首页|窄谱紫外线配合复方丙酸氯倍他索软膏对轻中度银屑病患者炎症反应指标、PASI评分的影响

窄谱紫外线配合复方丙酸氯倍他索软膏对轻中度银屑病患者炎症反应指标、PASI评分的影响

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目的 探讨窄谱紫外线联合复方丙酸氯倍他索软膏治疗轻中度银屑病的效果.方法 选择 2021 年 11 月—2023 年3 月兰陵县人民医院收治的 86 例轻中度银屑病患者为研究对象,按随机数字表法将其分为对照组及观察组,每组 43 例.对照组采用复方丙酸氯倍他索软膏治疗,观察组在此基础上采用窄谱紫外线照射治疗.对比两组患者的临床疗效、临床症状改善情况、炎症因子水平及免疫功能.结果 观察组的治疗总有效率为 95.35%,高于对照组的69.77%,差异有统计学意义(P<0.05).治疗后,观察组的银屑病严重程度指数中鳞屑、红斑、皮损面积和浸润分数均低于对照组,组间差异有统计学意义(P<0.05).治疗后,观察组的肿瘤坏死因子-α、干扰素-γ、白细胞介素-6 水平均低于对照组,组间差异有统计学意义(P<0.05).治疗后,观察组的T淋巴细胞亚群CD4+水平高于对照组,CD8+水平低于对照组,组间差异有统计学意义(P<0.05).结论 采用窄谱紫外线联合复方丙酸氯倍他索软膏治疗轻中度银屑病的效果显著,能缓解患者临床症状,减轻其炎症反应,提升其免疫力.
Effect of Narrowband Ultraviolet Radiation B Combined with Compound Clobetasol Propionate Ointment on Inflammatory Response Indicators and PASI Scores in Patients with Mild to Moderate Psoriasis
Objective To investigate the effect of narrowband ultraviolet radiation B combined with compound clobetasol propionate ointment in the treatment of mild to moderate psoriasis.Methods 86 patients with mild to moderate psoriasis treated in Lanling County People's Hospital from November 2021 to March 2023 were selected as the study objects and were divided into a control group and an observation group according to random number table method,with 43 cases in each group.The control group was treated with compound clobetasol propionate ointment,and the observation group was treated with narrowband ultraviolet radiation B on this basis.The clinical effect,improvement of clinical symptoms,levels of inflammatory factors and immune function were compared between the two groups.Results The total effective rate of the observation group was 95.35%,higher than 69.77%of the control group,the difference was statistically significant(P<0.05).After treatment,the scores of scales,erythema,skin area and infiltration fraction in the psoriasis area severity index of the observation group were lower than those of the control group,and the differences between the groups were statistically significant(P<0.05).After treatment,the levels of tumor necrosis factor-α,interferon-γ and interleukin-6 in the observation group were lower than those in the control group,and the differences between the groups were statistically significant(P<0.05).After treatment,the CD4+ level of T lymphocyte subsets in the observation group was higher than that in the control group,and the CD8+ level was lower than that in the control group,and the differences between the groups were statistically significant(P<0.05).Conclusion Narrowband ultraviolet radiation B combined with compound clobetasol propionate ointment is effective in the treatment of mild to moderate psoriasis,which can alleviate clinical symptoms,reduce inflammation and enhance immunity.

PsoriasisMild to moderateNarrowband ultraviolet radiation BCompound clobetasol propionate ointmentInflammatory indicators

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兰陵县人民医院皮肤科,山东临沂 277700

银屑病 轻中度 窄谱紫外线 复方丙酸氯倍他索软膏 炎症指标

2024

反射疗法与康复医学

反射疗法与康复医学

ISSN:
年,卷(期):2024.5(4)
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