目的 探讨红蓝光联合中药面膜治疗玫瑰痤疮的临床治疗效果.方法 将纳入研究组的86例玫瑰痤疮患者按照完全随机分配的方法分为实验组与对照组,各43例.实验组患者给予红蓝光联合中药面膜治疗,对照组患者给予常规西药甲硝唑凝胶治疗,观察并记录实验组与对照组治疗后的临床治疗效果、临床疗状积分、不良反应与复发情况.结果 治疗4周后,实验组患者的总有效率为83.7％高于对照组的53.5％,差异有统计学意义(P<0.05);治疗后实验组临床症状积分(红斑、丘疹脓疱、瘙痒、毛细血管扩张、总积分)均低于治疗前和对照组(P<0.05),实验组复发率低于对照组(P<0.05),不良反应两组差异无统计学意义(P>0.05).结论 中药面膜联合红蓝光治疗玫瑰痤疮起效快,疗效好,维持疗效时间长复发率低,不良反应少,值得临床推广.%Objective To investigate the effect of red and blue light combined with traditional Chinese medicine facial mask on rose acne. Methods 86 cases of rose acne patients according to the completely randomized methods were randomly divided into the experimental group and control group, 43 cases in each group. The patients in experimental group were given red and blue light combined with traditional Chinese medicine facial mask, and the control group was treated with conventional Western medicine metronidazole gel. The clinical effect, symptom score, side effects and relapse rates of the experimental group and control group were observed and recorded after treatment. Results After treatment for four weeks, the total effective rate of the experimental group patients was higher tham the control group (83.7％ vs 53.5％), the difference was statistically significant (P<0.05). After treatment, the clinical symptom scores (erythema, papulopustule, pruritus, angiotelectasis, aggregate score) of the experimental group were lower than control group and before treatment (P<0.05). The relapse rates of experimental group was lower than the control group (P<0.05). The side effects in two groups were not statistically significant (P>0.05). Conclusion The red and blue light combined with traditional Chinese medicine facial mask acne mask shows faster and better effect on rose acne, with less adverse reaction. It is worth popularizing in clinic.
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