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探讨儿童特应性皮炎的临床治疗 被引量:4

Exploring the Clinical Treatment of Atopic Dermatitis in Children
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摘要 目的探讨儿童特应性皮炎的临床治疗。方法将2017年5月—2018年5月在我院就诊的86例儿童特应性皮炎患儿随机分为两组,对照组采用0.05%地奈德乳膏外涂治疗,观察组采用0.05%地奈德乳膏联合0.03%他克莫司软膏外涂治疗。比较两组患儿的临床疗效、症状改善情况、不良反应发生率。结果观察组治疗有效率为95.35%,高于对照组的74.42%(P <0.05);观察组皮疹积分、瘙痒积分、SCORAD总积分均低于对照组(P <0.05);观察组皮肤灼热感、刺痛、干燥、丘疹等不良反应发生率低于对照组(P <0.05)。结论儿童特应性皮炎采用他克莫司联合地奈德治疗效果更佳,能有效缓解瘙痒、皮疹症状,且外用安全性高。 Objective To investigate the clinical treatment of atopic dermatitis in children.Methods Eighty-six children with atopic dermatitis in our hospital from May 2017 to May 2018 were randomly divided into two groups.The control group was treated with 0.05%desonide cream,and the observation group was treated with 0.05%desonide cream and 0.03%tacrolimus ointment.The clinical efficacy,symptom improvement and adverse reaction rate of the two groups were compared.Results The effective rate of the observation group was 95.35%,which was significantly higher than that of the control group(74.42%)(P<0.05).The rash score,pruritus score and SCORAD total score of the observation group were significantly lower than that of the control group(P<0.05).The incidence of adverse reactions such as skin burning,tingling,dryness,and papules of the observation group was significantly lower than that of the control group(P<0.05).Conclusion Children with atopic dermatitis treated with tacrolimus combined with desonide can obtain better effect,which can effectively relieve itching,rash symptoms,and can achieve high external safety.
作者 吴宝玉 吴倩 刘慧 WU Baoyu;WU Qian;LIU Hui(Department of Pathology,Xuzhou Children's Hospital,Xuzhou Jiangsu 221002,China;Department of Dermatology,Xuzhou Children's Hospital,Xuzhou Jiangsu 221002,China;Department of Pathology,Affiliated Hospital of Xuzhou Medical University,Xuzhou Jiangsu 221002,China)
出处 《中国卫生标准管理》 2019年第2期78-80,共3页 China Health Standard Management
关键词 特应性皮炎 地奈德乳膏 他克莫司软膏 临床疗效 atopic dermatitis desonide cream tacrolimus ointment clinical efficacy
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