Curative effect of Weah dew combined with prednisone in the treatment of vitiligo
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摘要: 目的 通过回顾性对比采用维阿露联合泼尼松治疗与单独维阿露治疗白癜风患者的疗效来分析维阿露联合泼尼松治疗方法的优点及其临床应用推广前景。 方法 选取2013年10月—2014年10月间解放军第425中心医院皮肤科门诊就诊的52例(男性27例,女性25例)白癜风患者,按数字随机法分为2组(n=26),治疗周期为2个月,实验组给予维阿露与泼尼松联合治疗,对照组给予单独维阿露治疗,2个月后分别记录患者白斑消退面积并分级进行统计学分析对比2组间治愈率及有效率差异,同时统计2组治疗过程中的不良反应率并进行对比分析。 结果 经过2个月治疗后,实验组痊愈率为23.1%,有效率为88.5%,单独维阿露治疗组痊愈率为7.7%,有效率为53.8%,实验组痊愈率及总有效率明显高于对照组,差异具有统计学意义。实验组与对照组治疗中部分患者有局部红斑出现,部分患者有皮肤烧灼感,还有少部分患者有小水疱出现,降低药量后好转。实验组不良反应率为57.7%,对照组不良反应率为80.8%,实验组明显低于对照组。 结论 白癜风的治疗中小剂量泼尼松的应用可明显减轻维阿露所致的不良反应,提高治疗效果,因此,维阿露与泼尼松联合治疗能为白癜风的治疗提供一种新的思路,其临床应用值得关注。Abstract: Objective To study the curative effect of prednisone combined with Weah dew in the treatment of vitiligo,and evaluate the advantage and application prospects of this regimen. Methods A total of 48 outpatients(27 male and 25 female) from October 2013 to October 2014 were enrolled and randomly divided into two groups.The treatment group(n=26) underwent external Weah dew combined with prednisone therapy,while the control group received Weah dew therapy.After 2 months of treatment,leukoplakia subsided area and adverse reactions were observed.The data were statistically analyzed. Results After 2 months of treatment,the curative rate of the treatment group was 23.1%,effective rate was 88.5%,while in the control group,the curative rate was 7.7%,effective rate was 53.8%.All the data were statistically analyzed.The curative and effective rate in the treatment group was higher than those in the control group.The main adverse reactions were local erythema and mild burning sensation,9 individuals in the control group were found with small blisters form.The incidence of adverse reaction in the treatment group was 57.7%,and in the control group was 80.8%,the incidence of adverse reaction rate in the treatment was much lower than that in the control group. Conclusion The application of low dose prednisone could lighten the side effect of Weah dew in the treatment of vitiligo,and improve the curative rate.Weah dew combined with prednisone could be a kind of priority treatment method,and should be promoted.
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Key words:
- Wei Alu /
- Prednisone /
- Vitiligo
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