夫西地酸乳膏、多西环素联合硫酸羟氯喹治疗玫瑰痤疮的临床观察OA
Clinical observation of fusidic acid cream and doxycycline combined with hydroxychloroquine sulfate in the treatment of rosacea
目的 探讨多西环素联合硫酸羟氯治疗玫瑰痤疮的临床效果安全性.方法 选取2023 年2 月至2024 年5 月在鹤山市中医院接受治疗的70例玫瑰痤疮患者,按治疗方法不同分为对照组(n=31)和联合组(n=39).对照组外用夫西地酸乳膏联合口服多西环素,联合组外用夫西地酸乳膏联合口服多西环素和羟氯喹.观察两组患者治疗效果、皮损症状(红斑、丘疹、脓疱、瘙痒、毛细血管扩张)改善情况;记录两组患者治疗期间不良反应(恶心、头晕头痛、面部刺痛潮红)发生情况.结果 治疗后,联合组面部皮损症状评分均低于对照组,差异有统计学意义(P<0.05).联合组治疗有效率高于对照组,差异有统计学意义(P<0.05).治疗期间,两组患者不良反应比较差异无统计学意义(P>0.05).结论 夫西地酸乳膏、多西环素联合硫酸羟氯治疗玫瑰痤疮能够有效改善玫瑰痤疮患者皮损症状,疗效显著、安全性好.
Objective To investigate the clinical efficacy and safety of doxycycline combined with hydroxychloroquine sulfate in the treatment of rosacea.Methods A total of 70 patients with rosacea treated in Heshan Hospital of Chinese Medicine from February 2023 to May 2024 were selected,they were divided into control group(n=31)and combination group(n=39)according to different treatment methods.The patients in control group receiving fusidic acid cream combined with doxycycline orally,the combination group received topical fusidic acid cream combined with doxycycline and hydroxychloroquine orally.The therapeutic effect and improvement of skin lesion symptoms(erythema,papule,pustule,pruritus,telangiectasia)were observed in the two groups.The occurrence of adverse reactions(nausea,dizziness,headache,facial tingling and flushing)during treatment was recorded in the two groups.Results After treatment,the facial skin lesion symptom scores in the combination group were lower than those in the control group,and the difference was statistically significant(P<0.05).The effective rate of the combined treatment group was higher than that of the control group,and the difference was statistically significant(P<0.05).During the treatment period,there was no statistically significant difference in adverse reactions between the two groups of patients(P>0.05).Conclusions Fusidic acid cream and doxycycline combined with hydroxychloroquine sulfate can effectively improve the symptoms of skin lesions in rosacea patients,with significant efficacy and high safety.
黄汉飞;宋丽华;周慧;冯子来;陈伟英
鹤山市中医院皮肤科,广东 鹤山,529700鹤山市慢性病防治站皮肤科,广东 鹤山,529700
玫瑰痤疮硫酸羟氯喹多西环素
rosaceahydroxychloroquine sulfatedoxycycline
《中国医疗美容》 2024 (007)
20-23 / 4
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