Department of Stomatology, Bauru School of Dentistry, University of São Paulo, Bauru, SP, Brazil.
J Appl Oral Sci. 2013 Mar-Apr;21(2):163-6. doi: 10.1590/1678-7757201302308.
The side effects of chemotherapy on the lips may cause esthetic and functional impact and increase the risk of infection. HPA Lanolin® is an option for supportive therapy because it has anti-inflammatory, antimicrobial and moisturizing properties.
To evaluate the efficacy of this product in the prevention of lip alterations in a population of patients undergoing chemotherapy.
Patients undergoing chemotherapy (n = 57) were examined and distributed into two groups: study (used HPA Lanolin®) and control (without supportive therapy on the lips). We evaluated the patients two weeks after chemotherapy, registering oral alterations, symptoms of pain, discomfort, limitation of mouth opening and dehydration, classified according to a visual analogue scale.
Patients who used HPA Lanolin® had lower dehydration and experienced improvement of lip dryness (p<0.001). The main symptoms were dehydration, discomfort, limitation of mouth opening, pain. The main clinical signs were dry lips, mucositis, cheilitis, hematoma, swelling and cracking. We found no difference concerning the variables of pain, discomfort, and limitation of mouth opening between the study and control group.
We suggest that HPA Lanolin® is effective in reducing the symptoms of dehydration and the signs of lip dryness resulting from toxicity of chemotherapy, proving to be an interesting alternative supportive therapy for cancer patients.
评估该产品在预防化疗患者唇改变中的疗效。
对正在接受化疗的 57 名患者进行检查,并将其分为两组:研究组(使用 HPA 羊毛脂)和对照组(唇部无支持性治疗)。我们在化疗后两周对患者进行评估,记录口腔改变、疼痛、不适、张口受限和脱水症状,并根据视觉模拟评分进行分类。
使用 HPA 羊毛脂的患者脱水程度较低,唇干改善(p<0.001)。主要症状是脱水、不适、张口受限、疼痛。主要的临床体征是嘴唇干燥、粘膜炎、唇炎、血肿、肿胀和皲裂。研究组和对照组在疼痛、不适和张口受限等变量方面无差异。
我们认为 HPA 羊毛脂可有效减轻化疗毒性引起的脱水症状和唇干表现,是癌症患者一种有意义的支持性治疗选择。