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外用阿莫罗芬和克霉唑治疗体癣的有效性和安全性比较评估

Comparative evaluation of effectivity and safety of topical amorolfine and clotrimazole in the treatment of tinea corporis.

作者信息

Banerjee Manasi, Ghosh Asim Kumar, Basak Sukumar, Das Kapil Dev, Gangopadhyay Dwijendra Nath

机构信息

Department of Pharmacology, Medical College, Kolkata, India .

出版信息

Indian J Dermatol. 2011 Nov;56(6):657-62. doi: 10.4103/0019-5154.91823.

Abstract

BACKGROUND

Tinea corporis is a common superficial dermatophytosis seen in tropical countries. Newer molecules are constantly being introduced for its treatment. Topical clotrimazole is in vogue as the treatment for this condition for a long time. Amorolfine is a comparatively recently introduced drug for topical use in this condition.

AIMS

To assess the effectivity and safety of amorolfine 0.25% cream in patients with tinea corporis, in comparison to clotrimazole 1% cream.

MATERIALS AND METHODS

Patients presenting with symptoms of tinea corporis were mycologically confirmed for the presence of fungal hyphae. They were randomly divided into two groups: one group received amorolfine and the other received clotrimazole. Treatment duration was for 4 weeks and study duration was for 8 weeks. Evaluation was carried out using the standard clinical parameters on day 1, day 14, day 28 and a follow-up on day 56. Adverse effects were also recorded. Data entry was done in Excel datasheet and analyzed with Epiinfo 2002. Chi-square test and t-test were used according to the type of data.

RESULTS

The patients of the two groups were matched at baseline in respect to their demographic profile. Analysis of collected data showed significant improvement in both the groups, suggesting that both the drugs were effective agents in tinea corporis infection. Between-groups comparison of mycological cure rate and clinical improvement showed no significant difference.

CONCLUSION

Amorolfine 0.25% cream is found to be safe and effective, like clotrimazole, when used topically in tinea corporis.

摘要

背景

体癣是热带国家常见的浅表皮肤癣菌病。新型药物不断被引入用于其治疗。外用克霉唑长期以来一直是治疗这种疾病的常用药物。阿莫罗芬是一种相对较新的用于该病局部治疗的药物。

目的

与1%克霉唑乳膏相比,评估0.25%阿莫罗芬乳膏治疗体癣患者的有效性和安全性。

材料与方法

出现体癣症状的患者经真菌学检查确认有真菌菌丝存在。他们被随机分为两组:一组接受阿莫罗芬治疗,另一组接受克霉唑治疗。治疗持续4周,研究持续8周。在第1天、第14天、第28天使用标准临床参数进行评估,并在第56天进行随访。同时记录不良反应。数据录入Excel数据表,并用Epiinfo 2002进行分析。根据数据类型使用卡方检验和t检验。

结果

两组患者在基线时的人口统计学特征相匹配。对收集到的数据进行分析后发现,两组患者均有显著改善,这表明两种药物在体癣感染治疗中都是有效的药物。两组之间真菌学治愈率和临床改善情况的比较无显著差异。

结论

0.25%阿莫罗芬乳膏局部用于体癣治疗时,与克霉唑一样安全有效。

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