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1、苦生素联合胸腺肽治疗中重度寻常痙疮临床观察解放军第422医院皮肤科唐新平王美丽王晓军广东湛江，524005［摘要］目的评价苦生素联合胸腺肽治疗屮、重度寻常座疮的疗效与安全性。方法入选患者随机分为A、B、C三组。A组静脉滴注苦参索0.6g,l次/d;肌注胸腺肽40mg,1次/d;FI服盐酸米诺环索胶囊50mg2次/d。B组口服盐酸米诺环索胶囊，联合红蓝光治疗，2次/每周。C组仅口服盐酸米诺环素胶囊。三组患者同时外用维胺酯维E乳膏，每晚1次。疗程均为4周。于治疗前及治疗后第2、4周时分别计数皮损，观察疗效和不良反应。结果治疗2周和4周时,A组临床疗效均明显好于其他两组，差异有统计学意义(Pv0.
2、05);治疗结束时，各组有效率均达到60%以上；A组的有效率达到了91.11%。而治疗后遗留的红印及色素沉着A组显著低于B组和C组(PvO.05)。结论苦牛索联合胸腺肽治疗中、重度寻常座疮起效较快，疗效较好，遗留红印和色索沉着少，耐受性良好。［关键词］寻常痊疮；苦生索;胸腺肽;米诺坏素ClinicalStudyonthetreatmentofAcneVulgarisUsingMatrineunitedThymicpeptideTANGxin-ping,Wangmei-li,Wangxiao-jun(DepartmentofDermatology,No:422HospitalofPLA,Zha
3、ngjiang524005,China)［Abstract］ObjectiveToevaluatetheefficacyandsafetyofMatrineunitedThymicpeptideinthetreatmentofmoderateto-severeacnevulgaris.MethodErolledpatientsweredividedintothreegroupsrandomly.ThepatientsingroupAwastreatedwithMatrine(0.6g,Intravenousdrip,onedaily)andThymicpeptide(40mg,Intramu
4、scular,onedaily)andtookminocyclinehydrochloride(50mgcapsule,twicedaily),thepatientsingroupBwastreatedwithBlue・RedLEDphototherapy(twiceweekly)andtookminocyclinehydrochloride,thepatientsingroupCtookminocyclinehydrochlorideonly.AllpatientsweretopicallytreatedwithviaminateandvitaminEcream(eachevening).
5、Alltreatmentlastedfor4weeks.Thelesionamount,therapeuticeffectsandsideeffectswereobserved,beforeandafterthetreatmentat2,4,weeks.ResultsAfter2,4weeksoftreatment,ClinicaleffectiveratesingroupAweremorehigherthanthatinothertwogroups(P<0.05).Morethan60%patientsineachgroupimprovedtheirsymptomgreatly.Clini
6、caleffectiverateingroupAwas91.11%after4weekstreatment.Whilethepost-inflammatoryerythemaandpigmentationingroupAweremorelessthanthatinothertwogroups(P<0.05).ConclusionMatrineunitedThymicpeptideinthetreatmentofmoderatetosevereacnehasmoreimmediateeffects,moreefficacyandlesssideeffectsthancombinativethe
7、rapyofblue-redLEDphototherapyandminocyclineorminocyclineonly.[Keywords]Acnevulgaris;Matrine;Thymicpeptide;Minocylcine寻常座疮(acnevulgaris)是以粉刺、丘疹、脓疱和结节等多型损害并存的…种毛囊皮脂腺的慢性炎症性皮肤病。严重者可遗留瘢痕及色素沉着，影响患者容颜及身心健康。目前治疗座疮的
