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他克莫司 0.1%软膏与卡泊三醇/倍他米松联合窄谱中波紫外线治疗白癜风的疗效比较。

Comparison of the efficacy of tacrolimus 0.1% ointment vs calcipotriol/betamethasone in combination with NBUVB in treatment of vitiligo.

机构信息

Department of Dermatology, Faculty of Medicine, Jordan University of Science and Technology, Irbid, Jordan.

Faculty of Medicine, Jordan University of Science and Technology, Irbid, Jordan.

出版信息

J Dermatolog Treat. 2023 Dec;34(1):2252119. doi: 10.1080/09546634.2023.2252119.

DOI:10.1080/09546634.2023.2252119
PMID:37644869
Abstract

Vitiligo is an idiopathic depigmenting skin disorder. The study compares the efficacy of topical tacrolimus 0.1% with calcipotriol/betamethasone dipropionate in vitiligo patients receiving NB-UVB treatment. Forty-one adult patients with generalized type vitiligo were recruited. Patients were assigned to phototherapy and then classified into either group one (20 patients), receiving calcipotriol/betamethasone dipropionate cream (D group), or group two (21 patients), receiving tacrolimus 0.1% ointment (T group). They were followed-up at 3 and 6 months. The D group witnessed an increase in the repigmentation area from 35.4% in the third month to 54.7% in the sixth month ( = 0.001) and the T group from 32.2% to 45.6% ( = 0.011). However, the differences between the treatment groups were not statistically significant. Body sites demonstrated different levels of improvement ranging from the highest in the face to the lowest in the Hand & Feet with the other body sites in between. A negative correlation was identified between the duration since diagnosis and the response to D treatment (3 months:  = -0.612,  = 0.007; 6 months:  = -0.755,  = 0.001). Although both combinations are efficacious, they did not significantly differ in efficacy at three and six months follow-up points. The study was registered at clinicaltrials.gov (NCT04440371).

摘要

白癜风是一种特发性色素减退性皮肤病。本研究比较了他克莫司 0.1%与卡泊三醇/倍他米松二丙酸酯在接受 NB-UVB 治疗的白癜风患者中的疗效。招募了 41 名患有泛发性白癜风的成年患者。患者被分配接受光疗,然后分为一组(20 名患者),接受卡泊三醇/倍他米松二丙酸酯乳膏(D 组),或二组(21 名患者),接受他克莫司 0.1%软膏(T 组)。他们在 3 个月和 6 个月时进行随访。D 组的复色面积从第 3 个月的 35.4%增加到第 6 个月的 54.7%( = 0.001),T 组从 32.2%增加到 45.6%( = 0.011)。然而,治疗组之间的差异没有统计学意义。身体部位的改善程度不同,从面部最高到手和脚最低,其他身体部位介于两者之间。在 D 治疗中,诊断后时间与反应之间存在负相关(3 个月: = -0.612,  = 0.007;6 个月: = -0.755,  = 0.001)。虽然这两种组合都有效,但在 3 个月和 6 个月的随访点,它们的疗效并没有显著差异。该研究在 clinicaltrials.gov 上注册(NCT04440371)。

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