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局部用姜黄素与曲安奈德治疗口腔扁平苔藓的疗效比较:一项随机对照临床试验

Comparative Efficacy of Topical Curcumin and Triamcinolone for Oral Lichen Planus: A Randomized, Controlled Clinical Trial.

作者信息

Kia Seid Javad, Shirazian Shiva, Mansourian Arash, Khodadadi Fard Leila, Ashnagar Sajjad

机构信息

Assistant Professor, Department of Oral Medicine, Faculty of Dentistry, Guilan University of Medical Sciences, Guilan, Iran.

Assistant Professor, Department of Oral Medicine, School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran.

出版信息

J Dent (Tehran). 2015 Nov;12(11):789-96.

Abstract

OBJECTIVES

Lichen planus (LP) is a chronic inflammatory mucocutaneous disease. Its treatment is often symptomatic and includes topical and systemic corticosteroids. Although corticosteroid therapy is usually successful, it has side effects and thus, an alternative treatment is favorable. The aim of this study was to compare the efficacy of topical curcumin and triamcinolone for treatment of oral lichen planus (OLP).

MATERIALS AND METHODS

In this study, 50 patients (36 women and 14 men) in the age range of 38 to 73 years with OLP were randomly divided into two groups. Each group received 0.1% triamcinolone or 5% curcumin oral paste three times a day for four weeks. Assessment of the appearance score and severity of pain was done at baseline and at the end of two and four weeks and recorded in the patients' questionnaires. The data were analyzed by SPSS 17 software, using the Mann-Whitney and Spearman's tests.

RESULTS

With respect to pain reduction, nine patients (36%) in the curcumin group and eight patients (32%) in the triamcinolone group showed complete remission. With respect to the appearance score, one patient (4%) in each group showed complete remission. No statistically significant difference was noted between the two groups.

CONCLUSION

Application of curcumin is suggested for treatment of OLP because of its desirable anti-inflammatory effects and insignificant side effects.

摘要

目的

扁平苔藓(LP)是一种慢性炎症性黏膜皮肤疾病。其治疗通常是对症治疗,包括局部和全身使用皮质类固醇。尽管皮质类固醇疗法通常很成功,但它有副作用,因此,替代治疗是可取的。本研究的目的是比较局部使用姜黄素和曲安奈德治疗口腔扁平苔藓(OLP)的疗效。

材料与方法

在本研究中,50例年龄在38至73岁之间的OLP患者(36名女性和14名男性)被随机分为两组。每组每天三次接受0.1%曲安奈德或5%姜黄素口腔糊剂治疗,持续四周。在基线以及两周和四周结束时评估外观评分和疼痛严重程度,并记录在患者问卷中。数据使用SPSS 17软件进行分析,采用曼-惠特尼检验和斯皮尔曼检验。

结果

在疼痛减轻方面,姜黄素组9例患者(36%)和曲安奈德组8例患者(32%)显示完全缓解。在外观评分方面,每组各有1例患者(4%)显示完全缓解。两组之间未观察到统计学上的显著差异。

结论

由于姜黄素具有良好的抗炎作用且副作用不明显,建议将其用于OLP的治疗。

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