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目的探讨中西医结合治疗老年瘙痒症的有效方法。方法将76例患者随机分成两组。治疗组予中药清凉祛风汤(白藓皮、炒蒺藜、地黄、麸炒苍术、地肤子、炒赤芍、金银花和制何首乌各10g,牡丹皮和防风各6g,土茯苓15g)口服,日1剂,同时加服氯雷他定10mg,每晚1片;对照组单独口服氯雷他定10mg,每晚1片,两组均2周为一疗程。结果治疗组有效率为82.5%,对照组为52.78%,两组有效率差异有统计学意义(P<0.01),在瘙痒程度、皮肤干燥程度、睡眠质量、继发皮损、瘙痒持续时间方面差异也有统计学意义(P均<0.01)。结论中西医结合治疗老年瘙痒症疗效显著。
Objective To explore the effective combination of traditional Chinese and western medicine in the treatment of pruritus in the elderly. Methods 76 patients were randomly divided into two groups. The treatment group was treated orally with Qingre Qufeng Decoction (white moss skin, fried Tribulus Terrestris, Radix Rehmanniae, bran frying herb, Kochia scopariae, Radix Paeoniae Rubra, honeysuckle and Radix Polygoni Multiflori each 10g, Cortex Moutan and windproof 6g, Day 1, at the same time plus loratadine 10mg, 1 per night; control group alone oral loratadine 10mg, 1 per night, two groups were 2 weeks for a course of treatment. Results The effective rate was 82.5% in the treatment group and 52.78% in the control group. There was significant difference between the two groups in the effective rate (P <0.01), and the degree of pruritus, the degree of dry skin, the quality of sleep, the secondary lesions and the duration of pruritus The difference was also statistically significant (P all <0.01). Conclusion The treatment of senile pruritus with traditional Chinese and western medicine has obvious curative effect.