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异维A酸软膏治疗寻常痤疮的多中心随机对照研究 被引量:2

Topical isotretinoin ointment 0.05% vs. retinoic acid cream 0.05% in the treatment of acne vulgaris: A multicenter, randomized clinical trial
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摘要 目的评价异维A酸软膏治疗寻常痤疮的疗效和安全性。方法入组寻常痤疮患者240例,分别应用0.05%异维A酸软膏或0.05%维A酸乳膏,每晚1次,疗程8周。通过炎性皮损和非炎性皮损计数观察疗效,评价红斑、脱屑、烧灼感等局部不良反应。结果治疗8周,试验组皮损总数目从45.52±19.80减少至16.24±16.10,对照组皮损总数目从44.00±19.13减少至12.24±11.34,试验组有效率为69.75%,对照组有效率为80.51%,差异无统计学意义(P〉0.05),两组局部不良反应发生率差异无统计学意义(P〉0.05)。结论异维A酸软膏治疗寻常痤疮安全有效,其临床疗效及皮肤耐受性同0.05%维A酸乳膏相似。 Objective To assess the efficacy and safety ofisotretinoin ointment 0.05% in the treatment of ache vulgaris. Methods A total of 240 patients were enrolled into the study. The patients were instructed to apply isotretinoin ointment 0.05% or retinoic acid cream 0.05% once daily in the evening for 8 week. The treatment efficacy was evaluated by the counting of non-inflammatory and inflammatory lesions and global evaluation of improvement. Cutaneous tolerance was assessed by observation of erythema, scaling and burning. Results After treatment for 8 weeks, the counts of lesion were decreased fi'om 45.52 ±19.80 to 16.24 ± 16. 10 in study group, and from 44.00±19.13 to 12.24±11.34 in controls. The response rate was 69.75% in study group and 80.51% in control group. There was no significant difference in response rate between two groups, so was in the local adverse effect ( P 〉 0.05 ).Conclusions Isotretinoin ointment, which had similar clinical efficacy and cutaneous tolerance with retinoic acid cream 0.05%, is safe and effective to treat acne vulgaris.
出处 《国际皮肤性病学杂志》 2007年第1期4-6,共3页 International Journal of Dermatology and Venereology
关键词 痤疮 寻常 异维A酸 维A酸 Ache vulgaris Isotretinoin ointment Retinoic acid cream
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  • 1涂平,季素珍,李冠群,刘玲玲,杨海珍,朱学骏,王玮蓁,段逸群,王向东,郑捷.阿达帕林凝胶治疗寻常痤疮疗效观察[J].中华皮肤科杂志,1999,32(6):424-425. 被引量:30
  • 2傅雯雯,骆国阮.异维生素A酸治疗痤疮[J].中华皮肤科杂志,1993,26(2):114-115. 被引量:12
  • 3Hughes BR,Norris JF,Cunliffe WJ.A double-blind evaluation of topical isotretinoin 0.05%,benzoyl peroxide gel 5%and placebo in patients with acne.Clin Exp Dermatol,1992,17(3):165-168. 被引量:1
  • 4Ioannides D,Rigopoulos D,Katsambas A.Topical adapalene gel 0.1% vs.isotretinoin gel 0.05% in the treatment of acne vulgaris:a randomized open-label clinical trial.Br J Dermatol,2002,147 (3):523-527. 被引量:1
  • 5姚聪君,曾维惠,彭振辉,谭升顺.全反式维A酸霜治疗寻常痤疮[J].中华皮肤科杂志,2000,33(3):213-213. 被引量:5
  • 6Dominguez J,Hojyo MT,Celayo JL,et al.Topical isotretinoin vs.topical retinoic acid in the treatment of acne vulgaris.Int J Dermatol,1998,37(1):54-55. 被引量:1

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