目的 探讨超脉冲二氧化碳(CO2)点阵激光联合瘢痕内注射曲安奈德治疗增生性瘢痕的效果.方法 回顾性分析濮阳市人民医院整皮肤科2020-10—2022-01收治的69例增生性瘢痕患者的临床资料,分为瘢痕内注射曲安奈德治疗组(药物注射组,34例)和瘢痕内注射曲安奈德联合超脉冲CO2点阵激光组(联合激光组,35例).治疗前和治疗结束后6个月测量瘢痕厚度、评价温哥华瘢痕量表(VSS)评分和视觉模拟评分(VAS).统计治疗后不良反应发生率,采用主观评价标准评估治疗效果.结果 治疗前2组患者的瘢痕厚度、VSS评分、VAS评分差异均无统计学意义(P>0.05).治疗后2组患者的瘢痕厚度、VSS评分、VAS评分均较治疗前显著改善,其中联合激光组的改善效果优于药物注射组,差异均有统计学意义(P<0.05).联合激光组不良反应发生率低于药物注射组,治疗总有效率高于药物注射组,差异均有统计学意义(P<0.05).结论 超脉冲CO2点阵激光联合瘢痕内注射曲安奈德治疗增生性瘢痕患者,可有效改善瘢痕厚度、VSS评分、VAS评分,且具有不良反应少、效果优良率高的优势.
目的 探讨生殖器癌患者人类乳头状瘤病毒感染及免疫调节状态的变化情况.方法 将105例生殖器癌患者设为观察组,105名健康人员设为对照组,检测并比较两组人类乳头状瘤病毒感染情况、细胞免疫及红细胞免疫指标,并对不同疾病分类生殖器癌及TNM分期患者的检测结果进行分析.结果 观察组高危型人类乳头状瘤病毒感染率显著高于对照组(P<0.05),细胞免疫及红细胞免疫指标检测结果均显著差于对照组(P<0.05).宫颈癌患者高危型人类乳头状瘤病毒感染率显著高于其他生殖器癌患者(P<0.05),但不同疾病分类生殖器癌患者的细胞免疫及红细胞免疫指标检测结果比较差异无统计学意义(P>0.05);较高TNM分期患者的高危型人类乳头状瘤病毒感染率显著高于较低分期者(P<0.05),细胞免疫及红细胞免疫指标检测结果显著差于较低分期者(P<0.05).结论 生殖器癌患者高危型人类乳头状瘤病毒感染率较高,且机体的免疫调节状态相关指标相对较差,应给予充分的重视及干预.
Objecttive To explore clinical effective of eclipta capsule and NB-UVB combined with mental interven tion in the treatment of vitiligo.Methods 180 patients with vitiligo were randomly divided into the control group and the treatment group,90 cases of each group.The control group was treated with oral eclipta capsules and NB-UVB irradiation;The treatment group was treated with psychological intervention on the basis of the control group.To evaluate effect through the evaluation of mental health status:dermatology life quality index(DLQI),symptom checklist 90(SCL-90),self-rating depression scale(SDS),self-rating anxiety scale(SAS),clinical white spot number and complex color before and after treatment.Results The total marked effective rate and total effective rate of the treatment group were significantly better than that of the control group(P<0.05).The evaluation of DLQI,SCL-90,SDS,SAS after treatment were better than that of the control group(P<0.05).Conclusion Eclipta capsules and NB-UVB combined with mental intervention in the treatment of vitiligo has quick effect,can shorten the course of treatment and improve the life quality of the patients.
目的探讨浅Ⅱ°烧伤治疗方便有效的方法。方法对208例患者浅Ⅱ°烧伤创面的水疱皮放出泡液后予以保留适当包扎或其他处理,并与无水疱皮的创面的愈合过程进行对照,仔细观察研究。结果保留水疱皮的创面较未保留水疱皮的创面愈合快,创面光滑,色素沉着轻。结论本方法缩短了创面愈合时间,减轻了病人的痛苦及家庭经济负担,具有良好的经济效益和社会效益,本方法操作简单,实用性强,值得在基层医院推广应用。
