冷冻疗法治疗老年患者体股癣疗效的探讨.doc

冷冻疗法治疗老年患者体股癣疗效的探讨 　　[摘要] 目的 探讨冷冻疗法治疗老年患者体股癣的临床疗效。方法 随机选取该研究者所在医院2011年1月―2014年12月期间收治的老年体股癣患者共60例，根据随机数字表格的方法分为两组，常规组30例给予常规药物治疗，观察组30例给予冰冻疗法，对比两组患者的临床效果。 结果 观察组患者18例痊愈，平均痊愈时间是（6.35±1.28）d，常规组7例痊愈，平均痊愈时间是（11.48±2.35）d，观察组平均痊愈时间显著短于对照组患者，差异有统计学意义（P0.05）。治疗15 d后，观察组总有效率90.0%，显著高于对照组53.3%，差异有统计学意义（χ2=7.254，P0.05）。结论 冷冻疗法治疗老年患者体股癣临床效果满意，值得临床推广应用。 　　[关键词] 冷冻疗法；老年患者；体股癣；疗效观察 　　[中图分类号] R76 [文献标识码] A [文章编号] 1674-0742（2015）09（c）-0084-02 　　[Abstract] Objective To evaluate the clinical efficacy of cryotherapy in treatment of elderly patients with tinea corporis. Methods A total of 60 patients with tinea corporis admitted to the author’s hospital between January 2011 and December 2014 were divided into two groups randomly. 30 patients in the routine group were given routine drug treatment， while those 30 in the observation group underwent cryotherapy. The clinical effects of the two groups were compared. Results 18 patients were cured in the observation group and 7 in the routine group， and the even healing recovery time （6.35±1.28d vs 11.48±2.35d） was significantly shorter in the observation group than in the control group， and there was statistical difference， P0.05. 15 d after treatment， the overall effective rate was 90.0% in the observation group and 53.3% in the routine group with statistically significant difference， χ2=7.254， P0.05. Conclusion Cryotherapy in treatment of elderly patients with tinea cruris can produce satisfactory clinical efficacy， therefore it is worthy of clinical application. 　　[Key words] Cryotherapy； Elderly patients； Tinea cruris； Observation on Curative effect 　　体股癣是由皮肤浅部真菌引起的掌跖以外的皮肤感染统称体癣，其中腹股沟、外生殖器、肛门及其周围的体癣又称股癣。体癣（tinea corporis）是除头皮、毛发、掌跖、甲板阴股部以外的光滑皮肤上的真菌感染[1]。股癣（tinea cruris）是发生于腹股沟、会阴、肛周和臀部皮肤的真菌感染。体股癣的治疗方式传统采用局部药物治疗的方式，虽然取得了一定的效果，但临床效果尚不十分满意。Cooper发明的液氮作为冷冻装置迎来了冷冻手术的新时代[2]。这种冷冻装置在临床应用中取得显著效果，从而推动了冷冻外科的迅速发展[3]。冷冻外科在许多临床科室逐步开展，在20世纪80年代已普及到全国各级医疗单位，不仅总结出大量有价值的临床经验，在冷冻外科的基础理论研究方面也取得重要成果[4]。随机选取该研究者所在医院2011年1月―2014年12月期间收治的老年体股癣患者共60例，采用