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普萘洛尔治疗婴幼儿血管瘤的临床研究

Clinical research of propranolol on treatment of infantile hemangiomas
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摘要 目的探讨普萘洛尔治疗婴幼儿血管瘤的效果和安全性。方法2011年4月至2012年2月,对42例婴幼儿血管瘤进行口服普萘洛尔治疗,2.0mg(kg·d),疗程3~9个月,并进行疗效评定和安全性评价。结果患儿口服普萘洛尔1周后,肿物生长得到有效控制。疗效评定:优10例(23.81%),好18例(42.86%),中13例(30.95%),差1例(2.38%),有效率为66.67%。其中深部血管瘤的疗效明显优于浅部和混合型血管瘤。9.52%(4/42)患儿有轻微不良反应,均于1周内自行消失。结论普萘洛尔口服治疗婴幼儿血管瘤的方法有效,不良反应少,安全性较好。 Objective To observe the clinical effect and safety of Propranolol for treating infantile he- mangiomas. Methods From Apr 2011 to Feb 2012, 42 patients with infantile hemangiomas were was orally administered with Propranolol at 2.0 mg/( kg· d). The total time of therapy was 3 months to 9 months. The efficacy and safety of medication were evaluated after finishing treatment. Results The hemangioma growth was controlled in all the patients at 1 week after treatment. Response to propranolol therapy was excellent in 10 patients (23.81%) ,good in 18 patients (42.86%), fair in 13 patients (30.95%) and poor in 1 pat ient (2.38%). The therapeutic effect of deepseated hemangiomas was superior to that of mixed hemangiomas and superficial lesions. Minor side effects were happened in 9.52% ( 4/42 ) of patients, which disappeared within one week without special handling. Conclusion Oral propranolol is effective and safe in the treatment of infantile hemangioma with minor side effect.
出处 《中国美容整形外科杂志》 CAS 2012年第11期670-673,共4页 Chinese Journal of Aesthetic and Plastic Surgery
关键词 普萘洛尔 婴幼儿血管瘤 临床研究 Propranolol Infantile hemangioma Clinical research
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