知柏地黄丸联合复方丹参片治疗复发性口腔溃疡的疗效观察

摘要

目的：观察知柏地黄丸联合复方丹参片治疗复发性口腔溃疡的临床疗效。方法：选取复发性口腔溃疡患者110例，根据用药方案分为对照组和试验组，各55例。对照组患者口服维生素C 0.2 g/次+维生素B210 mg/次+左旋咪唑45 mg/次，均tid，另用西吡氯铵漱口液漱口，15 ml/次，持续1 min，tid；试验组患者口服知柏地黄丸，8丸/次+复方丹参片，3片/次，均tid。10 d为1个疗程，两组患者均治疗2个疗程。观察并比较两组患者疗效、溃疡疼痛视觉模拟评分（VAS）及复发情况。结果：试验组患者的治愈率（80.00％）及总有效率（94.55％）均高于对照组（47.27％、74.55％），差异有统计学意义（P＜0.05）。试验组患者治疗3、7 d后的VAS分值均明显低于对照组，差异有统计学意义（P＜0.05）。试验组患者治疗2、6、10、12个月后的复发率分别为0、7.27％、9.09％、16.36％，均明显低于对照组（18.18％、34.55％、47.27％、56.36％），差异有统计学意义（P＜0.05）。结论：知柏地黄丸联合复方丹参片治疗复发性口腔溃疡，治愈率高，复发率低，疗效确切。%OBJECTIVE:To observe clinical efficacy of recurrent oral ulceration with combination of Zhibai dihuang pills and Compound danshen tablets. METHODS:110 patients with recurrent oral ulceration were selected and divided into control group and tri-al group with 55 cases in each group. Control group individually received vitamin C 0.2 g/time+vitamin B2 10 mg/time+levamisole 45 mg/time,three times a day,Cetylpyridinium chloride collutory,15 ml/time,for 1 min,3 times a day. Trial group received Zhibai di-huang pills orally,8 pills/time,Compound danshen tablets,3 tablets/time,3 times a day. A treatment course lasted for 10 days. Both groups received 2 courses of treatment. Therapeutic efficacy,VAS and relapse were observed and compared between 2 groups. RE-SULTS:The cure rate(80.00%)and total effective rate(94.55%)of trial group were higher than those of control group(47.27%, 74.55%),with statistical significance(P<0.05). The VAS score of trial group were significantly lower than that of control group after 3 and 7 days of treatment,with statistical significance(P<0.05). After 2,6,10 and 12 months of treatment,the recurrence rates of tri-al group were 0,7.27%,9.09% and 16.36%,which were all significantly lower than those of control group(18.18%,34.55%, 47.27%,56.36%),with statistical significance(P<0.05). CONCLUSIONS:Combination of Zhibai dihuang pills and Compound danshen tablets has definite effect on recurrent oral ulcer,showing high cure rate and not easily recur.