Abstract:Objective: To observe the efficacy of the Kushen decoction bath combined with black light in the treatment of psoriasis vulgaris. Methods: A simple random grouping method using a random number table was used to divide 102 patients with psoriasis admitted to our hospital from February 2020 to February 2021 into 51 cases each in the observation and control groups. The control group was given black light therapy, while the observation group was treated with a Kushen decoction bath combined with black light therapy. The clinical efficacy of the two groups of patients was compared, and the disease symptoms [Psoriasis Area and Severity Index (PASI), Pruritus Visual Analogue Scale (VAS)], serum-related factors [CC chemokine ligand 20(CCL20), transforming growth factorβ1(TGF-β1), interleukin 17(IL-17), tumor necrosis factor-α(TNF-α)] and levels of T lymphocyte subsets (CD3+, CD4+, CD8+, CD4+/CD8+) were compared before and after treatment. Results: After 2 weeks of treatment, the total clinical efficiency of the observation group (98.53%) was higher than that of the control group (88.24%) (P<0.05). After 2 weeks of treatment, the PASI score, VAS score, and levels of serum-related factors (CCL20, IL-17, TNF-α, TGF-β1) and CD8+ in the two groups were lower than those before treatment, and the differences before and after treatment showed statistical significances between the groups (P<0.05). The levels of CD3+, CD4+, and CD4+/CD8+ in both groups were higher compared to before treatment, and the differences before and after treatment were statistically significant between the groups (P<0.05). Conclusion: Compared with black light irradiation alone, Kushen decoction bath combined with black light irradiation therapy has a more significant efficacy on psoriasis vulgaris, and has a more positive significance in regulating the body’s inflammatory status and immune function, alleviating the immune damage and promoting the skin repair.
姜红伶, 陈曦, 段行武. 苦参汤药浴联合黑光治疗寻常型银屑病的疗效研究[J]. 河北医学, 2023, 29(2): 270-275.
JIANG Hongling, CHEN Xi, et al. Efficacy of Kushen Decoction Bath Combined with Black Light in the Treatment of Psoriasis Vulgaris. HeBei Med, 2023, 29(2): 270-275.
[1] 郑淇,王玲玲,姜文成,等.四草克银方药浴治疗寻常型银屑病血热证的随机对照研究[J].世界临床药物,2021,42(6):463-467. [2] 张洋洋,王刚.IL-12/23抑制剂乌司奴单抗在银屑病治疗中的应用[J].中国皮肤性病学杂志,2020,34(4):454-457. [3] 王英杰,姜珠倩,彭勇,等.养血宣透方联合中药药浴治疗寻常型银屑病(血燥证)临床疗效观察[J].海南医学,2021,32(19):2529-2532. [4] 中华医学会皮肤性病学分会银屑病专业委员会.中国银屑病诊疗指南(2018完整版)[J].中华皮肤科杂志,2019,52(10):667-710. [5] Armstrong A W,Read C .Pathophysiology,clinical presentation,and treatment of psoriasis.a review[J].JAMA The Journal of the American Medical Association,2020,323(19):1945-1960. [6] 杨岚,姜春燕,李伯华,等.清热除湿汤在皮肤病治疗中的辨证应用[J].世界中医药,2019,14(12):3321-3324. [7] 杨然,陆远,郝昊,等.金银花环烯醚萜苷类化学成分和药理活性研究进展[J].中国中药杂志,2021,46(11):2746-2752. [8] 赵雨晴,魏志平,周迪,等.舒肝健脾养血法对寻常型银屑病患者免疫功能,炎症因子的影响[J].陕西中医,2022,43(1):69-72. [9] 王玲,杜潇,祝华莲,等.黄柏有效成分的药理作用研究进展[J].江苏中医药,2022,4(12):77-81.