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两种剂型的口服甲氧沙林在补骨脂素加紫外线A治疗银屑病中的疗效比较

Comparative efficacy of two dosage forms of oral methoxsalen in psoralens plus ultraviolet A therapy of psoriasis.

作者信息

Lowe N J, Urbach F, Bailin P, Weingarten D P

出版信息

J Am Acad Dermatol. 1987 May;16(5 Pt 1):994-8. doi: 10.1016/s0190-9622(87)70128-5.

DOI:10.1016/s0190-9622(87)70128-5
PMID:3294946
Abstract

Two alternate oral formulations of 8-methoxypsoralen, one liquid and the other crystalline, were evaluated in a double-blind trial for their comparative efficacy in combination with ultraviolet A (UVA) light in the treatment of severe psoriasis. With the liquid formulation a greater proportion of patients achieved a good clinical result within the 20 treatment sessions than patients receiving the crystalline formulation. This difference is even more striking using a more rigorous criterion of clearance. Among all patients who achieved clearance, no significant differences were seen in either the number of treatments required or in the total UVA energy employed between the two groups. The preceding clinical results are discussed in light of published pharmacokinetic data.

摘要

对8-甲氧基补骨脂素的两种口服剂型(一种为液体制剂,另一种为结晶制剂)进行了双盲试验,评估它们与紫外线A(UVA)光联合治疗重度银屑病的相对疗效。使用液体制剂时,在20次治疗疗程内达到良好临床效果的患者比例高于接受结晶制剂的患者。采用更严格的清除标准时,这种差异更为显著。在所有实现清除的患者中,两组之间在所需治疗次数或所用UVA总能量方面均未观察到显著差异。根据已发表的药代动力学数据对上述临床结果进行了讨论。

相似文献

1
Comparative efficacy of two dosage forms of oral methoxsalen in psoralens plus ultraviolet A therapy of psoriasis.两种剂型的口服甲氧沙林在补骨脂素加紫外线A治疗银屑病中的疗效比较
J Am Acad Dermatol. 1987 May;16(5 Pt 1):994-8. doi: 10.1016/s0190-9622(87)70128-5.
2
Clinical pharmacokinetics of methoxsalen and other psoralens.
Clin Pharmacokinet. 1986 Jan-Feb;11(1):62-75. doi: 10.2165/00003088-198611010-00004.
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Bath-water compared with oral delivery of 8-methoxypsoralen PUVA therapy for chronic plaque psoriasis.沐浴疗法与口服8-甲氧基补骨脂素光化学疗法治疗慢性斑块状银屑病的比较。
Br J Dermatol. 1992 Oct;127(4):392-5. doi: 10.1111/j.1365-2133.1992.tb00460.x.
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A comparison of bathwater and oral delivery of 8-methoxypsoralen in PUVA therapy for plaque psoriasis.补骨脂素紫外线A光化学疗法(PUVA)治疗斑块状银屑病时8-甲氧基补骨脂素的浴水给药与口服给药比较
Clin Exp Dermatol. 2000 Mar;25(2):111-4. doi: 10.1046/j.1365-2230.2000.00589.x.
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Treatment of psoriasis with psoralens and ultraviolet A. A double-blind comparison of 8-methoxypsoralen and 5-methoxypsoralen.
Photodermatol Photoimmunol Photomed. 1994 Oct;10(5):217-20.
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Narrowband UVB and cream psoralen-UVA combination therapy for plaque-type psoriasis.窄谱中波紫外线与补骨脂素乳膏 - 长波紫外线联合疗法治疗斑块型银屑病。
J Am Acad Dermatol. 2004 May;50(5):734-9. doi: 10.1016/s0190-9622(03)00792-8.
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Treatment of psoriasis with a new micronized 5-methoxypsoralen tablet and UVA radiation.采用新型微粉化5-甲氧基补骨脂素片及紫外线A辐射治疗银屑病。
Arch Dermatol Res. 1994;286(1):30-4. doi: 10.1007/BF00375840.
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Randomized, double-blind comparison of 1 mg/L versus 5 mg/L methoxsalen bath-PUVA therapy for chronic plaque-type psoriasis.1毫克/升与5毫克/升甲氧沙林浴光化学疗法治疗慢性斑块型银屑病的随机双盲比较
J Am Acad Dermatol. 2006 Oct;55(4):627-31. doi: 10.1016/j.jaad.2006.05.024.
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Reduction of treatment frequency and UVA dose does not substantially compromise the antipsoriatic effect of oral psoralen-UVA.减少治疗频率和UVA剂量并不会显著损害口服补骨脂素-UVA的抗银屑病效果。
J Am Acad Dermatol. 2004 Nov;51(5):746-54. doi: 10.1016/j.jaad.2004.04.029.
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Antipsoriatic, erythematogenic, and Langerhans cell marker depleting effect of bath-psoralens plus ultraviolet A treatment. Comparison of 8-methoxypsoralen and trimethylpsoralen photosensitization.
J Am Acad Dermatol. 1988 May;18(5 Pt 1):1053-9. doi: 10.1016/s0190-9622(88)70104-8.

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Photochemotherapy. A reappraisal of its use in dermatology.光化学疗法。对其在皮肤科应用的重新评估。
Drugs. 1989 Nov;38(5):822-37. doi: 10.2165/00003495-198938050-00007.