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益气驱白颗粒联合308nm准分子激光治疗节段型白癜风:233例患者的前瞻性研究

A combination of Yiqiqubai granule and 308-nm excimer laser in treatment of segmental vitiligo: a prospective study of 233 patients.

作者信息

Zhang Chengzhong, Zhou Le, Huang Jie, Shi Weimin

机构信息

a Department of Dermatology , Shanghai General Hospital, Shanghai Jiaotong University, School of Medicine , Shanghai , China.

出版信息

J Dermatolog Treat. 2017 Nov;28(7):668-671. doi: 10.1080/09546634.2017.1303570. Epub 2017 Mar 21.

DOI:10.1080/09546634.2017.1303570
PMID:28320220
Abstract

OBJECTIVE

To study the effect of Yiqiqubai granule combined with 308-nm excimer laser treatment for segmental vitiligo (SV).

METHODS

A prospective research was performed in 233 patients with SV treated in Shanghai General Hospital from 11 February 2015 to 25 August 2016, they were divided into group A (n = 75), group B (n = 78) and group C (n = 80) according to the random number table. Group A was treated with Yiqiqubai granule, group B treated with 308-nm excimer laser and group C treated with combined treatments. The treatment time lasts for 6 months. The clinical efficacy, color-reverse rate and quality of life of the three groups were assessed.

RESULTS

After treatment, the effective rate and markedly effective rate of group C (87.5%, 51.3%) were significantly higher than group A (74.7%, 42.7%) and group B (80.8%, 47.4%) (p < .05). Color-reverse rate of group C (66.5 ± 17.6%) was much higher than group A (47.2 ± 16.4%) and group B (49.9 ± 24.2%) (p < .05). Significant differences were found among three groups after treatment in terms of embarrassment, social and work (p < .05).

CONCLUSIONS

The combination of 308-nm excimer laser and Yiqiqubai granule in the treatment of SV has good clinical effect.

摘要

目的

研究益气祛白颗粒联合308nm准分子激光治疗节段性白癜风(SV)的效果。

方法

对2015年2月11日至2016年8月25日在上海交通大学医学院附属瑞金医院皮肤科就诊的233例SV患者进行前瞻性研究,按随机数字表法分为A组(n = 75)、B组(n = 78)和C组(n = 80)。A组采用益气祛白颗粒治疗,B组采用308nm准分子激光治疗,C组采用联合治疗。疗程均为6个月。观察三组临床疗效、复色率及生活质量。

结果

治疗后,C组有效率(87.5%)和显效率(51.3%)均显著高于A组(74.7%,42.7%)和B组(80.8%,47.4%)(P < 0.05)。C组复色率(66.5±17.6%)明显高于A组(47.2±16.4%)和B组(49.9±24.2%)(P < 0.05)。治疗后三组在尴尬、社交及工作方面差异有统计学意义(P < 0.05)。

结论

308nm准分子激光联合益气祛白颗粒治疗SV临床疗效较好。

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