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局部止痒喷雾对表皮生长因子受体酪氨酸激酶抑制剂治疗皮炎的临床观察。

Clinical observation of topical antipruritic spray acting on epidermal growth factor receptor tyrosine kinase inhibitor in the treatment of dermatitis.

机构信息

Department of Dermatology Hainan Hospital of Traditional Chinese Medicine, Haikou, Hainan, China.

Department of Oncology, Hainan Hospital of Traditional Chinese Medicine, Haikou, Hainan, China.

出版信息

Medicine (Baltimore). 2024 May 31;103(22):e38390. doi: 10.1097/MD.0000000000038390.

Abstract

To observe the efficacy of topical antipruritic spray (TAS) in the treatment of epidermal growth factor receptor (EGFR) tyrosine kinase-related rashes, and to evaluate its efficacy and safety. 120 malignant tumor patients with confirmed pathological diagnosis and rash after EGFR application were selected and randomly divided into an experimental group of 60 cases and a control group of 60 cases. The 2 groups were intervened with self-made antipruritic spray and erythromycin ointment for 14 consecutive days. To observe the changes in rash, itching degree, and quality of life index of skin diseases in both groups of patients before and after treatment. The decrease in the number of itching cases in the experimental group reached 53.84%, and after 7 weeks of intervention, the total effective rate of rash treatment in this group of patients (91.67%) was significantly better than that in the control group (36.67%); The symptoms of the dermatology life quality index (DLQI) scale in the experimental group patient table after intervention showed significant changes compared to before intervention. After statistical testing, there was a significant difference between the groups and outside the group (R < 0.05). And the comprehensive effect of the experimental patients with external spray after 14 weeks of intervention reached 93.16%. The self-made antipruritic spray has significant effect on improving EGFR rash and itching, and there is no obvious adverse reaction.

摘要

观察局部止痒喷雾(TAS)治疗表皮生长因子受体(EGFR)酪氨酸激酶相关皮疹的疗效,并评估其疗效和安全性。选择 120 例经病理诊断证实且应用 EGFR 后出现皮疹的恶性肿瘤患者,随机分为实验组 60 例和对照组 60 例。两组均采用自制止痒喷雾和红霉素软膏干预,连续 14 天。观察两组患者治疗前后皮疹、瘙痒程度和皮肤病生活质量指数的变化。实验组瘙痒病例数减少 53.84%,干预后 7 周,该组患者皮疹治疗总有效率(91.67%)明显优于对照组(36.67%);实验组患者皮肤科生活质量指数(DLQI)量表的症状在干预后较干预前有明显变化。经统计学检验,组间和组外均有显著性差异(R < 0.05)。实验组患者在干预 14 周后,外用喷雾的综合疗效达到 93.16%。自制止痒喷雾对改善 EGFR 皮疹和瘙痒有显著效果,且无明显不良反应。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d7ac/11142818/1aafc46ca54a/medi-103-e38390-g001.jpg

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