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病灶内注射麻疹、腮腺炎、风疹疫苗与针刺治疗复发性疣的比较

Comparison of Intralesional Measles, Mumps, Rubella Vaccine and Needling in the Treatment of Recurrent Warts.

作者信息

Kolte Surabhi R, Sardesai Vidyadhar R

机构信息

Department of Dermatology, Venereology and Leprosy, Bharati Vidyapeeth (Deemed to be University) Medical College, Pune, Maharashtra, India.

出版信息

J Cutan Aesthet Surg. 2020 Jul-Sep;13(3):217-221. doi: 10.4103/JCAS.JCAS_164_19.

Abstract

CONTEXT

Warts constitute 21% of all the cases in a dermatology clinic. Their causative agent is the human papillomavirus (HPV). Most of the cutaneous warts are cosmetically disfiguring and their treatment requires patience by both the practitioner and the patients.

AIM

This study aimed to compare the efficacy of intralesional measles, mumps, rubella (MMR) vaccine and needling in the treatment of recurrent warts.

SETTINGS AND DESIGN

This was a prospective, comparative, and interventional study.

SUBJECTS AND METHODS

This hospital-based study was conducted in a tertiary health-care center from September 2017 to August 2019. Overall 40 patients of recurrent warts were included in the study.

STATISTICAL ANALYSIS

Fisher test, Student test, and chi-square test were used for statistical analysis.

RESULTS

Improvement was noted in patients belonging to both the groups. However, after applying chi-square test, it was found that results were statistically significant in the needling group only. When both the groups were compared using chi-square test, needling showed statistically significant results after 4 and 6 weeks.

CONCLUSION

Needling was observed to be a better treatment modality as compared to intralesional MMR vaccine at the end of 4 and 6 weeks. More number of sessions were required in the intralesional MMR vaccine group for complete clearance of the lesions as compared to needling. Hence, the response was better and faster in the needling group as compared to the intralesional MMR group.

摘要

背景

疣在皮肤科门诊的所有病例中占21%。其病原体是人乳头瘤病毒(HPV)。大多数皮肤疣会造成外观损害,其治疗需要医生和患者都有耐心。

目的

本研究旨在比较皮损内注射麻疹、腮腺炎、风疹(MMR)疫苗与针刺治疗复发性疣的疗效。

设置与设计

这是一项前瞻性、对比性干预研究。

研究对象与方法

这项基于医院的研究于2017年9月至2019年8月在一家三级医疗保健中心进行。共有40例复发性疣患者纳入研究。

统计分析

采用Fisher检验、Student检验和卡方检验进行统计分析。

结果

两组患者均有改善。然而,应用卡方检验后发现,仅针刺组结果具有统计学意义。当用卡方检验比较两组时,针刺在4周和6周后显示出统计学意义的结果。

结论

在4周和6周结束时,观察到针刺是比皮损内注射MMR疫苗更好的治疗方式。与针刺相比,皮损内注射MMR疫苗组需要更多疗程才能完全清除皮损。因此,与皮损内注射MMR疫苗组相比,针刺组的反应更好、更快。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/886c/7646425/ad0017a39710/JCAS-13-217-g001.jpg

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