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冷冻疗法与局部硝酸锌复合溶液治疗足底疣的随机对照试验。

Cryotherapy versus topical nitric-zinc complex solution for the treatment of plantar warts: A randomized controlled trial.

机构信息

Facultad de Enfermería, Fisioterapia y Podología, University Podiatric Clinic, Complutense University of Madrid, Madrid, Spain.

Instituto de Investigación Sanitaria del Hospital Clínico San Carlos (IdISSC), University Podiatric Clinic, Complutense University of Madrid, Madrid, Spain.

出版信息

J Med Virol. 2023 Nov;95(11):e29212. doi: 10.1002/jmv.29212.

Abstract

Cryotherapy is commonly regarded as the primary treatment method for plantar warts. A new medical device called nitric-zinc complex solution (NZCS) has also emerged as a potential alternative for wart treatment. The main aim of this study was to analyze and compare the effectiveness of cryotherapy using liquid nitrogen and NZCS in treating plantar warts. We conducted a randomized and controlled clinical trial involving patients with plantar warts. A total of 62 patients were enrolled in the study and monitored for 12 weeks or until their warts were completely resolved. The patients received either cryotherapy or NZCS, with a maximum of six treatment applications. The cure rate was 65.5% in the group treated with cryotherapy and 56.6% in the group treated with NZCS. The average number of treatment applications required for curing warts was significantly lower in the cured group (3.28 ± 1.63) than in the group with unresolved warts (5.5 ± 1.27) (p < 0.01). Moreover, the average number of applications was lower in the cryotherapy group (3.6 ± 1.8) than in the NZCS group (4.8 ± 1.8) (p < 0.01). Based on the findings, NZCS could be considered a favorable first-line treatment option for plantar warts.

摘要

冷冻疗法通常被视为治疗足底疣的主要方法。一种名为硝酸锌复合溶液(NZCS)的新型医疗器械也已成为治疗疣的潜在替代方法。本研究的主要目的是分析和比较液氮冷冻疗法和 NZCS 治疗足底疣的效果。我们进行了一项随机对照临床试验,纳入了足底疣患者。共有 62 名患者入组,并监测 12 周或直至其疣完全消退。患者接受冷冻疗法或 NZCS 治疗,最多可接受 6 次治疗。冷冻疗法组的治愈率为 65.5%,NZCS 组为 56.6%。治愈组(3.28±1.63)所需的平均治疗次数明显低于未愈组(5.5±1.27)(p<0.01)。此外,冷冻疗法组(3.6±1.8)的平均治疗次数低于 NZCS 组(4.8±1.8)(p<0.01)。基于这些发现,NZCS 可被视为治疗足底疣的首选一线治疗方法。

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