Clinical Research On The Treatment Of Childhood Subacute Eczema By Strengthening Spleen And Removing Dampness

OBJECTIVE:To summarize the understanding of eczema from both traditional Chinese and Western medicine.To explore the clinical effect of the treatment of strengthening spleen and removing dampness on children subacute eczema and to verify the superiority of this method which is from tutor experience.To lay the foundation for clinical exploration of better treatment programs.METHOD:80 patients were collected from the Jiangsu Provincial Hospital of TCM from April 2016 to February 2017,the patients were randomly divided into traditional Chinese medicine treatment group(41)and western medicine control group(39).The treatment group is modification of Jianpiqushi Decoction twice a day,half an hour after breakfast and dinner to take.Control group is treated by cetirizine drops,one time per night,warm water delivery service half an hour after a meal.Both groups were given long-lasting antimicrobial dressing spray material-Jieyoushen.All treatments lasted for 4 weeks.We evaluate the clinical effect via Eczema Area and Severity Index(EASI),Visual Analogue Scale(VAS),Children's Dermatology Life Quality Index(CDLQI),and follow-up recurrence after treatment.RESULT:The total effective rate was 60.98%and 35.90%in the control group.There was significant difference between the two groups(P<0.05).The EASI score was 7.38±1.58 in the treatment group and 7.34±1.43 in the control group before treatment.The EASI score was 2.37±1.48 in the treatment group and 3.37±1.59 in the control group after treatment.There was no significant difference between the two groups before treatment(P>0.05),and there was significant difference between the two groups after treatment(P<0.05).The itching integral was 6.15±1.46 in the treatment group and 6.13±1.28 in the control group before treatment.The itching integral was 2.90±1.09 in the treatment group and 3.87±1.66 in the control group after treatment.There was no significant difference between the two groups before treatment(P>0.05),and there was significant difference between the two groups after treatment(P<0.05).The score of CDLQI before treatment was 11.66±2.71 and 5.51 ± 1.08 after treatment in the treatment group.The score of CDLQI before treatment was 12.05 ± 2.97 and 8.08 ± 2.04 after treatment in the control group.There was no significant difference between the two groups before treatment(P>0.05),and there was significant difference between the two groups after treatment(P<0.05).Conclusion:The treatment of strengthening spleen and removing dampness on children's subacute eczema was superior to that of western medicine group.The Jianpiqushi Decoction has remarkable curative effect and the recurrence rate is lower.