异维A酸红霉素凝胶治疗轻中度寻常痤疮的疗效观察
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篇名: 异维A酸红霉素凝胶治疗轻中度寻常痤疮的疗效观察
TITLE:
摘要: 目的:观察异维A酸红霉素凝胶治疗轻中度寻常痤疮的疗效和安全性。方法:120例轻中度寻常痤疮患者随机均分为观察组和对照组。观察组患者于每晚临睡前给予异维A酸红霉素凝胶适量,涂抹于患处,每日1次;对照组患者于每晚临睡前给予维胺酯维E乳膏适量,涂抹于患处,每日1次 。两组患者治疗前均彻底清洁患处皮肤后使用药品,治疗期间不使用化妆品,饮食清淡忌辛辣,作息规律少熬夜。两组疗程均为2个月。观察两组患者的临床疗效,治疗前后各皮损积分、皮脂分泌率(SER)及不良反应发生情况。结果:观察组患者总有效率显著高于对照组,差异有统计学意义(P<0.05)。治疗后,两组患者各皮损积分、SER均显著低于同组治疗前,而观察组皮损数量积分、皮疹形态积分、SER均低于对照组,差异均有统计学意义(P<0.05);但皮疹类型积分两组间比较,差异无统计学意义(P>0.05)。两组患者不良反应发生率比较,差异无统计学意义(P>0.05)。结论:异维A酸红霉素凝胶治疗轻中度寻常痤疮疗效显著,且安全性较好。
ABSTRACT: OBJECTIVE:To observe the efficacy and safety of Isotretinoin erythromycin gel in the treatment of mild-to-moderate acne vulgaris. METHODS: 120 patients with mild-to-moderate acne vulgaris were randomly divided into observation group and control group. Observation group was given appropriate amount of Isotretinoin erythromycin gel in affected areas every night before bed, once a day; control group was given appropriate amount of Viaminate vitamin E cream in affected areas every night before bed, once a day. The skin was thoroughly cleaned before treatment, no cosmetics and no spicy diet, rest rules and less staying up late. The treatment course for both groups was 2 months. Clinical efficacy, skin lesion scores, inflammation sebum secretion rate (SER) before and after treatment, and the incidence of adverse reactions in 2 groups were observed. RESULTS: The total effective rate in observation group was significantly higher than control group, the difference was statistically significant(P<0.05). after treatment, the skin lesion scores and SER in 2 groups were significantly lower than before, the number of skin lesions, rash forms and SER in observation group were significantly lower than control group, the differences were statistically significant (P<0.05); but there was no significant difference in the rash types between 2 groups (P>0.05). And there was no significant difference in the incidence of adverse reactions(P>0.05). CONCLUSIONS: Isotretinoin erythromycin gel has significant efficacy in the treatment of mild-to-moderate acne vulgaris, with good safety.
期刊: 2016年第27卷第9期
作者: 牛金茹,阮晓兰
AUTHORS: NIU Jinru,RUAN Xiaolan
关键字: 异维A酸红霉素凝胶;轻中度寻常痤疮;疗效;安全性
KEYWORDS: Isotretinoin erythromycin gel; Mild-to-moderate acne vulgaris; Efficacy; Safety
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