Cohen P M
J Int Med Res. 1985;13(4):214-21. doi: 10.1177/030006058501300404.
In a multicentre general practice open study, 338 acne sufferers were treated with Minocin 50 mg b.d. (254 for 12 weeks). A highly significant improvement trend (p less than 0.0001) was found following analysis of visual analogue scales measuring (i) severity of acne, (ii) area covered by acne, (iii) number of inflamed lesions, (iv) density of acne lesions. Over all, 79% of patients thought the therapy to be effective or very effective; 70% of patients continued on the same therapy after the study period. Mean first improvement was noted by the patients after 4 1/2 weeks of treatment. One hundred and twenty-two patients had taken prior oxytetracycline therapy, of these, ninety-four (77%) stopped oxytetracycline therapy because of lack of efficacy. After treatment of these oxytetracycline failures with Minocin, a highly significant improvement trend (p less than 0.0001) of acne was again seen. In this group, 75% of patients thought the Minocin therapy to be effective or very effective; 69% continued Minocin therapy after the study period. In all, 74% of patients having received prior oxytetracycline thought that Minocin therapy was better than their previous therapy. Ninety-three patients had received either no previous therapy or topical therapy alone. Once again Minocin treatment resulted in a highly significant improvement trend (p less than 0.0001) in the severity of acne. Seventy six (82%) of these patients thought that Minocin therapy was effective or very effective. A total of 73% of patients continued with Minocin therapy following the study period. Adverse events were noted in 6% of patients.(ABSTRACT TRUNCATED AT 250 WORDS)
在一项多中心全科开放性研究中,338名痤疮患者接受米诺环素50毫克每日两次治疗(254名患者治疗12周)。对视觉模拟量表进行分析后发现,在测量(i)痤疮严重程度、(ii)痤疮覆盖面积、(iii)炎性皮损数量、(iv)痤疮皮损密度方面有极显著的改善趋势(p<0.0001)。总体而言,79%的患者认为该疗法有效或非常有效;70%的患者在研究期后继续使用相同疗法。患者在治疗4.5周后首次出现平均改善。122名患者曾接受过土霉素治疗,其中94名(77%)因疗效不佳而停止土霉素治疗。在用米诺环素治疗这些土霉素治疗失败者后,痤疮再次出现极显著的改善趋势(p<0.0001)。在该组中,75%的患者认为米诺环素疗法有效或非常有效;69%的患者在研究期后继续使用米诺环素治疗。总体而言,74%曾接受过土霉素治疗的患者认为米诺环素疗法比他们之前的疗法更好。93名患者之前未接受过任何治疗或仅接受过局部治疗。米诺环素治疗再次使痤疮严重程度出现极显著的改善趋势(p<0.0001)。其中76名(82%)患者认为米诺环素疗法有效或非常有效。共有73%的患者在研究期后继续使用米诺环素治疗。6%的患者出现不良事件。(摘要截取自250字)