中西医结合治疗胸背部痤疮的效果观察及综合护理干预

李欢梅; 唐艳丽; 钟红丽; 沈惠良

doi:10.16766/j.cnki.issn.1674-4152.003009

中西医结合治疗胸背部痤疮的效果观察及综合护理干预

doi: 10.16766/j.cnki.issn.1674-4152.003009

1.
浙江省皮肤病医院美容理疗科，浙江湖州 313200
2.
浙江省皮肤病医院皮肤科

基金项目:

浙江省医药卫生科技计划项目 2018KY357

详细信息

通讯作者:
李欢梅，E-mail：LHM20220723@126.com

中图分类号: R473.75 R758.733
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- 被引次数: 0
出版历程
- 收稿日期: 2023-01-06

Observation study on the efficacy of integrated traditional Chinese and Western medicine in the treatment of chest and back acne and comprehensive nursing intervention

1.
Department of Beauty and Physiotherapy, Zhejiang Dermatology Hospital, Huzhou, Zhejiang 313200, China

摘要

摘要: 目的分析中西医结合治疗胸背部痤疮的临床效果，探讨适用于中西医结合治疗的综合护理干预，改善胸背部痤疮患者临床症状和心理状态。方法选取2020年4月—2021年11月浙江省皮肤病医院美容理疗科收治的80例胸背部痤疮患者，根据随机数字表法将其分为对照组和观察组, 每组各40例。对照组患者采用红蓝光治疗，并给予常规护理干预，观察组在对照组基础上实施中药外治(消痤散)并给予患者综合护理干预。比较2组患者临床疗效及不良反应发生率、治疗前后痤疮综合分级系统(GAGS)评分，并比较2组患者治疗前后心理状态评分。结果观察组患者临床总有效率为65.0%(26/40)，高于对照组[42.5%(17/40)]，差异有统计学意义(P < 0.05)。2组患者治疗期间不良反应发生率比较差异无统计学意义(P>0.05)；治疗后, 观察组GAGS评分为6.13(2.06，10.71)分，显著低于对照组[8.86(3.91，13.25)分, P < 0.05]；观察组患者焦虑、抑郁自评量表评分分别为(40.73±3.89)分、(41.03±4.22)分均低于对照组[(46.38±5.41)分、(46.83±5.69)分, 均P < 0.05]。结论红蓝光结合消痤散治疗胸背部痤疮并配合综合护理干预临床效果显著且安全性较高，能有效减轻患者皮损情况、改善患者不良情绪，值得临床应用。
- 红蓝光治疗 /
- 消痤散 /
- 胸背部痤疮 /
- 综合护理
Abstract: Objective To analyze the clinical effects of combining Chinese and Western medicine in the treatment of acne on the chest and back, and to explore comprehensive nursing interventions applicable to the combined treatment of Chinese and Western medicine, to improve the clinical symptoms and psychological status of patients with acne on the chest and back. Methods A total of 80 patients with acne on chest and back who were treated in the Department of Beauty and Physiotherapy, Zhejiang Dermatology Hospital from April 2020 to November 2021 were selected as the research samples. They were divided into control group and observation group, with 40 cases in each group according to the random number table method. The patients in the control group were treated with red and blue light and received routine nursing intervention. The patients in the observation group were treated with traditional Chinese medicine (Xiaocuo Powder) and received comprehensive nursing intervention on the basis of the control group. The clinical efficacy and incidence of adverse reactions, the global acne grading system (GAGS) score and the psychological status score before and after treatment were compared between two groups. Results The overall clinical effective rate of patients in the observation group was 65.0% (26/40), which was higher than that in the control group (42.5%, 17/40), and the difference was statistically significant (P < 0.05). The difference in the incidence of adverse reactions between the two groups was not statistically significant (P>0.05); after treatment, the GAGS score of the observation group was 6.13 (2.06, 10.71) points, which was significantly lower than that in the control group [8.86 (3.91, 13.25) points, P < 0.05]; The self-rating anxiety scale (SAS) and self-rating depression scale (SDS) scores in the observation group were (40.73±3.89) points and (41.03±4.22) points, respectively, which were lower than those in the control group (46.38±5.41) points and (46.83±5.69) points, both P < 0.05. Conclusion The combination of red and blue light with Xiaocuo Powder in the treatment of chest and back acne combined with comprehensive nursing intervention has a significant clinical effect and high safety. It can effectively reduce patients ' skin damage and improve patients ' bad mood, which is worthy of clinical application.
- Red and blue light therapy /
- Xiaocuo Powder /
- Acne on chest and back /
- Comprehensive nursing
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表 1 2组胸背部痤疮患者一般资料比较

Table 1. Comparison of general data of patients with acne on the chest and back in 2 groups

组别	例数	性别(例)		年龄(x±s，岁)	病程时间(x±s，月)	位置(例)
组别	例数	男性	女性	年龄(x±s，岁)	病程时间(x±s，月)	胸部	背部	胸+背部
对照组	40	24	16	22.78±8.29	12.11±5.05	3	31	6
观察组	40	19	21	21.25±7.14	12.09±4.81	2	34	4
统计量		1.257^a		0.884^b	0.018^b	0.739^b
P值		0.262		0.379	0.986	0.691
注：^a为χ²值，^b为t值。

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表 2 2组胸背部痤疮患者治疗效果比较

Table 2. Comparison of treatment results between 2 groups of patients with acne on the chest and back

组别	例数	治愈(例)	显效(例)	好转(例)	无效(例)	总有效[例(%)]
对照组	40	5	12	20	3	17(42.5)
观察组	40	10	16	14	0	26(65.0)
注：2组总有效率比较，χ²=4.073，P=0.044。

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表 3 2组胸背部痤疮患者治疗前后GAGS评分比较[M(P₂₅, P₇₅)，分]

Table 3. Comparison of GAGS scores before and after treatment in 2 groups of patients with chest and back acne [M(P₂₅, P₇₅), score]

组别	例数	治疗前	治疗后	Z值	P值
对照组	40	16.21(13.18，20.56)	8.86(3.91，13.25)	9.150	< 0.001
观察组	40	16.37(13.55，20.86)	6.13(2.06，10.71)	10.763	< 0.001
Z值		0.836	3.114
P值		0.405	0.027

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表 4 2组胸背部痤疮患者治疗前后焦虑、抑郁情绪比较(x±s，分)

Table 4. Comparison of anxiety and depression in 2 groups of patients with chest and back acne before and after treatment(x±s, score)

组别	例数	SAS		t值	P值	SDS		t值	P值
组别	例数	治疗前	治疗后	t值	P值	治疗前	治疗后	t值	P值
对照组	40	54.98±5.77	46.38±5.41	6.756	< 0.001	54.18±5.79	46.83±5.69	5.159	< 0.001
观察组	40	56.13±5.72	40.73±3.89	12.015	< 0.001	55.38±5.71	41.03±4.22	11.665	< 0.001
t值		0.895	5.123			0.933	5.178
P值		0.373	< 0.001			0.354	< 0.001

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