Huang Zhiyong, Zhang Ning, Cai Hanxin, Luo Kunhui
Department of Vascular Surgery, The 3rd Affiliated Hospital of Shenzhen University, Shenzhen, Guangdong 518000, P.R. China.
Exp Ther Med. 2020 Feb;19(2):1197-1202. doi: 10.3892/etm.2019.8314. Epub 2019 Dec 11.
Clinical efficacy of propranolol and pingyangmycin, respectively, combined with pulsed dye laser in the treatment of children with hemangioma was analyzed, to provide a new therapeutic idea for their clinical treatment. A total of 120 children with hemangioma were selected into the study. Children treated with propranolol combined with pulsed dye laser were in group A, those treated with pingyangmycin combined with pulsed dye laser were in group B, and 60 healthy children were selected as control group (group C). Blood samples of children were taken before and after treatment for miR-4295 detection. The expression of miR-4295 was observed after treatment, and the total clinical remission rate and adverse reactions after treatment were compared between the two groups. The tumor volume of the two groups was significantly reduced after treatment, with statistically significant difference (P<0.05); miR-4295 expression was reduced in the two groups (P<0.05); adverse reactions in propranolol group were less than pingyangmycin group during treatment (P<0.05). Propranolol and pingyangmycin, respectively, combined with pulsed dye laser had ideal efficacy on hemangioma in children. Moreover, miR-4295 was highly expressed in children with hemangioma, and the expression level reduced after two methods of treatment. However, adverse reactions in propranolol group were less and its safety was higher.
分析普萘洛尔和平阳霉素分别联合脉冲染料激光治疗小儿血管瘤的临床疗效,为其临床治疗提供新的治疗思路。选取120例小儿血管瘤患儿纳入研究。普萘洛尔联合脉冲染料激光治疗的患儿为A组,平阳霉素联合脉冲染料激光治疗的患儿为B组,选取60例健康儿童作为对照组(C组)。治疗前后采集患儿血样检测miR-4295。观察治疗后miR-4295的表达情况,并比较两组治疗后的总临床缓解率及不良反应。两组治疗后肿瘤体积均显著缩小,差异有统计学意义(P<0.05);两组miR-4295表达均降低(P<0.05);治疗期间普萘洛尔组不良反应少于平阳霉素组(P<0.05)。普萘洛尔和平阳霉素分别联合脉冲染料激光治疗小儿血管瘤疗效理想。此外,miR-4295在小儿血管瘤患儿中高表达,两种治疗方法后表达水平均降低。然而,普萘洛尔组不良反应较少,安全性更高。