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以色列死海 DMZ 诊所成功的银屑病气候疗法的人口统计学评估。

Demographic evaluation of successful antipsoriatic climatotherapy at the Dead Sea (Israel) DMZ Clinic.

作者信息

Harari M, Shani J

机构信息

German Medical Centre (DMZ Clinic), Ein-Bokek, Israel.

出版信息

Int J Dermatol. 1997 Apr;36(4):304-8. doi: 10.1046/j.1365-4362.1997.00204.x.

Abstract

BACKGROUND

Natural balneologic properties, thermomineral springs and unequivocal success in improving psoriasis, attract an ever-growing number of psoriatics to the DMZ Clinic on the shores of the Dead Sea in Israel.

METHODS

This paper analyses the rate of success of this balneotherapy in 740 psoriatics who flew in from Germany specifically for this treatment, during 1995, as a function of sex, family history of the disease, number of previous treatments at the Dead Sea, skin type, skin involvement, joint involvement, duration of treatment, sun-exposure schedule, remission length, and psychologic supervision.

RESULTS

After 4 weeks, 70% of the patients were completely cleared, this improvement being about the same across both sexes. Family history of the disease, skin type, and psychologic support did not affect the rate of success. On the other hand, previous treatments at the Dead Sea, moderate to severe skin surface involvement, and participation of arthritis, improved the chance of better clearing of the psoriatic condition. Similar improvement was obtained by a longer sun-exposure schedule and a complete-4-week treatment.

CONCLUSION

These results indicate that the medical improvement in the psoriatic condition after a 4-week stay at the Dead Sea can be better enhanced and its remission prolonged if additional demographic and anamnestic factors are carefully taken into account.

摘要

背景

天然的温泉特性、热矿泉以及在改善银屑病方面明确的成效,吸引了越来越多的银屑病患者前往以色列死海沿岸的DMZ诊所。

方法

本文分析了1995年专门为此治疗从德国飞来的740名银屑病患者接受这种浴疗法的成功率,该成功率是性别、家族病史、此前在死海接受治疗的次数、皮肤类型、皮肤受累情况、关节受累情况、治疗时长、日晒安排、缓解期长度以及心理监管的函数。

结果

4周后,70%的患者完全康复,男女改善情况大致相同。家族病史、皮肤类型和心理支持不影响成功率。另一方面,此前在死海接受治疗的次数、中度至重度皮肤表面受累以及关节炎的存在,提高了银屑病病情更好缓解的几率。更长的日晒安排和为期4周的完整治疗也取得了类似的改善效果。

结论

这些结果表明,如果仔细考虑额外的人口统计学和既往史因素,在死海停留4周后银屑病病情的医学改善可以得到更好加强,缓解期也可延长。

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