[摘 要]目的 观察玉容散中药熏蒸+桃红四物汤治疗气滞血瘀型黄褐斑的临床效果及安全性。方法 选取本院2023年1月-2024年1月收治的80例气滞血瘀型黄褐斑患者为研究对象，采用随机数字表法分为对照组与观察组，每组40例。对照组予以桃红四物汤治疗，观察组予以玉容散中药熏蒸+桃红四物汤治疗，比较两组临床疗效、皮损颜色和面积、性激素水平、黄褐斑严重指数与不良反应发生情况。结果 观察组治疗总有效率为97.50%，高于对照组的77.50%(P<0.05)；观察组干预后皮损颜色和面积评分低于对照组(P<0.05)；两组干预后雌二醇、促卵泡生成素水平均低于干预前，且观察组均低于对照组(P<0.05)；两组干预后黄褐斑严重指数低于干预前，且观察组低于对照组(P<0.05)；观察组不良反应发生率略低于对照组，但差异无统计学意义(P>0.05)。结论 选择玉容散中药熏蒸+桃红四物汤治疗气滞血瘀型黄褐斑效果较佳，可有效改善皮损颜色和面积，降低黄褐斑严重指数和性激素水平，且不会增加不良反应发生几率。

    [关键词] 黄褐斑；气滞血瘀；玉容散；中药熏蒸；桃红四物汤

    [中图分类号] R758.4+2 [文献标识码] A [文章编号] 1004-4949(2024)19-0056-04

    Effect and Safety of Yurong Powder Chinese Medicine Fumigation+Taohong Siwu Decoction in the Treatment of Chloasma of Qi Stagnation and Blood Stasis Type

    MIAO Li1， GU Dan2

    (1.Preparation Center of Yinchuan City Hospital of Traditional Chinese Medicine， Yinchuan 750001， Ningxia， China； 2.Department of Pharmacy Xi’an Weiyang Baoshihuang Xinglongyuan Hospital， Xi’an 710016， Shaanxi， China)

    [Abstract]Objective To observe the clinical effect and safety of Yurong powder Chinese medicine fumigation+Taohong Siwu decoction in the treatment of chloasma of qi stagnation and blood stasis type. Methods A total of 80 patients with chloasma of qi stagnation and blood stasis type admitted to our hospital from January 2023 to January 2024 were selected as the research objects. They were divided into control group and observation group by random number table method ......