Barer G M, Polovets M L
Stomatologiia (Mosk). 1995;74(1):22-5.
Clinical and laboratory examinations of patients with lichen ruber planus revealed diseases of the hepatobiliary system in 85%, pancreatic diseases in 29%, chronic gastritis with manifest secretory insufficiency in 32.5%, and fatty hepatosis in 17.5% of patients. Biochemical analysis of the peripheral blood in patients with the exudative hyperemic and erosive ulcerative forms of the disease revealed hypercholesterolemia and hypertriglyceridemia. Administration of eikonol in a dose of 6 g/day led to reduction of triglyceride level by 18% and of total cholesterol by 6%, the hypocholesterolemic and hypotriglyceridemic effect of the drug being more expressed in the patients with initially higher levels of these parameters. Eikonol therapy promoted an improvement in the clinical course of lichen planus. A positive time course of changes was observed in 69% of patients with the exudative hyperemic form of the disease (less expressed unpleasant subjective sensations, decrease of hyperemia of the buccal mucosa and of the size of foci of lesions, less pronounced papular pattern). In the group with the erosive ulcerative form of the disease only 18% of patients developed positive changes under the effect of therapy (epithelialization of erosions, attenuation of the inflammatory reaction, less expressed papular pattern). Combination of eikonol with applications of keratoplasties to the foci of lesions in patients with the erosive ulcerative condition brought about a better therapeutic effect, with the periods of epithelialization reducing by 7 to 10 days.
扁平苔藓患者的临床和实验室检查发现,85%的患者存在肝胆系统疾病,29%的患者有胰腺疾病,32.5%的患者有伴有明显分泌功能不全的慢性胃炎,17.5%的患者有脂肪肝。对渗出性充血和糜烂溃疡性扁平苔藓患者的外周血进行生化分析,发现有高胆固醇血症和高甘油三酯血症。每日服用6克米糠油可使甘油三酯水平降低18%,总胆固醇水平降低6%,该药物的降胆固醇和降甘油三酯作用在这些参数初始水平较高的患者中表现得更为明显。米糠油治疗促进了扁平苔藓临床病程的改善。在69%的渗出性充血型扁平苔藓患者中观察到了积极的时间进程变化(不愉快的主观感觉减轻、颊黏膜充血减轻、病变部位大小减小、丘疹样形态不那么明显)。在糜烂溃疡性扁平苔藓组中,只有18%的患者在治疗作用下出现了积极变化(糜烂面上皮化、炎症反应减轻、丘疹样形态不那么明显)。对于糜烂溃疡性扁平苔藓患者,将米糠油与在病变部位应用角膜成形术相结合可带来更好的治疗效果,上皮化时间缩短7至10天。