姜昆 王海龙 赵学林 栾丽梅

摘要：目的 分析在脾虚湿蕴型亚急性湿疹的临床治疗过程中，采取温胆汤合越婢汤联合咪唑斯汀治疗的临床效果。方法 本次随机抽取了78例2019年9月-2020年9月于本院接受治疗的脾虚湿蕴型亚急性湿疹患者进行研究，按照患者住院的顺序均分为2组，各39例。其中，参照组对患者采取咪唑斯汀治疗，研究组联合温胆汤合越婢汤治疗，比较两种方案的效果。结果 两组于治疗前患者的症状评分无差异（P>0.05），治疗后评分均下降，且研究组更低，其数据于组间有显著差异（P<0.05）。两组方案下患者出现不良反应的几率对比未出现显著的差异（P>0.05）。结论 在脾虚湿蕴型亚急性湿疹的治疗过程中，采取温胆汤合越婢汤联合咪唑斯汀能够起到更好的效果，有应用价值。

关键词：脾虚湿蕴型;亚急性湿疹;温胆汤;越婢汤;咪唑斯汀

[Abstract]Objective To analyze the clinical effect of Wendan Decoction Combined with yuehandmaid Decoction and mizolastin in the clinical treatment of subacute eczema with spleen deficiency and dampness. Methods 78 patients with spleen deficiency and wet accumulation subacute eczema were randomly selected from September 2019 to September 2020 in our hospital. According to the order of hospitalization，78 patients were divided into two groups，39 cases each. Among them，the reference group was treated with mizolastine，and the study group combined with Wendan Decoction and yuehandmaid Decoction to compare the effects of the two schemes. Results there was no difference in symptom score between the two groups before treatment（P > 0.05），and the score of the two groups decreased after treatment，and the study group was lower，and the data were significantly different between the two groups（P < 0.05）. There was no significant difference in the incidence of adverse reactions between the two groups（P > 0.05）. Conclusion in the treatment of subacute eczema with spleen deficiency and dampness accumulation，the combination of Wendan Decoction and yuemaiden decoction combined with mizolastine can have better effect and has practical value.

[Key words]spleen deficiency and dampness accumulation type;Subacute eczema;Wendan Decoction;Yue maidservant soup;Mizolastin

湿疹是目前皮肤科的常见疾病之一，患者在发病后会出现红斑、糜烂等症状，在采取西药疗法后病情控制效果不理想，且病情反复程度较高【1】。中医理论中，湿疹可以归结为“藓”、“疮”等症候，其证型主要包括血虚风燥型、湿热浸淫型以及脾虚湿蘊型，而中医在治疗脾虚湿蕴型亚急性湿疹的过程中，需以清热为首，其效果优于西药治疗方案【2】，然中药在皮疹的治疗过程中，所需周期较长，鉴于此，本次即选择温胆汤合越婢汤联合咪唑斯汀对脾虚湿蕴型亚急性湿疹进行治疗，观察其效果，内容如下。

1 资料和方法

1.1.一般资料

本次随机抽取了78例2019年9月-2020年9月于本院接受治疗的脾虚湿蕴型亚急性湿疹患者进行研究，按照患者住院的顺序均分为2组，各39例。……