[1]常为伟,张双喜.苦参汤加减方熏洗对肛周瘙痒症患者外周血P物质的影响*[J].陕西中医,2019,(4):508-510.
 CHANG Weiwei,ZHANG Shuangxi..Effect of Kushen decoction fumigation on peripheral blood substance P in patients with perianal pruritus[J].,2019,(4):508-510.
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苦参汤加减方熏洗对肛周瘙痒症患者外周血P物质的影响*
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《陕西中医》[ISSN:1000-7369/CN:61-1281/TN]

卷:
期数:
2019年4期
页码:
508-510
栏目:
临床研究
出版日期:
2019-04-05

文章信息/Info

Title:
Effect of Kushen decoction fumigation on peripheral blood substance P in patients with perianal pruritus
文章编号:
DOI:10.3969/j.issn.10007369.2019.04.032
作者:
常为伟张双喜
河南中医药大学第一附属医院肛肠一区(郑州 450000)
Author(s):
CHANG WeiweiZHANG Shuangxi.
The First Affiliated Hospital of Henan University of Chinese Medicine(Zhengzhou 450000)
关键词:
苦参汤加减方熏洗肛周瘙痒 P物质临床疗效机制
Keywords:
Key words Kushen decoction FumigationPerianal itchingP SubstanceClinical efficacyMechanism
分类号:
R657.15
文献标志码:
A
摘要:
摘 要 目的:观察苦参汤加减方熏洗对肛周瘙痒的临床疗效及对外周血P物质的影响。方法:选取肛周瘙痒患者90例,随机分成对照组和观察组,各45例。观察组采用苦参汤加减方熏洗,对照组采用一般中药熏洗,3个疗程后观察两组疗效、外周血P物质水平和皮肤瘙痒指数积分。结果:①两组临床总有效率比较差异具有统计学意义(P<0.05),观察组优于对照组。②治疗后两组患者SP含量均较治疗前降低,其中观察组降低的幅度更为明显(P<0.05)。③治疗前两组患者皮肤瘙痒指数积分的比较差异无统计学意义(P>0.05),具有可比性,治疗后两组均可降低皮肤瘙痒指数积分,观察组明显优于对照组(P<0.05)。结论:苦参汤加减方熏洗在治疗肛周瘙痒症的临床疗效显著,作用机理可能与减少患者外周血P物质含量有关。 
Abstract:
Abstract Objective:To observe the clinical efficacy of Kushen decoction fumigation on perianal itching and to analyze the effect of P substance on peripheral blood. Methods:90 patients with perianalis pruritus were randomly divided into control group and observation group. The observation group was treated with Kushen decoction fumigation,the control group was treated with general Chinese medicine fumigation,3 courses after observation of the two groups of efficacy,Blood P substance level and skin itching index integral.Results:①The total effective rate of the two groups was statistically significant,the observation group was superior to the control group. ② The SP content of the two groups was lower than that before treatment,and the amplitude of the observation group was more obvious (P<0.05). There was no significant difference in the scores of skin itching index between the two groups before treatment . Compared with the control group,the two groups could reduce the score of skin itching index in the observation group . Conclusion:The effect of Kushen decoction fumigation on the treatment of perianal pruritus is significant,and the mechanism may be related to the decrease of substance P in peripheral blood of patients.

参考文献/References:

[1] 张浩臣,王 丽.最新中国肛肠疾病流行病学调查结果在京发布 [J]. 中国医药导报,2015,27(1):44.
[2] 王巨良,赵景文,邓建勇.长强穴埋线法治疗痔病术后疼痛180例 [J].现代中医药,2014,34(2):2930.
[3] 杜 岩,杨丽丽. 中药熏洗联合亚甲蓝对肛肠疾病术后疼痛疗效观察 [J]. 陕西中医,2017,38(10):14511452.
[4] FaJl YB,Wu ZJ.clinical research pmg|ess on traditional chinese medicine therapy for slow traIlsit constipation [J]. Joumal of Lj Iling University of 7 ditional Chinese Medicine,2013,15(8): 266268.
[5] 国家中医药管理局.中医病证诊断疗效标准\[S\].南京:南京大学出版社,1994:794.
[6] 王花梅,徐红梅,刘丽娃,等. 肛肠疾病手术患者康复中的护理体会 [J]. 陕西医学杂志,2011,40(8):11021103.
[7] 张俊林.外敷湿润烧伤膏治疗肛门瘙痒症 32 例 [J].中国民间疗法,2013,21(4):20. 
[8] Gilsbach R,Preissl S,Grtining BA,et al.Dynamic DNA meth 7lation orchestrates cardiomyocyte development,maturation and disease [J]. Nat Commun,2014,5:5288.
[9] 王晓青,周 宁,冯 琳,等.银花黄汤洗剂治疗肛肠疾病术后60例临床研究 [J].陕西中医,2017,38(12):17411742.〖ZK)〗
[10] 许天殊,杨定刚,端木铁,等.肛肠病手术超前镇痛联合术后局部注射镇痛效果的临床研究 [J].中国肛肠病杂志,20l4,34(4):6163.
[11] 王春晖,贾兰斯,李 昕,等.硝酸甘油软膏加肛肠熏洗剂对减轻痔术后疼痛的临床观察 [J].中日友好医院学报,20l4,28(1):3940.
[12] 秦宇伯,梁德森,汪大伟.小切口大汗腺清除术治疗肛门瘙痒症 [J]. 结直肠肛门外科,2012,18(5):301302.

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备注/Memo

备注/Memo:
*河南科技创新人才支持计划项目(2013XCCRC06)
更新日期/Last Update: 2019-04-24