临床经验

黄连、黄柏预防放射性皮肤损伤的临床观察

马红兵,康华峰,王西京,白明华,王亚利

 

[摘  要]  目的  探讨黄连、黄柏预防放射性皮肤损伤的临床效果。方法  观察组于放疗前2日开始照射野外涂黄连、黄柏液,3~4次/d,至放疗结束,对照组常规处理。结果  Ⅱ、Ⅲ度皮肤损伤,观察组明显少于对照组,差异有显著性(P<0.05)。皮肤瘙痒、明显红斑、斑状湿性皮损、融合性皮损两组间差异有显著性(P<0.05),而对于皮肤烧灼感、干性皮损、轻度红斑两组间差异无显著性(P>0.05)。结论  外用黄连、黄柏具有明显的预防放射性皮肤损伤的作用。

[关键词]  黄连;黄柏;皮肤损伤,放射性

[中图分类号]R 735.1 [文献标识码]B [文章编号]1001-7089(2002)05-0388-02

Clinical Observation of Rhizoma Coptidis and Coptis Chinensis to Prevent Radiodermatitis
MA Hongbing,KANG Huafeng,WANG Xi
-jing,et al
Department of Oncology, Second Hospital of Xi'an Jiaotong University, Xi'an 710004,China

Abstract:  Objective  To evaluate the clinical effects of rhizoma coptidis and coptis clinensis franch preventing radiodermatitis.
Methods  2 days before radiotherapy,we used to the patients of test group skin with rhizoma coptidis and coptis clinensis three and four times per day.The patients of control group were treated with routine therapy.
Results  There was significant statistic difference between the test group and the control group in Ⅱ,Ⅲ degree skin lesion(P<0.05).There was significant statistic difference between the two groups in skin prutitus,distinct erythema,speckle eczematoid dermatitis,fusible dermatitis(P<0.05).There was no significant statistic difference between the two groups in skin burning sensation,dry skin dermatitis,low degree dermatitis(P>0.05).
Conclusion 
Rhizoma coptidis and coptis clinensis can significantly prevent radiodermatitis.

Key words:  Rhizoma coptidis;Coptis chinensis;Radiodermatitis

 

[作者单位]  西安交通大学第二医院肿瘤外科,陕西 西安  710004
[作者简介]
  马红兵
(1968-),男,陕西安塞县人,主治医师,博士生。主要从事消化道肿瘤的治疗和相关基因研究。