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含蜂毒润肤剂对特应性皮炎的影响:一项针对136例患者的双盲、随机、基础对照、多中心研究。

Effects of Emollient Containing Bee Venom on Atopic Dermatitis: A Double-Blinded, Randomized, Base-Controlled, Multicenter Study of 136 Patients.

作者信息

You Chung Eui, Moon Seok Hoon, Lee Kwang Hoon, Kim Kyu Han, Park Chun Wook, Seo Seong Joon, Cho Sang Hyun

机构信息

Department of Dermatology, Incheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Incheon, Korea.

Department of Dermatology, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea.

出版信息

Ann Dermatol. 2016 Oct;28(5):593-599. doi: 10.5021/ad.2016.28.5.593. Epub 2016 Sep 30.

Abstract

BACKGROUND

Atopic dermatitis (AD) is a common, complex disease that follows a chronic relapsing course and significantly affects the quality of life of patients. Skin barrier dysfunction and inflammatory processes induce and aggravate this skin condition. Proper use of an emollient for hydration is a keystone of AD treatment. Bee venom is known to have anti-inflammatory effects and has been widely used in traditional medicine to treat various inflammatory disorders.

OBJECTIVE

To find out the beneficial effect of an emollient containing bee venom in the treatment of patients with AD.

METHODS

This study included 136 patients with AD who were randomized to receive either an emollient containing bee venom and silk-protein or a vehicle that was identical except for the bee venom for 4 weeks. The patients were instructed to apply the emollient twice daily on their entire body and not to use other medications, including topicals, during the course of the study. The eczema area and severity index (EASI) score, transepidermal water loss, and visual analogue scale (VAS) score of itching were evaluated at the first visit and after 2 and 4 weeks. The investigator global assessment was evaluated at 2 and 4 weeks after the application of emollient containing bee venom or vehicle.

RESULTS

Patients applying emollient containing bee venom showed significantly lower EASI score and VAS value compared to patients applying emollient without bee venom.

CONCLUSION

Emollient containing bee venom is a safe and effective option for patients with AD.

摘要

背景

特应性皮炎(AD)是一种常见的复杂疾病,呈慢性复发性病程,严重影响患者的生活质量。皮肤屏障功能障碍和炎症过程诱发并加重这种皮肤状况。正确使用润肤剂进行保湿是AD治疗的关键。蜂毒已知具有抗炎作用,并且已在传统医学中广泛用于治疗各种炎症性疾病。

目的

探究含蜂毒的润肤剂对AD患者治疗的有益效果。

方法

本研究纳入了136例AD患者,将其随机分为两组,一组接受含蜂毒和丝蛋白的润肤剂,另一组接受除不含蜂毒外其他成分相同的赋形剂,为期4周。指导患者每天在全身涂抹两次润肤剂,且在研究过程中不得使用其他药物,包括局部用药。在首次就诊时以及2周和4周后评估湿疹面积和严重程度指数(EASI)评分、经表皮水分流失以及瘙痒视觉模拟量表(VAS)评分。在涂抹含蜂毒的润肤剂或赋形剂2周和4周后评估研究者整体评估。

结果

与涂抹不含蜂毒润肤剂的患者相比,涂抹含蜂毒润肤剂的患者EASI评分和VAS值显著更低。

结论

含蜂毒的润肤剂对AD患者是一种安全有效的选择。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4177/5064189/96b4916889a1/ad-28-593-g001.jpg

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