cooling Blood and Activating Blood Circulation  Clearing Away Heat and Toxin  Liangxue Jiedu Decoction(LXJDD)  
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