窄谱强脉冲光联合他克莫司软膏治疗Ⅰ型玫瑰痤疮的疗效及安全性OA
Efficacy and safety of DPL500 combined with tacrolimus ointment in the treatment of typeⅠ rosacea
目的 探讨窄谱强脉冲光(DPL500)联合他克莫司软膏治疗Ⅰ型玫瑰痤疮的疗效及安全性.方法 选取2020年10月-2022年9月于前海人寿广州总医院收治的80例Ⅰ型玫瑰痤疮患者作为研究对象.随机分为观察组和对照组各40例,对照组给予0.1%他克莫司软膏治疗,2次/d,连续使用3个月;观察组在对照组基础上予DPL500治疗,1次/月,3次为一个疗程.比较两组患者的治疗效果及安全性.结果 治疗结束后,观察组的总有效率为97.50%,高于对照组的80.00%(x2=4.51,P<0.05).观察组皮肤潮红、毛细血管扩张、红斑、皮肤敏感等的改善时间均短于对照组(均P<0.05)o治疗前,两组患者主观评分、客观评分比较,差异均无统计学意义(均P>0.05);治疗30、60、90 d后,观察组主观评分、客观评分均低于对照组(均P<0.05).两组患者不良反应总发生率无显著差异(x2=0.18,P=0.672).结论 DPL500联合他克莫司软膏用于治疗Ⅰ型玫瑰痤疮的效果确切,能快速改善患者的脸部症状,且具有较高的安全性.
Objective To evaluate the efficacy and safety of DPL500 combined with tacrolimus ointment in the treatment of type Ⅰ rosacea.Methods A total of 80 patients with type Ⅰ rosa-cea were enrolled at the Foresea Life Insurance Guangzhou General Hospital from October 2020 to September 2022,and randomly divided into the observation and control groups,40 cases per group.The observation group was treated with DPL500 once a month and 0.1%tacrolimus oint-ment twice-daily for 3 months,while the control group was treated with 0.1%tacrolimus ointment alone.The efficacy and safety were compared between the two groups.Results Following the treatment,the total effective rate was higher in the observation group than in the controls(97.50%vs.80.00%,x2=4.51,P<0.05).More rapid improvements in skin flushing,telan-giectasia,erythema and skin sensitivity were observed in the observation group compared to the controls(P<0.05).Although the baseline subjective and objective scores did not differ signifi-cantly between the two groups(P>0.05),both subjective and objective scores in the observation group were significantly lower than that in the controls after 30-,60-and 90-day treatment(P<0.05).However,adverse reactions were comparable between the two groups(x2=0.18,P=0.672).Conclusions DPL500 combined with tacrolimus ointment is effective and safe in the treatment of type Ⅰ rosacea.It can quickly improve the facial symptoms.
苏淡彬;李其林;任英云;刘雅慧;李嘉萍
前海人寿广州总医院,广东 广州 511300前海人寿广州总医院,广东 广州 511300||暨南大学附属广州红十字会医院,广东 广州 510220前海人寿广州总医院,广东 广州 511300前海人寿广州总医院,广东 广州 511300前海人寿广州总医院,广东 广州 511300
窄谱强脉冲光他克莫司软膏Ⅰ型玫瑰痤疮临床疗效安全性
DPL500tacrolimus ointmenttype Ⅰ rosaceaclinical efficacysafety
《皮肤性病诊疗学杂志》 2024 (1)
9-14,6
评论