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[日间护理中心的银屑病治疗]

[The treatment of psoriasis in a day care center].

作者信息

de Hoop D, van Andel P, de Kort W J, Heinhuis J, van Vloten W A, de Korte J

机构信息

Psoriasisdagbehandelingscentrum Midden-Nederland, Ede.

出版信息

Ned Tijdschr Geneeskd. 1990 Jun 23;134(25):1220-3.

PMID:2385298
Abstract

We describe the treatment of 196 patients with psoriasis, in the psoriasis day care centre at Ede. Treatments involve salt water baths followed by radiation of UVB, additional radiation of the scalp and therapy-resistant parts of the skin and anthralin 'short contact therapy'. During the anthralin therapy the hairy scalp is treated with liq. carb. dexerg. 5% in soya oleum. The results were evaluated by means of the psoriasis area and severity index (PASI) and of a questionnaire which was completed by 144 patients. In an average course of 28.4 treatment sessions (range 9-51), the PASI decreased by 84.3%. Evaluation of the PASI included the hairy scalp, the axillae and the inguinal region. The answers to the questionnaire indicated a risk of rather rapid relapse however, according to many patients, only a small part of the skin surface was affected. The additional value of the treatment is attributed to the setting of the psoriasis day care centre and the relatively safe therapeutic possibilities offered there.

摘要

我们描述了在艾德的银屑病日间护理中心对196例银屑病患者的治疗情况。治疗方法包括盐水浴,随后进行UVB照射、头皮及皮肤治疗抵抗部位的额外照射以及蒽林“短接触疗法”。在蒽林治疗期间,多脂的头皮用5%的去氧皮质酮液治疗。通过银屑病面积和严重程度指数(PASI)以及由144例患者填写的一份问卷对结果进行评估。在平均28.4个疗程(范围9 - 51)中,PASI下降了84.3%。PASI评估包括头皮、腋窝和腹股沟区域。问卷的答案表明存在相当快的复发风险,然而,据许多患者称,只有一小部分皮肤表面受到影响。该治疗的附加价值归因于银屑病日间护理中心的环境以及那里提供的相对安全的治疗可能性。

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