[1]杨光强,牟宽厚△,郭爱琴,等.地氯雷他定干混悬剂联合外用糠酸莫米松乳膏及类人胶原蛋白修复敷料治疗特应性皮炎35例疗效研究[J].陕西医学杂志,2018,(11):1477-1479.
 Yang Guangqiang,Mou Kuanhou,Guo Aiqin,et al.The investigation of the effect of desloratadine for suspension combined with mometasone furoate cream and human-like collagen repair dressing on 35 cases with atopic dermatitis[J].,2018,(11):1477-1479.
点击复制

地氯雷他定干混悬剂联合外用糠酸莫米松乳膏及类人胶原蛋白修复敷料治疗特应性皮炎35例疗效研究
分享到:

《陕西医学杂志》[ISSN:1000-7377/CN:61-1281/TN]

卷:
期数:
2018年11期
页码:
1477-1479
栏目:
药物与临床
出版日期:
2018-11-29

文章信息/Info

Title:
The investigation of the effect of desloratadine for suspension combined with mometasone furoate cream and human-like collagen repair dressing on 35 cases with atopic dermatitis
文章编号:
0.3969/j.issn.1000-7377.2018.11.033
作者:
杨光强12牟宽厚1△郭爱琴2王丽娟1赵恩兵1
1.西安交通大学第一附属医院(西安710061),2.陕西省彬州市中医医院(彬州713500)
Author(s):
Yang GuangqiangMou KuanhouGuo Aiqinet al.
The Affiliated Hospital of Xi’an Jiaotong University(Xi’an 710061)
关键词:
皮炎 特应性/药物疗法组胺拮抗剂/治疗应用糠酸莫米松/治疗应用@类人胶原蛋白修复敷料
Keywords:
Dermatitisatopic/drug treapyHistamine antagonists/therapeutic useMometasone furoate/therapeutic use@Human-like collagen cream
分类号:
R737.31
文献标志码:
A
摘要:
目的:探讨地氯雷他定干混悬剂联合外用糠酸莫米松乳膏及类人胶原蛋白修复敷料治疗特应性皮炎(AD)的临床效果,观察联合方案对AD复发的影响。方法:选取68例特应性皮炎患者,随机分为治疗组(35例)和对照组(33例),治疗组采用口服地氯雷他定干混悬剂联合外用糠酸莫米松乳膏及类人胶原蛋白修复敷料治疗,对照组采用口服地氯雷他定干混悬剂和外用糠酸莫米松乳膏治疗。观察两组治疗前后的皮损消退和瘙痒改善情况以及病情复发之间的差异。结果:经过1~8周治疗,在治疗AD的治愈率和总有效率上治疗组明显高于对照组(P<0.05),随访两月病情出现复发的例数治疗组3例(占8.6%),对照组16例(占48.5%),治疗组明显低于对照组,两组比较差异有统计学意义(P<0.05)。结论:口服地氯雷他定干混悬剂联合外用糠酸莫米松乳膏及类人胶原蛋白修复敷料对特应性皮炎的临床疗效显著且病情控制后不易出现复发,类人胶原蛋白修复敷料为外用医学保湿剂,长期使用安全性高。
Abstract:
Objective: To evaluate the clinical efficacy and long-term safety the effect of desloratadine for suspension combined with mometasone furoate cream and human-like collagen repair dressing on atopic dermatitis Methods: 68 patients with atopic dermatitis were included in this study and divided into treatment group (n=35) and control group (n=33) randomly. The treatment group was treated with oral desloratadine for suspension and external use of mometasone furoate cream and Human-like Collagen cream. The control group was treat with oral desloratadine for suspension and external use of mometasone furoate cream. Then, to observe the improvement of skin lesions and pruritus before and after treatment in control and treatment groups; To compare the difference of disease control time and rebound phenomenon between control and treatment groups. The patients skin condition was observed 1 time per week, and the itching,lesion etc. of the patients was recorded at the same time. The patients were followed up for two months after continuous treatment to disease control. Results: There was significant difference between treatment groups and Control in the total efficiency and onset time of drugs after 1~8 weeks treatment. In treatment group, there were 3 patients showed rebound phenomenon during 2 months followed-up period, which account for 8.6% of the total number of patients. However, there were 16 patients showed rebound phenomenon during 2 months followed-up period, which account for 48.5% of the total number of patients. The difference in rebound phenomenon between the control and treatment groups was significant (P<0.05). Conclusion: The therapeutic effect of oral desloratadine for suspension combined with mometasone furoate cream and Human-like Collagen cream on atopic dermatitis is remarkable, and the rebound phenomenon is rare in treatment group after the control of the disease. The main ingredient of Human-like Collagen cream is medical Humectant, which has high security for long-term use and is suitable for popularized.

参考文献/References:

[1]来亚群,史小艳.健脾渗湿法联合他克莫司治疗特应性皮炎疗效观察[J].陕西中医,2017,38(10):1445-1446.
[2]中华医学会皮肤性病学分会免疫学组.中国特应性皮炎诊疗指南(2014版)[J].中华皮肤科杂志,2014,47:(7):511-514.
[3]程颖,张珍,刘晓依,等.儿童特应性皮炎治疗前后生活质量的评估[J].中国当代儿科杂志,2017,19(6):682-687.
[4]Jurakic TR,Marinovi CB.The of impaired epidermal barrier function in Atopic dermariris[J].Acta Dermatovenerol Croat,2016,24:95-109.
[5]潘云雷,方红.特应性皮炎皮肤屏障缺陷的研究进展[J].实用皮肤病学杂志,2017,10(6):350-353.
[6]罗金成,宋志强.特应性皮炎的发病机制[J].中华临床免疫和变态反应杂志,2017,11(4):375-381.
[7]郑健,倪建聪,滕用华.儿童湿疹病因分析及药物治疗[J].海峡医学,2014,26(5):96-97.
[8]钱苗,夏艳.地氯雷他定预防儿童季节性湿疹效果观察[J].山东医药,2016,56(6):486-488.
[9]唐萍,谭琦,王华.皮肤屏障关键结构与特应性皮炎的相关性[J].激光杂志,2013,34(5):118-119.
[10]瞿旻晔,袁晓琳,马健.特应性皮炎发病过程及其机制研究现状探讨[J].中国皮肤性病学杂志,2015,29(10):1085-1087.

更新日期/Last Update: 2018-11-30