莫匹罗星联合糖皮质激素治疗激素抵抗特应性皮炎湿疹的临床效果
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方兴(1970.10-),男,安徽东至县人,本科,副主任医师,主要从事皮炎、湿疹、特应性皮炎等临床诊治工作

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R758.2

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Clinical Effect of Mupirocin Combined with Glucocorticoid in the Treatment of Steroid-resistant Atopic Dermatitis/Eczema
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    摘要:

    探究对激素抵抗特应性皮炎/湿疹患者应用莫匹罗星联合糖皮质激素治疗的效果。方法 选 取常州市皮肤病专科医院2020年8月-2021年4月收治的65例激素抵抗特应性皮炎/湿疹患者为研究 对象,随机分为对照组(n =32)和研究组(n =33)。对照组予以单一糖皮质激素治疗,研究组予以 莫匹罗星联合糖皮质激素治疗,比较两组止痒所需时间、皮损消退时间、临床疗效及并发症发生情 况。结果 研究组止痒时间、皮损消退时间均短于对照组,差异有统计学意义(P <0.05);研究组 治疗总有效率为96.97%,高于对照组的81.25%,差异有统计学意义(P <0.05);研究组不良反应发 生率为15.15%,高于对照组的12.50%,但差异无统计学意义(P >0.05)。结论 对激素抵抗特应性 皮炎/湿疹患者应用莫匹罗星联合糖皮质激素治疗的效果良好,可有效改善患者的临床症状,加速皮 肤破损消退和止痒,有利于提升患者的躯体舒适度,加快康复进程,且不良反应发生几率较低,治 疗安全性较高。

    Abstract:

    To explore the effect of mupirocin combined with glucocorticoid in the treatment of patients with steroid-resistant atopic dermatitis/eczema. Methods A total of 65 patients with steroid-resistant atopic dermatitis/eczema admitted to Changzhou Dermatology Hospital from August 2020 to April 2021 were randomly divided into control group (n =32) and study group (n =33). The control group was treated with single glucocorticoid, and the study group was treated with mupirocin combined with glucocorticoid. The time required for relieving itching, the time of skin lesion regression, clinical efficacy and complications were compared between the two groups. Results The antipruritic time and skin lesion regression time of the study group were shorter than those of the control group, and the differences were statistically significant (P <0.05). The total effective rate of treatment in the study group was 96. 97%, which was higher than 81.25% in the control group, and the differences were statistically significant (P <0.05). The incidence of adverse reactions in the study group was 15.15%, which was higher than 12.50% in the control group, but the difference was not statistically significant (P >0.05). Conclusion The application of mupirocin combined with glucocorticoid in patients with steroid-resistant atopic dermatitis/ eczema has a good effect, which can effectively improve the clinical symptoms of patients, accelerate the regression of skin damage and itching, and help to improve the physical comfort of patients. Meanwhile, it can accelerate the rehabilitation process, and the incidence of adverse reactions is low , and the treatment safety is high.

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方兴.莫匹罗星联合糖皮质激素治疗激素抵抗特应性皮炎湿疹的临床效果[J].医学美学美容,2024,33(3):59-62.

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  • 在线发布日期: 2024-02-28
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