目的 自体表皮移植术联合卤米松治疗白癜风的临床疗效分析.方法 对确诊的108例各型白癜风患者进行自体表皮移植术治疗,对移植术后效果不满意的患者,随机分为治疗组和对照组,治疗组外用卤米松进行治疗,2次/d,对照组不用任何外用药,1个月后,比较临床疗效,进行分析.结果 自体表皮移植的520片皮片中,痊愈270片(51.92％),153片显效(29.42％),好转66片(12.69％),无效31片(5.96％);对移植效果不满意的97片分治疗组(外用卤米松乳膏)和对照组,治疗组50片,痊愈32片(64.00％),显效10片(20.00％),好转5片(10.00％),无效3片(6.00％),对照组47片,不用任何外用药,痊愈8片(17.02％),显效5片(10.64％),好转21片(44.68％),无效13片(27.66％).结论 自体表皮移植联合卤米松治疗白癜风安全有效,复色效果较好,值得临床推广应用.

Objective To understand the characteristic and regularity of drug eruption,and to provide rationale for proper use of drugs in clinics.Methods Gender and age,types of drugs,types of drug eruption and treatment were analyzed in 189 patients with drug eruption hospitalized at Xi'an aerospace general hospital from 2012 to 2015.Results One hundred and eighty-nine patients included 83 males and 106 females.The highest incidence (29.63％) occurred in the patients aged 60 to 80 years.Antibiotics were the major cause of drug eruption,followed by Chinese proprietary medicines,non-steroidal anti-inflammatory drugs,biological agents,etc.The incidence of severe drug eruption was 6.87％.Conclusion It is necessary to standardize the use of antibiotics,especially for the elderly.Special attention should be paid to the prevention of severe drug eruptions.In treating severe drug eruptions,it is crucial to early and systemically give sufficient corticosteroids.

目的 探讨银屑病患者自我概念与社交回避及苦恼的关系.方法 运用自我概念量表(SCS)和社交回避及苦恼量表(SADS)对80例银屑病住院患者进行调查,并进行相关性分析.结果 银屑病患者的SCS得分为122.35±10.03.处于中度负性水平;SADS得分为16.32±6.13.显著高于正常人(P<0.01);银屑病患者的自我概念及各因子与社交回避及苦恼存在显著负相关(P<0.05,P<0.01).结论 银屑病患者的自我概念与社交回避及苦恼现象应引起护理人员高度重视,需提高患者的正性自我概念,以改善其社交回避及苦恼状况.