目的 观察中药药浴联合窄谱中波紫外线(NB-UVB)照射治疗寻常型银屑病的临床疗效.方法 回顾性分析112例寻常型银屑病患者临床资料,治疗组采用中药药浴1次/d,每次20min,NB-UVB隔日照射1次;对照组采用隔日照射NB-UVB 1次,两组均外用地米硼酸乳膏2次/d,口服昆明山海棠,每日20g煎后分3次服.2周为1个疗程,2个疗程结束后判断疗效.结果 治疗组疗效为94.6%、住院天数为(23.68±9.28)d、不良反应4例,对照组疗效为80.4%、住院天数为(30.57±8.17)d、不良反应12例,差异有统计学意义(P<0.05).结论 中药药浴联合窄谱中波紫外线照射治疗寻常型银屑病疗效好,能缩短平均住院天数,有效降低NB-UVB治疗的不良反应,患者依从性好.%Objective To observe the efficacy of combined therapy with Chinese herbs medicated bath and NB-UVB radiation on psoriasis vulgaris. Methods The clinical information of 112 patients with psoriasis vulgaris was reviewed. All the patients were treated by NB-UVB radiation, and one third of water decoction of 20 grams tripterygium hypoglaucum hutch,three times a day. Together with topical use of dexamethasone and boric acid cream. The treatment group was treated by Chinese herhs medicated bath for 20 minutes, once daily. Two weeks was as a course. All the patients were treated by two courses totally. Results The efficacy rate was 94. 6％ in treatment group, and 80. 4％ in control group. The average hopitalized duration in two groups was ( 23. 68 ±9. 28) days and ( 30. 57 ±8. 17) days respectively. The patients with adverse reaction in two groups were 4 and 12 cases respectively. All the data were significantly different ( P ＜0. 05 ) . Conclusion The combination therapy with Chinese herbs medicated bath and NB-UVB radiation on psoriasis vulgaris may reach a good efficacy,shorten the hospitalized duration and decrease the adverse reaction of NB-UVB therapy. The comliance was good.
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