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《鹽酸左西替利嗪聯(lián)合白芍總苷治療兒童慢性特發(fā)性蕁麻疹的臨床研究》由會員上傳分享,免費在線閱讀,更多相關內容在工程資料-天天文庫。
1、鹽酸左西替利嗪聯(lián)合白芍總昔治療兒童慢性特發(fā)性尊麻疹的臨床研究周小強李高峰羅玉香薛重重韶關學院醫(yī)學院附屬醫(yī)院廣東粵北人民醫(yī)院皮膚科摘要:口的觀察鹽酸左西替利嗪聯(lián)合口芍總昔治療兒童慢性特發(fā)性尊麻疹的療效及安全性。方法選取100例慢性特發(fā)性尊麻疹患兒為研究對象,隨機分成治療組和對照組(各50例)。兩組均采用口服鹽酸左西替利嗪口服液,其中治療組在口服鹽酸左西替利嗪口服液的同時加用白芍總昔膠囊,療程為12周,分別在治療前及治療后第2、4、8、12周吋對患者的癥狀體征積分做評估以評價療效,同吋記錄不良反應事件,治療前、治療12周后檢查血常規(guī)、肝腎功能及心電圖。停藥后6周及12周后觀察復發(fā)情
2、況。結果治療組在治療第14天及第28天時,其有效率分別為76.0%及88.0%,明顯高于對照組(52.0%和66.0%)。兩組患者主要臨床癥狀評分均明顯低于治療前,而治療后第14天及第28天治療組風團持續(xù)發(fā)作時間及發(fā)作頻率均低于單用對照組,且在停藥后第6周及第12周,復發(fā)率分別為12.0%及16.0%,低于對照組(32.0%和38.0%)(P<0.05)。對照組和治療組的不良反應發(fā)生率分別為10.0%及&0%,兩組差異無統(tǒng)計學意義(P>0.05)。結論鹽酸左西替利嗪聯(lián)合白芍總百治療兒童慢性特發(fā)性尊麻疹安全、有效,療效及復發(fā)率均優(yōu)于單用左西替利嗪,值得在臨床上推廣運用。關鍵詞:鹽
3、酸左西替利嗪;口芍總昔;慢性尊麻疹;特發(fā)性;兒童;作者簡介:薛重重,Ema訂:zxq217217@126.com收稿日期:2017-08-05ClinicalResearchofChronicIdiopathicUrticariaTreatedwithLevocetirizineandTotalGlucosidesofPeonyinChildrenZHOUXiao-qiangLIGao-fengLUOYu-xiangXUEChong-chongAffiliatedHospitalofMedicalSchool,ShaoguanUniversity;DepartmentofDer
4、matology,GuangdongAobeiPeople'sHospital;Abstract:ObjectiveToobservethetherapeuticeffectsandsafetyoflevocetirizineandtotalglucosidesofpeony(TGP)onchronicidiopathicurticariainchiIdren.MethodsAtotalof100chi1drenofchronicidiopathicurticarialwereselectedasthesubjeetsandwererandomizedintoatreatmen
5、tgroupandacontrolgroup,50casesineachone.Inbothofthegroups,levocetirizineoralliquidwasused.Additionally,inthetreatmentgrup,TGPcapsuleswereadded.Thedurationoftreatmentwas12weeks.Separate!y,beforetreatment,inweeks2,4,8and12aftertreatment,thescoresofsymptomsandphysicalsignswereassessedaswellasth
6、etherapeuticeffects.Theadversereactionswererecorded.Beforetreatmentandin12weeksoftreatment,thebloodroutine,liverandkidneyfunctionsandEEGweretested.Therecurrencewasobservedaftermedicationdiscontinuityfor6and12weeks.ResultsOntheday14andday28oftreatment,inthetreatmentgroup,theeffectivcrateswere
7、76-0%and88.0%,remarkablyhigherthanthecontrolgroup(52.0%and66.0%)?Thescoreofclinicalsymptomswaslowerremarkablyascomparedwiththatbeforetreatmentinthetwogroups.Onday14and28aftertreatment,thepersistentdurationandattackfrequencyofwindwheelsinthetreatmen