[摘 要]目的 探讨凉血五花汤与常规西药配合精准脉冲光治疗玫瑰痤疮的效果。方法 选取2021年2月-2024年2月于我院接受治疗的玫瑰痤疮患者110例，随机分为对照组和观察组，每组55例。对照组采用常规西药配合精准脉冲光治疗，观察组在对照组基础上增加凉血五花汤治疗，比较两组临床疗效、皮损程度、皮肤屏障功能、生活质量及复发率。结果 观察组治疗总有效率高于对照组(P<0.05)；观察组治疗后各项皮损程度评分低于对照组(P<0.05)；观察组治疗后各项皮肤屏障功能指标优于对照组(P<0.05)；观察组治疗后生活质量评分低于对照组(P<0.05)；观察组治疗后复发率低于对照组(P<0.05)。结论 凉血五花汤与常规西药配合精准脉冲光治疗玫瑰痤疮的效果确切，能够改善皮损状况及皮肤屏障功能，进而提高患者的生活质量，值得临床应用。

    [关键词] 玫瑰痤疮；精准脉冲光；凉血五花汤；皮肤屏障功能

    [中图分类号] R758.73+3 [文献标识码] A [文章编号] 1004-4949(2024)18-0031-04

    Effect of Liangxue Wuhua Decoction and Conventional Western Medicine Combined with Delicate Pulsed Light in the Treatment of Rosacea

    TANG Wei

    (General Clinic， Community Health Service Center of Zhifang Street， Jiangxia District， Wuhan City/Wuhan Jiangxia District Zhifang Hospital， Wuhan 430299， Hubei， China)

    [Abstract]Objective To explore the effect of Liangxue Wuhua decoction and conventional western medicine combined with delicate pulsed light in the treatment of rosacea. Methods A total of 110 patients with rosacea who were treated in our hospital from February 2021 to February 2024 were selected and randomly divided into control group and observation group ......