2013年《大家健康》4期【摘要】 目的: 研究口服阿莫西林克拉维酸钾片治疗潜伏梅毒疗效,为基层医疗机构提供潜伏梅毒的治疗方案。方法:将93例潜伏梅毒随机分为2组。阿莫西林克维酸钾治疗的为治疗组(49例),用阿莫西林克维酸钾片0.375 Tid 口服,连续21天;用卞星青霉素针治疗的对照组(44例),用卞星青霉素针240万U im 1周1次,共3次;观察两组血清学TRUST及TPPA滴度的变化。结果:治疗组TRUST下降速度及转阴率均快于对照组(P >0.05),治疗组TPPA转阴率高于对照组。结论:在卞星青霉素缺乏的基层医疗机构和流动人口不能完成肌注给药的患者。可选择口服阿莫西林拉维酸钾片作为卞星青霉素的替代药物,但要注意对治疗过程中必须严格给药时间以维持血药稳态浓度,对治疗过程中出现中断1天以上的患者应重新治疗 。【关键词】 潜伏梅毒;口服阿莫西林;卞星青霉素;血清学
要:目的评价左西替利嗪联合地氯雷他定治疗慢性荨麻疹的临床疗效及安全性。方法将入选的240例慢性荨麻疹患者随机分为3组,对照1组(80例)予左西替利嗪口服,对照2组(80例)予地氯雷他定口服,治疗组(80例)第一天予左西替利嗪口服,第二天予地氯雷他定口服,每天交替应用,疗程均为18个月。结果治疗1和3个月时治疗组患者依从性明显高于两个对照组(P=0.019,0.013)。在治疗3个月时治疗组疗效明显优于两对照组(P=0.001),在6到18个月三组依从性及疗效差异均没有统计学意义(P均>0.05)。三组患者不良反应率均低且差异无统计学意义(P>0.05)。结论左西替利嗪联合地氯雷他定治疗慢性荨麻疹近期疗效好,患者依从性高,远期疗效及依从性与两个药物单独治疗并无差异性,不良反应少,值得临床医生选择。关键词:慢性荨麻疹;地氯雷他定;左西替利嗪;DOI:10.13735/j.cjdv.1001-7089.201609051分类号:R758.24文内图片:三组患者治疗有效率随时间变化的趋势三组患者治疗有效率随时间变化的趋
要:目的探讨苄星青霉素、头孢曲松、多西环素和阿奇霉素治疗早期梅毒的疗效,为临床提供最佳驱梅方案及青霉素过敏的替代方案。方法将535例早期梅毒随机分为A,B,C,D四组,分别使用上述4种抗生素治疗。观察各组显性梅毒皮损消失情况及潜伏梅毒血清学变化。结果随访2年上述抗生素组治愈率分别为82.6%,91.0%,82.3%,48.8%;血清固定率分别为14.4%,9.0%,14.9%,41.3%;血清复发率分别为3.8%,0.8%,2.8%,10.7%。阿奇霉素与各组间治愈率、血清固定率及复发率差异均有统计学意义(P<0.05)。结论苄星青霉素仍是驱梅的首选药物,头孢曲松是青霉素过敏的很好替代药物,其次是多西环素。阿奇霉素不宜作驱梅替代药物。关键词:梅毒;驱梅方案;替代方案;DOI:10.13735/j.cjdv.1001-7089.201408015分类号:R759.11
发表于A类杂志“医学综述“2014年20期摘要:目的 探索暴露部位皮脂腺囊肿的治疗方法。方法 选取广安市人民医院皮肤科2005年5月至2013年1月门诊诊治的189患者作为研究对象,将患者按照随机数字表法分为电离子微创组(145例,采用电离子微创法治疗)和常规手术组(44例,采用常规手术治疗)。比较两组患者治疗后的手术复发情况、手术切口以及治疗花费。结果 电离子微创组手术创口与病变长径之比平均为1∶5.0,常规手术组为1∶0.8,两组比较差异有统计学意义(P<0.05);电离子微创组有5例复发,12例皮下硬结(患者既往均有炎症史),电离子微创组患者的花费显著少于常规手术组(t=21.84,P<0.05)。结论 电离子微创法治疗皮脂腺囊肿创伤小、无疤痕,但既往有炎症史的患者宜采用常规手术治疗。关键词:皮脂腺囊肿;电离子微创法;炎症史;疤痕;Clinical analysis of minimally invasive treatment of sebaceous cystHeng Kun.Department of Dermatology of Guang'an People's Hospital SichuanGuang'an 638000Abstract:Objective To explore the treatment of parts of sebaceous cyst exposure. Methods in 2005 May to 2013 January in Department of Dermatology of Guang'an People's Hospital outpatient treatment of 189 patients as the research object, the patients were randomly divided into minimally invasive group (145 cases, using minimally invasive treatment) and conventional operation group (44 cases, treated with routine operation). Costs were compared between two groups after treatment, operation incision operation recurrence and treatment. Results the minimally invasive group operation wound and lesion length diameter ratio for an average of 1 ∶ 5, routine operation group was 1 ∶ 0.8, there was significant difference between two groups (P< 0.05); 5 cases were recurrent ion electric minimally invasive group, 12 cases of subcutaneous induration (patients with previous history of both inflammation), spent ion patients in the minimally invasive group was significantly less than the conventional operation group (t=21.84, P< 0.05). Conclusion the minimally invasive treatment of sebaceous cyst of small trauma, no scar, but the past history of inflammation in patients should be treated by routine operation.Keywords: sebaceous cyst; minimally invasive; inflammatory scar; 关键词:皮脂腺囊肿;电离子微创法;炎症史;疤痕;