Department of Dermatology, Shanghai University of Medicine and Health Science Affiliated Zhoupu Hospital, Shanghai, China.
Medicine (Baltimore). 2022 Sep 2;101(35):e30472. doi: 10.1097/MD.0000000000030472.
Localized senile pruritus is a continued health problem for the elderly. This study aimed to evaluate the efficacy and safety of artemether emulsion on localized senile pruritus.
Sixty patients diagnosed with senile pruritus were randomized into the artemether emulsion (1%) group or emulsion base group in a 1:1 ratio (the artemether group vs the control group). The patients used artemether emulsion or emulsion base for pruritus twice daily for 2 weeks. The pruritus visual analog scale (VAS) and the rate of adverse events were evaluated in week 0 and week 2.
The VAS scores in week 2 after treatment decreased significantly compared with those before treatment in both groups (P < .05). After treatment, patients receiving the artemether emulsion had significantly lower mean VAS scores compared to those who received the emulsion base (1.21 ± 1.64 vs 3.67 ± 2.97, P < .05). When the VAS scores were compared between the 2 groups before treatment, the effective rate of the artemether group was significantly higher than that of the control group (χ2 = 55, P < .05) in week 2 after treatment. Besides, no adverse events occurred in both groups.
Both artemether emulsion and emulsion base were effective in treating localized senile pruritus, and artemether emulsion was superior to emulsion base.
局限性老年性瘙痒是老年人持续存在的健康问题。本研究旨在评估青蒿素乳剂治疗局限性老年性瘙痒的疗效和安全性。
将 60 例老年性瘙痒患者按 1∶1 比例随机分为青蒿素乳剂(1%)组和乳剂基质组(青蒿素组与对照组),两组患者均以瘙痒为主要症状,每日早晚各用青蒿素乳剂或乳剂基质外用 2 次,疗程 2 周。分别于治疗前和治疗后第 2 周末采用瘙痒视觉模拟评分(VAS)评估瘙痒情况,记录不良反应发生情况。
两组治疗后第 2 周末 VAS 评分均较治疗前明显降低(P<0.05),且青蒿素乳剂组治疗后 VAS 评分明显低于乳剂基质组[(1.21±1.64)分比(3.67±2.97)分,P<0.05]。治疗前两组 VAS 评分比较,治疗后第 2 周末青蒿素组有效率明显高于对照组(χ2=55,P<0.05)。两组均未见不良反应发生。
青蒿素乳剂和乳剂基质均能有效治疗局限性老年性瘙痒,且青蒿素乳剂疗效优于乳剂基质。