目的 觀察舒肝顆粒聯(lián)合光子嫩膚治療痤瘡炎性紅斑的臨床療效。方法 收集2019年10月—2020年10月天津市中醫(yī)藥研究院附屬醫(yī)院皮膚科門診收治的90例痤瘡炎性紅斑患者，隨機分為舒肝顆粒組、光子嫩膚組和聯(lián)合治療組，每組各30例。舒肝顆粒組患者口服舒肝顆粒，3 g/次，2次/d。光子嫩膚組患者采用光子治療儀進行治療。聯(lián)合治療組口服舒肝顆粒，同時接受光子嫩膚治療。治療12周。觀察3組的臨床療效，比較3組紅斑絕對分值的變化。結(jié)果 治療后，舒肝顆粒組總有效率是90.0%，光子嫩膚組總有效率是93.3%，聯(lián)合治療組總有效率是100.0%，舒肝顆粒組、光子嫩膚組的總有效率均低于聯(lián)合治療組（P<0.05）。治療后，3組紅斑絕對分值均較治療前顯著升高（P<0.05）；治療后，聯(lián)合治療組紅斑絕對分值高于同期舒肝顆粒組、光子嫩膚組（P<0.05）。結(jié)論 舒肝顆粒聯(lián)合光子嫩膚治療痤瘡后紅斑具有較好的臨床療效，具有一定的推廣應(yīng)用價值。

Objective To observe the clinical efficacy of Shugan Granules combined with photorejuvenation in the treatment of acne inflammatory erythema. Methods A total of 90 patients with acne inflammatory erythema admitted to the Department of Dermatology of Affiliated Hospital of Tianjin Academy of Traditional Chinese Medicine from October 2019 to October 2020 were randomly divided into Shugan Granules group, photorejuvenation group and combined treatment group, with 30 patients in every group. Patients in Shugan Granules group were po administered with Shugan Granules, 3 g/time, twice daily for 12 weeks. Patients in photorejuvenation group were treated with photon therapy instrument. Patients in combined treatment group took Shugan Granules and received photonic skin treatment at the same time. The clinical efficacy of the three groups was observed, and the absolute score of erythema in the three groups was compared. Results After treatment, the total effective rate of Shugan Granules group was 90.0%, the total effective rate of photorejuvenation group was 93.3%, and the total effective rate of the combined treatment group was 100.0%. The total effective rate of Shugan Granules group and photorejuvenation group were both lower than the combined treatment group (P<0.05). After treatment, the absolute scores of erythema in 3 groups were significantly higher than those before treatment (P<0.05); After treatment, the absolute score of erythema in combined treatment group was higher than that in Shugan Granules group and photorejuvenation group (P<0.05). Conclusion Shugan Granules combined with photorejuvenation has a good clinical effect in the treatment of acne inflammatory erythema, which has a certain value of popularization and application.

R986