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紫草油治疗

 
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lin91957
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PostPosted: Thu 21:59, 24 Feb 2011    Post subject: 紫草油治疗

紫草油治疗皮肤瘙痒症104例
,以致生风生燥,肌肤失养而成。笔者在临床上外用复方紫草油治疗本病104例,收到良好效果,现报道如下。1临床资料104例患者中,男59例,女45例,年龄35~76岁;病程最长者3年,最短者2周。2治疗方法患处常规皮肤消毒,以紫草油外敷,每日换药1次。或用紫草油涂擦患处,每日可数次。3结果3.1疗效标准参照《实用中西医结合诊断治疗学》…皮肤瘙痒症疗效标准。治愈:瘙痒及皮肤继发损害(抓痕、血痂、皮肤粗糙)消失;显效:无明显瘙痒,继发性皮损消退80%以上;无效:瘙痒无减轻,继发皮损消退不足20%,治疗期间仍有加重。3.2治疗结果痊愈86例,显效l8例,无效0例,总有效率100%。4病案举例例1:陈某,男,48岁,双下肢小腿外侧瘙痒1年余,曾经多方治疗及外用消炎液、止痒液等药物,效果不显,皮肤反复搔抓后产生抓痕、结痂,日久皮肤粗糙,弹性减弱,每次发作时,瘙痒难忍,反复搔抓,直至皮肤抓破流血,昼轻夜重。因反复搔抓,时常感染。1周前无明显诱因,双下肢又剧烈瘙痒,涂擦止痒液不见好转,前来就诊。查患者双下肢小腿外侧皮肤粗糙,有抓痕、结痂。治疗以紫草油涂擦,每日数次,涂药后自觉凉爽,瘙痒明显减轻,但数小时后又反复发作,经涂擦治疗10d后,瘙痒明显减轻,1个月痊愈。例2:李某,女,67岁,因皮肤瘙痒3月余,反复发作,日久不愈,虽经多方治疗效果不显而来诊。3月前,无明显诱因,自觉周身皮肤阵发性瘙痒,痒时短则数分钟,长则数小时,反复搔抓,皮肤有抓痕、血痂,心烦焦躁。昼轻夜重,夜不能眠。由于过度频繁搔抓而致皮肤破损,湿疹化,个别皮损处有少量渗血,且有小脓点。治疗以局部清创后,外敷紫草油。次日更换敷料,略见好转,无脓点,继续上法。第3d无渗血,结痂,瘙痒减轻,继续用紫草油外敷。5d后,皮损痊愈,时而有皮肤瘙痒,嘱患者痒时以紫草油涂擦,不要搔抓,继续治疗10d痊愈,瘙痒止,随访1个月未见复发。5讨论皮肤瘙痒症是一种比较常见的皮肤病,主要表现为皮肤瘙痒剧烈,搔抓后引起抓痕、血痂、皮肤肥厚、苔癣样变等皮肤损害,病程长,缠绵难愈,容易复发~2-3]。紫草油由紫草与清鱼肝油组成,具有清热解毒、凉血消肿止痛止痒之功能。中药紫草味甘、咸,性寒,归心、肝经,具有凉血、活血、解毒透疹等功效_4J,现代药理学研究表明,紫草的抗病原微生物、抗炎和影响免疫功能等功效对皮肤瘙痒的治疗有很大帮助[5-6;清鱼肝油有促进上皮细胞生长、提高机体免疫力的功能,以此药外敷,作用持久,皮损愈合快。本法应用简便,无不良反应。治疗期间嘱患者忌饮酒类,忌食鱼虾蟹等动风发物及辛辣刺激性食物,多食蔬菜、水果,内衣要柔软宽松,宜穿棉织品,不宜穿化纤类衣物
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