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奥马珠单抗治疗慢性荨麻疹的效果和安全性

Efficacy and safety of Omalizumab in the treatment of chronic urticaria

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目的 探讨对慢性荨麻疹患者采用奥马珠单抗药物完成治疗后获得的临床疗效以及安全性.方法 选取2020年3月至2022年11月枣庄市皮肤病性病防治院收治的80例慢性荨麻疹患者作为研究对象,采用随机数字表法分为参照组和研究组,每组各40例.参照组患者采用枸地氯雷他定展开疾病治疗;研究组患者采用枸地氯雷他定+奥马珠单抗药物展开联合治疗.比较两组患者的临床治疗总有效率、临床症状评分、血清学指标水平、免疫功能相关指标以及不良反应总发生率.结果 研究组药物治疗总有效率高于参照组,差异有统计学意义(P<0.05).治疗后,研究组临床症状评分低于参照组,差异有统计学意义(P<0.05).治疗后,研究组白细胞介素4、免疫球蛋白-E低于参照组,γ-干扰素高于参照组,差异有统计学意义(P<0.05).治疗后,研究组辅助性T细胞(Th)17/调节性T细胞(Treg)、Th1/Th2低于参照组,差异有统计学意义(P<0.05).两组不良反应总发生率比较,差异无统计学意义(P>0.05).结论 临床对慢性荨麻疹患者在治疗期间,奥马珠单抗疗法的有效应用,可有效提升治疗效果,对安全性做出保证,并有效改善血清学指标以及免疫功能指标.
Objective To investigate the clinical efficacy and safety of Omalizumab in patients with chronic urticaria.Methods Eighty patients with chronic urticaria treated in Zaozhuang Dermatology and Venereal Disease Prevention and Control Hospital from March 2020 to November 2022 were selected as the research objects,and they were divided into ref-erence group and study group,with 40 cases in each group.The reference group was treated with Desloratadine Citrate.The study group were treated with Desloratadine Citrate plus Omazumab.The total effective rate of clinical treatment,clinical symptom score,serological index level,immune function related index and total incidence of adverse reactions were com-pared between the two groups.Results The total effective rate of drug therapy in the study group was higher than that in the reference group,and the difference was statistically significant(P<0.05).After treatment,the clinical symptom score of the study group was lower than that of the reference group,and the difference was statistically significant(P<0.05).After treat-ment,interleukin-4 and immunity globulin-E in the study group were lower than those in the reference group,and interfer-on was higher than those in the reference group,with statistical significances(P<0.05).After treatment,T helper cells(Th)17/regulatory cells(Treg)and Th1/Th2 in the study group were lower than those in the reference group,and the differences were statistically significant(P<0.05).There was no significant difference in the total incidence of adverse reactions be-tween the two groups(P>0.05).Conclusion During the treatment of patients with chronic urticaria,the effective application of Omalizumab therapy can effectively improve the therapeutic effect,ensure the safety,and effectively improve the serologi-cal indicators and immune function indicators.

OmazumabChronic urticariaCurative effectClinical safetySerological indexImmune function index

邱莉莉、邱盼盼

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山东省枣庄市皮肤病性病防治院皮肤科,山东滕州 277599

奥马珠单抗 慢性荨麻疹 疗效 临床安全性 血清学指标 免疫功能指标

2024

中国当代医药
中国保健协会 当代创新(北京)医药科学研究院

中国当代医药

影响因子:1.215
ISSN:1674-4721
年,卷(期):2024.31(24)