窄谱中波紫外线治疗寻常型银屑病疗效观察及护理体会.docVIP

精品论文 参考文献 窄谱中波紫外线治疗寻常型银屑病疗效观察及护理体会 方健蓉 周群英 吴波 (成都市第二人民医院皮肤科 610017) 【摘要】目的 评价窄谱中波紫外线照射治疗寻常型银屑病的临床疗效和护理经验。方法 把125例患者随机分为两组，治疗组65例，对照组60例。两组均予口服复方青黛胶囊1次2.0g,3次/d,外用我院院内制剂复方硼酸软膏2次/d。治疗组同时进行窄谱中波紫外线照射，隔日1次，10次为1个疗程，共治疗2个疗程。结果 治疗组有效率75.4%，对照组为53.3%，差异有统计学意义(Plt;O.01)。两组患者未见严重不良反应。结论 窄谱中波紫外线治疗寻常型银屑病安全有效,值得临床推广应用。正确的饮食、皮损护理、心理护理、健康教育及出院指导，有利于患者增加治疗信心、积极配合治疗，保持乐观情绪。 【关键词】 紫外线 寻常型 银屑病 【中图分类号】R473.75 【文献标识码】A 【文章编号】2095-1752（2014）18-0102-02 Clinical Observation of Psoriasis Vulgaris Treated with Narrow-band UVB Fang Jian-rong,Zhou Qun-ying,WU Bo (Department of Dermatology, The Second Peoplersquo; Hospital of Chengdu ，Sichuan 610017，China) 【Abstract】Objective To observe the therapeutic effects of Narrow-band UVB for the treatment of psoriasis vulgaris. Methods 125 patients with psoriasis vulgaris were divided into the treatment group( 65 cases ) and the control group( 60 cases ) randomly.All the cases were treated with Compound Capsule of Natural Indigo and topical Compound boric acid ointment twice daily, and the same time, the treatment group was treated with NB-UVB thingly. Treatment times of two groups were one time every other day and total 20 times. Results The efective rate in the treatment group and control group was 75.4% and 53.3% respectively and the difference was statistically significant after threatment.Conclusion: Narrow -band UVB in the treatment of psoriasis vulgaris was safe and effective. 【Key words】Narrow -band UVB Psoriasis vulgaris 寻常型银屑病是一种常见的红斑鳞屑性慢性皮肤病，病程长、易复发、皮损常伴有瘙痒和紧绷感，严重影响患者的生活质量。2013年5月-2013年10月，我们采用窄谱中波紫外线治疗寻常型银屑病65例，取得了满意的疗效，现将结果报告如下。 1 资料与方法 1.1入选标准和排除标准 寻常型银屑病的诊断标准参照赵辩《中国临床皮肤病学》 [1]：①年龄18～60岁，性别不限；②经临床确诊的寻常性银屑病患者；③在治疗前1个月内未接受过糖皮质激素、免疫抑制剂或其他药物治疗。排除标准：①妊娠或哺乳期妇女；②有皮肤癌病史；③依从性差者；④3个月内使用过光化学疗法禁忌的药物者；⑤3个月内使用过光化学疗法禁忌的药物者；⑥有皮肤癌病史；⑦对光敏感者。 1.2 一般资料 共入选125例，均来自我科门诊或病房，采用随机数字表法将入选患者分为两组。治疗组65例，男34例，女3