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Efficacy of Topical Timolol versus Saline in Chronic Venous Ulcers: A Randomized Controlled Trial.

作者信息

Rai Abhay K, Janani K, Rai Reena

机构信息

Department of Dermatology, PSG Institute of Medical Sciences and Research (PSGIMSR), Coimbatore, Tamil Nadu, India.

出版信息

J Cutan Aesthet Surg. 2020 Jan-Mar;13(1):18-23. doi: 10.4103/JCAS.JCAS_13_19.

DOI:10.4103/JCAS.JCAS_13_19
PMID:32655246
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7335479/
Abstract

BACKGROUND

Chronic venous ulcers sometimes fail to heal in spite of adequate treatment. Nonhealing is possibly because of chronic activation of β-2 adrenergic receptor (B2-AR) in the keratinocytes by endogenously generated catecholamines, which inhibits keratinocyte migration. Blocking of B2-AR using β-blockers has been reported to promote wound healing through keratinocyte migration, angiogenesis, and fibroblast migration. Topical timolol, a B2-AR antagonist, is used to promote wound healing.

AIMS AND OBJECTIVES

The aim of this study was to compare the efficacy of topical timolol versus saline in chronic venous leg ulcers and to compare the mean reduction in ulcer area at the end of 4 weeks.

MATERIALS AND METHODS

Twenty patients were randomized into two groups. Patients in Group 1 were treated with one drop of 0.5% topical timolol every alternate days for 4 weeks. Ulcer margins were measured and ulcer area calculated every week for 4 weeks. Similar dressing and measurement were carried out for patients with saline for 4 weeks. Healing rate was assessed by the percentage of reduction of ulcer area of both groups at week 4.

RESULTS

The mean reduction in the ulcer size in timolol group was 86.80%, and in saline group 43.82% at the end of 4 weeks.

CONCLUSION

Topical timolol is an easy, noninvasive therapy that can be recommended for chronic ulcer.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7db0/7335479/a42c7a16244d/JCAS-13-18-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7db0/7335479/d33fb0b0e808/JCAS-13-18-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7db0/7335479/3f6ece6c5ef6/JCAS-13-18-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7db0/7335479/28a6b1b082b9/JCAS-13-18-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7db0/7335479/8d3e3211d68c/JCAS-13-18-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7db0/7335479/a42c7a16244d/JCAS-13-18-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7db0/7335479/d33fb0b0e808/JCAS-13-18-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7db0/7335479/3f6ece6c5ef6/JCAS-13-18-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7db0/7335479/28a6b1b082b9/JCAS-13-18-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7db0/7335479/8d3e3211d68c/JCAS-13-18-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7db0/7335479/a42c7a16244d/JCAS-13-18-g005.jpg

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本文引用的文献

1
Topical timolol promotes healing of chronic leg ulcer.局部用噻吗洛尔促进慢性腿部溃疡愈合。
J Vasc Surg Venous Lymphat Disord. 2017 Nov;5(6):844-850. doi: 10.1016/j.jvsv.2017.04.019. Epub 2017 Aug 7.
2
Acute wounding alters the beta2-adrenergic signaling and catecholamine synthetic pathways in keratinocytes.急性创伤会改变角质形成细胞中的β2-肾上腺素能信号传导和儿茶酚胺合成途径。
J Invest Dermatol. 2014 Aug;134(8):2258-2266. doi: 10.1038/jid.2014.137. Epub 2014 Mar 10.
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Topical timolol for a chronic ulcer--a case with its own control.
α 和β 肾上腺素能受体调节角质形成细胞迁移。
PLoS One. 2021 Jul 2;16(7):e0253139. doi: 10.1371/journal.pone.0253139. eCollection 2021.
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Topical beta-blockers in dermatologic therapy.局部用β受体阻滞剂在皮肤科治疗中的应用。
Dermatol Ther. 2021 Jul;34(4):e15016. doi: 10.1111/dth.15016. Epub 2021 Jun 21.
局部用噻吗洛尔治疗慢性溃疡——自身对照病例
Med J Aust. 2014 Jan 20;200(1):49-50. doi: 10.5694/mja13.10823.
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Topical timolol for recalcitrant wounds.用于顽固性伤口的局部用噻吗洛尔
JAMA Dermatol. 2013 Dec;149(12):1400-2. doi: 10.1001/jamadermatol.2013.7135.
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Successful treatment of a chronic venous leg ulcer using a topical beta-blocker.使用局部β受体阻滞剂成功治疗慢性下肢静脉溃疡。
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Timolol maleate 0.5% or 0.1% gel-forming solution for infantile hemangiomas: a retrospective, multicenter, cohort study.用于婴儿血管瘤的0.5%或0.1%马来酸噻吗洛尔凝胶形成溶液:一项回顾性、多中心队列研究。
Pediatr Dermatol. 2012 Jan-Feb;29(1):28-31. doi: 10.1111/j.1525-1470.2011.01664.x. Epub 2011 Dec 9.
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Topical timolol for a refractory wound.局部用噻吗洛尔治疗难治性伤口。
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Efficacy of propranolol in wound healing for hospitalized burn patients.普萘洛尔对住院烧伤患者伤口愈合的疗效。
J Burn Care Res. 2009 Nov-Dec;30(6):1013-7. doi: 10.1097/BCR.0b013e3181b48600.
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PLoS Med. 2009 Jan 13;6(1):e12. doi: 10.1371/journal.pmed.1000012.
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Beta adrenergic receptors in keratinocytes.角质形成细胞中的β肾上腺素能受体。
Dermatol Clin. 2007 Oct;25(4):643-53, x. doi: 10.1016/j.det.2007.06.012.