[摘 要]目的 探讨中药汤剂联合左西替利嗪治疗慢性荨麻疹的效果。方法 选取2024年1月-4月武汉市江夏区纸坊街社区卫生服务中心接受治疗的慢性荨麻疹患者110例，随机分为对照组和观察组，每组55例。对照组采用左西替利嗪治疗，观察组在对照组基础上加用中药汤剂治疗，比较两组临床疗效、症状评分、炎症因子[高敏C反应蛋白(hs-CRP)、白介素-10(IL-10)、肿瘤坏死因子-α(TNF-α)]、免疫因子[免疫球蛋白E(IgE)、γ干扰素(IFN-γ)]。结果 观察组治疗总有效率为96.36%，高于对照组的78.18%(P<0.05)；观察组治疗后各项症状评分低于对照组(P<0.05)；观察组治疗后hs-CRP、IL-10、TNF-α水平低于对照组(P<0.05)；观察组治疗后IgE水平低于对照组，IFN-γ水平高于对照组(P<0.05)。结论 中药汤剂联合左西替利嗪治疗慢性荨麻疹的效果良好，有助于改善临床症状，减轻炎性反应，纠正机体的免疫紊乱状态。

    [关键词] 慢性荨麻疹；左西替利嗪；中药汤剂；炎性反应

    [中图分类号] R758.24 [文献标识码] A [文章编号] 1004-4949(2024)17-0072-04

    Effect of Traditional Chinese Medicine Decoction Combined with Levocetirizine in the Treatment of Chronic Urticaria

    XU Qing

    (Wuhan Jiangxia District Zhifang Street Community Health Service Center， Wuhan 430200， Hubei， China)

    [Abstract]Objective To investigate the effect of traditional Chinese medicine decoction combined with levocetirizine in the treatment of chronic urticaria. Methods A total of 110 patients with chronic urticaria who were treated in Wuhan Jiangxia District Zhifang Street Community Health Service Center from January to April 2024 were randomly divided into control group and observation group ......