| Objective: Based on the analysis of the medical records of the patients with eczema,this paper sums up the characteristics of eczema in different age groups,the influencing factors and the differences in the therapeutic effect,so as to provide the basis and thinking for the clinical treatment of this disease in the future.Materials and methods: From April 1,2018 to March 31,2019,227 cases of eczema were collected from the dermatology ward of Affiliated Hospital of Liaoning University of traditional Chinese medicine.The data of sex,age,onset season,course of disease,disease history,family history,allergy history,onset site,tongue and pulse,laboratory examination,easi score,VAS score,Chinese and Western medicine treatment were registered List,use statistical methods to analyze and draw conclusions.Result: 1.General situation: 227 cases of generalized eczema with complete medical records were included in this study,including 123 males and 104 females,with a male to female ratio of 1.18:1.There were 83 cases(28 males and 55 females)in the non elderly group and 144 cases(95 males and 49 females)in the elderly group.There was significant difference in gender distribution between the two groups(P 227 cases were mainly in spring and summer,but there was no difference between the two groups(P > 0.05).The number of patients with allergic rhinitis in the non elderly group was more than that in the elderly group,and the elderly group was more likely to have hypertension,type 2 diabetes and heart disease than that in the non elderly group(P There was no significant difference in family history(P > 0.05).2.Clinical situation: the most common lesions of 227 patients were limbs and trunk.The number of patients with scalp rash(P < 0.05)and trunk rash(P < 0.05)in the elderly group was significantly higher than that in the non elderly group.In the aspect of tongue image,227 cases were mainly red tongue(214 cases,94.27%),yellow fur(85 cases,37.44%)and yellow greasy fur(101 cases,44.49%),and chordal slippery pulse(100 cases,44.05%)and slippery pulse(103 cases,45.37%).3.Test return: the number of abnormal HBDH,LDH,ALT in the elderly group was significantly higher than that in the non elderly group(P < 0.05).4.Allergen test: in 227 patients with food intolerance,the most common allergens were egg,wheat and soybean,and the most common allergens were dog hair,wheat and dust mite.There was no significant difference between the two groups in Food Intolerance Test(P > 0.05)and special allergen test(P > 0.05).5.Treatment: through descriptive analysis of 227 cases of patients with traditional Chinese medicine decoction frequency,from high to low ranking top 10 Chinese medicine: Peony skin,Fangfeng,raw licorice,raw land,Schizonepeta,Scutellaria,honeysuckle,Alisma,gardenia,white fresh skin,two groups of patients in the frequency of traditional Chinese medicine use,traditional Chinese medicine injection,traditional Chinese medicine external use of drugs have no significant difference(P > 0.05);two groups of patients in the In the use of Western medicine,there was no significant difference(P > 0.05)except for immunomodulatory drugs(oral lyophilized powder of spleen Aminopeptide and Ganoderma lucidum Glycopeptide Injection)in the elderly group(P > 0.05).6.Curative effect: 227 patients were hospitalized,their easi and VAS scores after treatment were significantly lower than those before treatment(P There was no significant correlation between the ages(P > 0.05);there was no significant difference between the two groups before treatment(P > 0.05),but the VAS score of the non elderly group was significantly lower than that of the elderly group(P < 0.05),and the older the age,the higher the VAS score after treatment(P < 0.05).Among the 227 patients,0 were cured,213 were effective(76 cases in the non elderly group,137 cases in the elderly group),11 were effective(5 cases in the non elderly group,6 cases in the elderly group),and 3 were ineffective(2 cases in the non elderly group,1 case in the elderly group).The total effective rate was 93.83%.After analysis,there was no significant difference in the efficacy between the two groups(P > 0.05).Conclusion: In this study,the patients with generalized eczema of soaking type of eczema: 1.The non elderly patients are easy to combine with allergic rhinitis,the elderly patients are easy to combine with type 2 diabetes,hypertension and heart disease.The older the age,the more abnormal the number of HBDH,LDH and alt.2.The older the patient is,the more serious the skin lesions are,and the more difficult the pruritus is to be relieved.3.The elderly patients often use immunomodulators.4.After the standardized treatment of traditional Chinese and Western medicine,the patients in the non elderly group and the elderly group have good curative effect,the total effect ive rate is 93.83%. |
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