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[一种无菌抗烧伤凝胶在放射性皮炎中的应用价值:一项对比研究的结果]

[Interest of a sterilised anti-burning gel in radiation dermatitis: results of a comparative study].

作者信息

Ribet V, Salas S, Levecq J M, Bastit L, Alfonsi M, De Rauglaudre G, Talon B, Allavena C, Miot C, Boisseau J M, Faure P

机构信息

Institut de Recherche Pierre Fabre, Parc technologique du canal, 4 rue Marie Curie, BP 22132, 31521 Ramonville cedex, France.

出版信息

Ann Dermatol Venereol. 2008 Jan;Spec No 1:5-10. doi: 10.1016/S0151-9638(08)70091-7.

Abstract

Trial objectives were to assess effectiveness and tolerance of sterilized Avène thermal spring water anti burning gel (ATSW gel) in prevention of radiation dermatitis in adults irradiated (6 weeks) for breast (n=61) or head and neck (n=8) cancer. Patients included in this open labelled, 2 parallel groups, multicentric study, were randomly assigned to apply five times daily for ten weeks either the Avène spring water gel (n=35) or trolamine cream (n=34). The median of emergence of the first objective radiation dermatitis signs was 31 days in the ATSW gel group and 29 days in the control group (p=0,924). The median incidence for pruritus in patients of the ETA gel group was 46 days versus 27 days (p=0,028) and 44 days versus 24 days for pain (p=0,426). Global efficacy was <> in 46,7 % of patients of the ETA gel group versus 17,2 % (p=0,029) and tolerance was <> in 65,5 % of the ETA gel group versus 40,7 % (p=0,107). No radionecrosis was observed. In conclusion, the efficacy of the Avène spring water gel was similar to the control product in prophylaxis of radiation dermatitis. Tolerance was better and the pruritus was significantly more delayed in patients who applied the Avène spring water gel than in controls.

摘要

试验目的是评估经过消毒的雅漾活泉水抗灼伤凝胶(ATSW凝胶)在预防接受乳腺癌(n = 61)或头颈癌(n = 8)照射(6周)的成年患者放射性皮炎方面的有效性和耐受性。纳入这项开放标签、两组平行、多中心研究的患者被随机分配,每天五次、持续十周使用雅漾活泉水凝胶(n = 35)或三乙醇胺乳膏(n = 34)。在ATSW凝胶组中,首次出现放射性皮炎客观体征的中位时间为31天,对照组为29天(p = 0.924)。ET A凝胶组患者瘙痒的中位发病时间为46天,而对照组为27天(p = 0.028);疼痛的中位发病时间分别为44天和24天(p = 0.426)。在ETA凝胶组中,46.7%的患者总体疗效为“非常好”,而对照组为17.2%(p = 0.029);ETA凝胶组65.5%的患者耐受性为“非常好”,对照组为40.7%(p = 0.107)。未观察到放射性坏死。总之,雅漾活泉水凝胶在预防放射性皮炎方面的疗效与对照产品相似。使用雅漾活泉水凝胶的患者耐受性更好,瘙痒出现的时间比对照组显著延迟。

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