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盐酸左西替利嗪片内服与丙酸氟替卡松乳膏外用联合治疗慢性湿疹的效果与不良反应分析OA

Analysis on the Effect and Adverse Reactions of Oral Levocetirizine Hydrochloride Tablets and External Fluticasone Propi-onate Cream in the Treatment of Chronic Eczema

中文摘要英文摘要

目的 探讨盐酸左西替利嗪片内服与丙酸氟替卡松乳膏外用联合治疗慢性湿疹的效果与不良反应.方法 选择2022年3月至2023年3月我院收治的慢性湿疹患者160例,随机分为对照组和观察组各80例.对照组给予盐酸左西替利嗪片内服,观察组在对照组基础上给予丙酸氟替卡松乳膏外用.对比两组的临床疗效、临床症状消失时间、皮损情况和不良反应.结果 观察组总有效率高于对照组(P<0.05).观察组疼痛、肥厚、鳞屑、红斑消失时间短于对照组,治疗后皮损症状积分和皮损面积低于对照组(P<0.05).两组的不良反应发生率比较无统计学差异(P>0.05).结论 盐酸左西替利嗪片内服与丙酸氟替卡松乳膏外用联合治疗慢性湿疹可显著提高临床疗效,加快患者临床症状消失,改善皮损情况,且安全性较高,值得临床推广应用.

Objective To explore the effect and adverse reactions of oral levocetirizine hydrochloride tablets and external fluticasone propionate cream in the treatment of chronic eczema.Methods 160 patients with chronic eczema admitted to our hospital from March 2022 to March 2023 were selected and randomly divided into two groups equally.The control group was given oral levocetirizine hydrochloride tablets,while the observation group was given external fluticasone propionate cream on the basis of the control group.The clinical efficacy,disappearance time of clinical symptoms,skin lesions,and adverse reactions were compared between the two groups.Results The total effective rate of the observation group was higher than that of the control group(P<0.05).The disappearance time of pain,hypertrophy,scales,and erythema in the observation group was shorter than that in the control group(P<0.05).After treatment,the score of skin lesion symptoms and skin lesion area in the observation group were lower than those in the control group(P<0.05).No statistical difference was found in the incidence of adverse reactions between the two groups(P>0.05).Conclusions Oral levocetirizine hydrochloride tablets and external fluticasone propionate cream in the treatment of chronic eczema can significantly improve the clinical efficacy,accelerate the disappearance of clinical symptoms,and improve the skin lesions,with higher safety,which is worthy of clinical promotion and application.

黄宇锋;卞坤鹏;翟伟

南阳市中心医院/南阳市肿瘤医院皮肤科,河南南阳 473000

临床医学

慢性湿疹;盐酸左西替利嗪片;丙酸氟替卡松;疗效;不良反应

Chronic eczema;Levocetirizine hydrochloride tablet;Fluticasone propionate;Efficacy;Adverse reaction

《临床医学工程》 2024 (005)

579-580 / 2

10.3969/j.issn.1674-4659.2024.05.0579

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