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窄谱中波紫外线联合复方卡力孜然酊治疗150例白癜风的效果及预后观察

作者:赵 蕾

所属单位:郑州大学第一附属医院皮肤科 (河南 郑州 450052)

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摘要

目的 探究窄谱中波紫外线(NB-UVB)联合复方卡力孜然酊(KT)治疗白癜风的效果。方法 选取150例白癜风患者为受 试对象,依照随机数表将其分为联合组(n=75)与对照组(n=75)。联合组予以NB-UVB照射联合外搽KT治疗,对照组仅 予以NB-UVB照射治疗。比较两组患者治疗前及治疗3个月后血清白细胞介素-17(IL-17)水平、皮损区面积、自信心 [Rosenberg自信心评分量表(RSES)]变化情况,分析两组治疗效果及治疗过程中不良反应发生情况差异。结果 治疗 3个月后,两组患者血清IL-17水平、皮损区面积、RSES评分均较治疗前获得明显改善,且联合组改善效果更佳(P均 <0.05);联合组患者治疗效果显著优于对照组(P<0.05),而组间不良反应发生率比较则均无统计学意义(P均> 0.05)。结论 NB-UVB联合KT方案可安全有效的应用于白癜风治疗。

Objective To explore the effecst of narrow-band ultraviolet (NB-UVB) combined with compound Kaliziran tincture (KT) in the treatment of vitiligo. Methods A total of 150 patients with vitiligo were selected as subjects and were divided into combined group (n=75) and control group (n=75) according to the random number table method. Combined group was given NB-UVB irradiation combined with external application of KT, and control group was only treated with NB-UVB. The changes of serum interleukin-17 (IL-17) level, skin lesion area and self-esteem [Rosenberg SelfEsteem Scale (RSES)] were compared between the two groups before and after 3 months of treatment. The treatment effects and occurrence of adverse reactions during treatment were analyzed in the two groups. Results After 3 months of treatment, the serum IL-17 level, skin lesion area and RSES score in the two groups were significantly improved compared with those before treatment, and the improvements were better in combined group (all P<0.05). The treatment effects in combined group were significantly better than those in control group (P<0.05), and there was no statistically significant difference in the incidence rate of adverse reactions between the groups (all P>0.05). Conclusion NB-UVB combined with KT regimen can be safely and effectively applied to vitiligo treatment.

【关键词】窄谱;中波紫外线;复方卡力孜然酊;白癜风

【中图分类号】R758.4+1

【文献标识码】A

【DOI】10.3969/j.issn.1009-3257.2019.02.030

前言

在色素缺失性疾病中,以白癜风为代表的后天性 疾病主要表现出浅色斑片皮肤,因此极易被诊断,也 严重损毁患者的外观,对其心理及生活造成恶劣影 响。当前临床治疗白癜风主要采用自身皮肤移植及窄 谱中波紫外线(NB-UVB)照射的方式,但由于目前对于 白癜风的病因尚无明确的解释,因而难以从根本上治 愈白癜风,复发率普遍较高。复方卡力孜然酊(KT)是 促进皮肤黑色素合成的中成药,药效已得到临床广泛 认可[1],本研究采用NB-UVB联合KT方案治疗白癜风, 取得成果汇报如下。