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地氯雷他定5毫克每日一次可改善慢性特发性荨麻疹患者的生活质量。

Desloratadine 5 mg once daily improves the quality of life of patients with chronic idiopathic urticaria.

作者信息

Lachapelle J M, Decroix J, Henrijean A, Roquet-Gravy P P, De Swerdt A, Boonen H, Lecuyer M, Suys E, Speelman G, Vastesaeger N

机构信息

Department of Dermatology, Université Catholique de Louvain, Brussels, Belgium.

出版信息

J Eur Acad Dermatol Venereol. 2006 Mar;20(3):288-92. doi: 10.1111/j.1468-3083.2006.01429.x.

Abstract

BACKGROUND

Chronic urticaria is known to debilitate a person's quality of life via sleep disruption, itching lesions, fatigue, social isolation, energy loss and emotional/sexual difficulties. Once-daily desloratadine significantly improved the signs and symptoms of CIU.

OBJECTIVE

Assess the effect of desloratadine 5 mg once daily on the quality of life of patients suffering of chronic idiopathic urticaria (CIU). Study population One-hundred twenty-one consecutive patients with CIU present for at least 6 weeks prior to inclusion and with a current flare of at least 3 weeks, were included in the study in 24 Belgian centres.

RESULTS

The mean dermatology life quality index (DLQI) significantly decreased from baseline to day 7 and further to day 42. Sixty per cent and 77% of patients had a clinically significant change (i.e. a decrease of at least 2 points) at day 7 or day 42, respectively, as compared with that of day 0. Change in pruritus and size of the hives significantly correlated with the change in the score of the quality of life. One-third of patients experienced complete relief whereas in 1 of 10 patients no effect was experienced.

CONCLUSIONS

Desloratadine significantly improves the quality of life of patients with chronic idiopathic urticaria as reflected by the dermatology life quality index (DLQI).

摘要

背景

已知慢性荨麻疹会通过睡眠中断、瘙痒性皮损、疲劳、社交隔离、精力丧失以及情感/性方面的困扰,使人的生活质量下降。每日一次服用地氯雷他定可显著改善慢性特发性荨麻疹(CIU)的体征和症状。

目的

评估每日一次服用5毫克地氯雷他定对慢性特发性荨麻疹(CIU)患者生活质量的影响。研究人群 连续121例CIU患者在纳入研究前至少患病6周,且当前发作至少3周,在比利时的24个中心被纳入研究。

结果

从基线到第7天,再到第42天,平均皮肤病生活质量指数(DLQI)显著下降。与第0天相比,分别有60%和77%的患者在第7天或第42天出现临床显著变化(即至少下降2分)。瘙痒和荨麻疹大小的变化与生活质量评分的变化显著相关。三分之一的患者症状完全缓解,而十分之一的患者没有效果。

结论

如皮肤病生活质量指数(DLQI)所示,地氯雷他定可显著改善慢性特发性荨麻疹患者的生活质量。

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