中医辨证论治及中西医结合治疗关节病性银屑病47例临床分析

Clinical Analysis of 47 Patients with Psoriasis Arthropathy Treated by Traditional Chinese Medicine Syndrome Differentiation and Integrative Medicine

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中文关键词: 银屑病关节炎辨证论治中西医结合中药

英文关键词:psoriasis arthropathy traditional Chinese medicine syndrome differentiation integrative medicine Chinese herbal drug

基金项目:

作者	单位
李伟凡	首都医科大学附属北京中医医院皮肤科
王萍	首都医科大学附属北京中医医院皮肤科

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中文摘要:

目的分析关节病性银屑病的临床特点,探讨中医辨证论治及中西医结合治疗关节病性银屑病的方法和疗效。方法回顾性总结分析47例关节病性银屑病住院患者的发病特点、临床表现、相关实验室及影像学检查,总结采用中医辨证论治及中西医结合治疗方案治疗本病的疗效。结果皮损先发者为38例(80.6%),从皮损发生至关节症状出现的时间平均为9.2年;X线检查关节异常者32例(68.1%),出现银屑病甲损害者33例(70.2%)。17例患者通过单纯中药治疗,取得了满意疗效;其余30例患者通过中西药联合使用,获效即减少西药用量,病情好转或痊愈。结论中医辨证论治及中西医结合疗法治疗关节病性银屑病疗效确切,不良反应小,为目前治疗该病的有效疗法。

英文摘要:

Objective To analyze the clinical characteristics of psoriasis arthropathy(PA)and to explore the effect of treatment by traditional Chinese medicine(TCM)syndrome differentiation and integrative medicine.Methods The initiating characteristics,clinical manifestations,related laboratory and X-ray data as well as the therapeutic efficacy of syndrome dependent TCM and integrative medicine on 47 PA patients were analyzed.Results Among all the 47 patients,38(80.6%)had the skin lesion revealed earlier to joint symptoms,the average time between the appearance of skin lesion and joint symptoms was 9.2 years;joint X-ray abnormality was found in 32 cases(68.1%);and psoriasis nail involvement was found in 33 cases(70.2%).Seventeen patients were treated with TCM alone and obtained satisfactory results,while the other 30 patients,were treated by integrative medicine with the dosage of medicine reduced immediately after symptoms were relieved,and finally cured or improved.Conclusion TCM and integrative medicine are effective in treating PA,with lesser side effects.

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