[摘 要]目的 评估维A酸乳膏联合健脾消痤汤治疗脾虚湿热型痤疮的效果。方法 选取我院2021年1月-2024年1月收治的80例脾虚湿热型痤疮患者为研究对象，采用随机数字表法分为对照组和联合组，各40例。对照组予以维A酸乳膏治疗，联合组在对照组基础上加用健脾消痤汤治疗，比较两组中医证候积分、皮损情况、临床疗效及复发情况。结果 两组治疗后中医证候积分低于治疗前，且联合组低于对照组(P<0.05)；两组治疗后皮损情况评分低于治疗前，且联合组低于对照组(P<0.05)；联合组治疗总有效率为95.00%，高于对照组的77.50%(P<0.05)；联合组复发率为5.00%，低于对照组的25.00%(P<0.05)。结论 维A酸乳膏与健脾消痤汤联合治疗脾虚湿热型痤疮可有效提高治疗效果，改善患者皮损情况，减轻临床症状，降低近期复发风险。

    [关键词] 健脾消痤汤；维A酸乳膏；脾虚湿热型痤疮

    [中图分类号] R758.73+3 [文献标识码] A [文章编号] 1004-4949(2024)11-0021-03

    Clinical Effect of Tretinoin Cream Combined with Jianpi Xiaocuo Decoction in the Treatment of Acne of Spleen Deficiency and Dampness-heat Type

    TU Jing-chen， GUO Wei

    (Pharmacy Department of Xi’an Sanqiao Jingcheng Hospital， Xi’an 710086， Shaanxi， China)

    [Abstract]Objective To evaluate the effect of tretinoin cream combined with Jianpi Xiaocuo decoction in the treatment of acne of spleen deficiency and dampness heat type. Methods A total of 80 patients with acne of spleen deficiency and damp-heat type admitted to our hospital from January 2021 to January 2024 were selected as the research objects. They were divided into control group and combined group by random number table method ......