首页|曲安奈德注射液联合开喉剑喷雾剂治疗糜烂型口腔扁平苔藓临床观察

曲安奈德注射液联合开喉剑喷雾剂治疗糜烂型口腔扁平苔藓临床观察

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目的 观察曲安奈德注射液联合开喉剑喷雾剂治疗糜烂型口腔扁平苔藓的临床疗效.方法 将100 例糜烂型口腔扁平苔藓患者按照随机数字表法分为2 组,治疗组50 例予曲安奈德注射液联合开喉剑喷雾剂治疗,对照组 50例予曲安奈德注射液联合灭菌注射用水治疗.2 组均治疗4 周,并于治疗2、4 周后复诊.比较2 组疗效;比较2 组治疗前后黏膜愈合评分变化;比较2 组治疗前后疼痛视觉模拟评分(VAS)变化;比较2 组治疗前后白细胞介素6(IL-6)水平变化;观察2 组不良反应.结果 2 组治疗2 周总有效率比较差异无统计学意义(P>0.05);治疗 4 周治疗组总有效率90.0%(45/50),对照组总有效率66.0%(33/50),治疗组疗效优于对照组(P<0.05).2 组治疗2、4 周黏膜愈合评分均较本组治疗前降低(P<0.05),且治疗组降低更明显(P<0.05).2 组治疗 2、4 周疼痛VAS均较本组治疗前降低(P<0.05),且治疗组降低更明显(P<0.05).2 组治疗4 周IL-6 水平均较本组治疗前降低(P<0.05),且治疗组降低更明显(P<0.05).2 组患者治疗期间均未出现腹泻、恶心、食欲减退、念珠菌性口炎等不良反应.结论 曲安奈德注射液联合开喉剑喷雾剂治疗糜烂型口腔扁平苔藓,可有效改善患者口腔黏膜症状,且不良反应较少.
Effect of triamcinolone acetonide injection combined with open sword throat spray on erosive oral lichen planus
Objective To observe the clinical therapeutic effects of triamcinolone acetonide injection combined with open sword throat spray on erosive oral lichen planus(EOLP).Methods A total of 100 patients with EOLP were divided into 2 groups by a random number table method.The patients received either triamcinolone acetonide injection combined with open sword throat spray for external use(test group,n =50)or triamcinolone acetonide injection combined with normal saline(control group,n =50)for4 weeks.The curative effectsof the two groups were compared.The changes inmucosal healing(MH)assess-ment scores,visual analogue scale(VAS)for pain,interleukin-6(IL-6)before and after treatment were assessed between groups.The treatment-emergent adverse events(TEAEs)were observed.Results After 4 week treatment,the total effective rate in test group was superior to the control(90.0%[45/50]vs 66.0%[33/50],P<0.05).The patients in the both groups presented significantly lower MH scores,VAS scores,and IL-6 level(all P<0.05),and the improvements were more pro-nounced in the test group than those of control group(all P<0.05).No TEAEsoccurredsuch as diarrhea,nausea,loss of appetite and candidal stomatitis in the two groups.Conclusion triamcinolone acetonide injection combined with open sword throat spray in treating EOLP can effectively improve the mucosal symptoms,and it has fewer adverse reaction.

Lichen planus,Oral cavitySprayTriamcinolone acetonide

张立立、刘洋洋、刘爱民

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天津市宁河区医院口腔科,天津 301509

扁平苔癣,口腔 喷雾剂 曲安奈德

2024

河北中医
河北省医学情报研究所,河北省中医药学会

河北中医

CSTPCD
影响因子:0.951
ISSN:1002-2619
年,卷(期):2024.46(3)
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