ISSN 2097-5724 CN 61-1535/R 主管·主办:陕西省疾病预防控制中心
疾病预防与控制 Disease Prevention and Control 医学学术期刊 双月刊
2026-02-055 中医学研究 2026, 2(02): 217-220

探析首乌饮联用中医辨证加减治疗慢性荨麻疹的临床疗效

贵阳市白云区麦架镇卫生院

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摘要

目的 探究首乌饮联合中医辨证加减治疗慢性荨麻疹的临床疗效。方法 选取2024年11月至2025年11月在本院就诊的63例慢性荨麻疹患者,采用随机数字表法将其分为基础组(32例)和研究组(31例)。基础组患者采用西医常规治疗方案,研究组患者在基础组的基础上加用中医治疗。比较两组患者治疗后的症状积分、临床疗效、不良反应。结果 研究组患者的症状积分(2.28±0.65)低于基础组患者(6.19±1.06)(t=17.710,P<0.001)。研究组患者的临床总有效率为90.32%(28/31)高于基础组的65.63%(21/32)(χ2=5.27,P<0.05)。研究组患者的不良反应发生率6.45%(2/31)与基础组21.87%(7/32)相比,差异无统计学意义(χ2=2.04,P>0.05)。研究组患者满意度(90.32%)显著高于基础组(43.75%)(χ2=18.883,P<0.001)。结论 首乌饮联合中医辨证加减治疗慢性荨麻疹,能显著改善患者的临床症状,值得在临床推广应用。

Abstract

Objective To explore the clinical efficacy of the Shouwu Yin combined with traditional Chinese medicine syndrome differentiation and modification in the treatment of chronic urticaria. Methods 63 patients with chronic urticaria who visited our hospital from November 2024 to November 2025 were selected. They were divided into the control group(32 cases) and the study group(31 cases) using the random number table method. Patients in the control group received the conventional Western medicine treatment plan, while patients in the study group received the traditional Chinese medicine treatment in addition to the plan of the control group. The symptom scores, clinical efficacy, and adverse reactions of the two groups of patients after treatment were compared. Results The symptom scores of the patients in the study group(2.28±0.65) were lower than those of the patients in the control group(6.19±1.06)(t=17.710, P<0.001). The total clinical effective rate of the patients in the study group(90.32%, 28/31) was higher than that of the control group(65.63%, 21/32)(χ2=5.273, P<0.05). The incidence of adverse reactions in the study group(6.45%, 2/31) was not significantly different from that of the control group(21.87%, 7/32)(χ2=2.04, P>0.05). The patient satisfaction rate of the study group(90.32%) was significantly higher than that of the control group(43.75%)(χ2=18.883, P<0.001). Conclusion The Shouwu Yin combined with traditional Chinese medicine syndrome differentiation and modification in the treatment of chronic urticaria can significantly improve the clinical symptoms of patients and is worthy of clinical promotion and application.

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[1]李勋.探析首乌饮联用中医辨证加减治疗慢性荨麻疹的临床疗效[J].疾病预防与控制,2026,2(02):217-220.