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司库奇尤单抗在中重度斑块型银屑病患者中的应用效果

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目的:探讨司库奇尤单抗在中重度斑块型银屑病患者中的应用效果。方法:选取 2022 年 1 月—2023 年 12 月常熟市第一人民医院就诊的 72 例中重度斑块型银屑病患者作为研究对象,根据随机数表法将患者分为观察组与对照组,各36 例。对照组外用复方卡泊三醇软膏治疗,观察组在对照组基础上给予司库奇尤单抗治疗。比较两组治疗效果、血清实验室指标及不良反应。结果:治疗 1 个月、3 个月后,两组银屑病皮损面积与严重程度指数(PASI)评分、皮肤病生活质量指数(DLQI)评分较治疗前下降,且观察组较对照组低,差异有统计学意义(P<0。05);治疗 3 个月后,两组血清肿瘤坏死因子-α(TNF-α)、白细胞介素-23(IL-23)、白细胞介素-17(IL-17)、辅助性T细胞 17(Th17)水平较治疗前下降,且观察组较对照组低,差异有统计学意义(P<0。05);两组不良反应发生率比较,差异无统计学意义(P>0。05)。结论:中重度斑块型银屑病患者应用司库奇尤单抗治疗能减轻炎症反应,改善临床症状,提高生活质量,且不增加不良反应,安全性较高。
Application Effect of Secukinumab in Patients with Moderate to Severe Plaque Psoriasis
Objective:To investigate the application effect of Secukinumab in patients with moderate to severe plaque psoriasis.Method:A total of 72 patients with moderate to severe plaque psoriasis who treated in Changshu First People's Hospital from January 2022 to December 2023 were selected as the research objects,the patients were divided into the observation group and the control group according to the random number table method,with 36 cases in each group.The control group was treated with Compound Calcipotriol Ointment for external use,and the observation group was treated with Secukinumab on the basis of the control group.The therapeutic effect,serum laboratory indexes and adverse reactions were compared between two groups.Result:After 1 month and 3 months of treatment,the psoriasis area and severity index(PASI)scores and dermatology life quality index(DLQI)scores of two groups were lower than those before treatment,and those in the observation group were lower than those in the control group,the differences were statistically significant(P<0.05);after 3 months of treatment,the levels of serum tumor necrosis factor-α(TNF-α),interleukin-23(IL-23),interleukin-17(IL-17)and helper T cell 17(Th17)in the two groups were lower than those before treatment,and those in the observation group were lower than the control group,the differences were statistically significant(P<0.05);there was no significant difference in the incidence of adverse reactions between two groups(P>0.05).Conclusion:The application of Secukinumab in patients with moderate to severe plaque psoriasis can reduce inflammatory response,improve clinical symptoms,improve quality of life,and do not increase adverse reactions,with high safety.

Plaque psoriasisSecukinumabCompound Calcipotriol OintmentInflammatory responseClinical symptomsQuality of life

陈鸿、姚盛、薛峤

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常熟市第一人民医院 江苏 常熟 215500

斑块型银屑病 司库奇尤单抗 复方卡泊三醇软膏 炎症反应 临床症状 生活质量

2024

中外医学研究
中国医院管理杂志社

中外医学研究

影响因子:1.149
ISSN:1674-6805
年,卷(期):2024.22(35)