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发育医学电子杂志  2024, Vol. 12 Issue (3): 187-192    DOI: 10.3969/j.issn.2095-5340.2024.03.005
  临床遗传   论著 |
臭氧水疗治疗儿童特应性皮炎的疗效分析
谢红霞 霍文倩 陈丹阳 盖田 田艳欣
河北中西医结合儿童医院 皮肤科,河北 石家庄 050000
Analysis of curative effect of ozone hydrotherapy in children with atopic dermatit
Xie Hongxia, Huo Wenqian, Chen Danyang, et al
(Department of Dermatology, HebeiIntegrated Traditional Chinese and Western Medicine Children's Hospital, Hebei, Shijiazhuang 050000,China)
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摘要 【摘要】 目的  探讨臭氧水疗对儿童特应性皮炎的治疗效果及炎性因子改变情况。 方法 选取2019 年
4 月至2021 年4 月河北中西医结合儿童医院收治的100 例儿童特应性皮炎患者,将其按照随机数字表
法分为对照组(n=50)和观察组(n=50)。其中对照组患儿给予地氯雷他定干混悬剂口服,地奈德乳膏外用,再给予霍霍巴油婴儿润肤乳,观察组患儿在对照组的基础上,加用臭氧水疗。比较两组患儿血清炎性因
子白细胞介素(interleukin,IL) -17、IL-13 水平及湿疹面积严重程度(eczema area and severity index,EASI)评分,特应性皮炎积分指数(scoring atopic dermatitis index,SCORAD)、生活质量、临床疗效及安全性。统计学方法采用独立样本t 检验、配对样本t 检验和χ2 检验。 结果  治疗后,观察组与对照组血清IL-17 水平[(23.8±2.0) ng/L 与(26.9±2.5) ng/L,t=6.847],IL-13 水平[(26.8±2.1) ng/L 与(30.6±2.6) ng/L, t=8.040],SCORAD 评分[(23.0±1.5)分与(30.3±2.0)分,t=20.648],EASI 评分[(2.1±0.8)分与(3.8±0.9)分,t=9.983],儿童皮肤生活质量指数(children dermatology life quality index,CDLQI)评分[(6.1±1.4)分与(9.6±1.8)分,t=8.470],婴儿皮肤生活质量指数(infant's dermatology life quality index,IDQOL)评分[(6.8±1.3)分与(10.8±1.8)分,t=7.947] 比较,观察组均低于对照组(P 值均<0.001)。观察组与对照组治疗后血清IL-17 水平、IL-13 水平、SCORAD 评分、EASI 评分、CDLQI 评分、IDQOL 评分明显低于治疗前,差异均有统计学意义(P 值均<0.05)。观察组治疗总有效率高于对照组[94.0%(47/50)与76.0%(38/50),χ2=5.020,P=0.025)]。 结论 臭氧水疗用于儿童特应性皮炎可有效改善患儿临床症状及睡眠质量,减轻瘙痒及炎症反应,提高生活质量,安全有效
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关键词:  儿童特应性皮炎  臭氧水疗  瘙痒  睡眠  疗效    
Abstract: 【Abstract】 Objective To explore therapeutic effect of ozone hydrotherapy in children with atopic
dermatitis and the changes of inflammatory factors. Method A total of 100 children with atopic
dermatitis in Hebei Integrated Traditional Chinese and Western Medicine Children's Hospital from April
2019 to April 2021 were selected and divided into control group (n=50) and observation group (n=50)
according to the random number table method. Children in the control group were given desloratadine
dry suspension orally, desonide cream for external use, and then given jojoba oil baby lotion children in
the observation group were treated with ozone hydrotherapy on the basis of control group. The levels of
serum inflammatory factors interleukin-17 (IL-17), interleukin-13 (IL-13), and eczema area and severity
index (EASI) score, scoring atopic dermatitis index (SCORAD),quality of life, clinical efficacy and
security were compared between the two groups. The statistical methods performed by Independentsample t-test, paired sample t-test, and χ2-test.  Result After treatment, serum IL-17 level [(23.8±2.0) ng/Lvs (26.9±2.5) ng/L, t=6.847], IL-13 level [(26.8±2.1) ng/L vs (30.6±2.6) ng/L, t=8.040], SCORAD score[(23.0±1.5) points vs (30.3±2.0) points, t=20.648], EASI score [(2.1±0.8) points vs (3.8±0.9) points,t=9.983], the children's dermatology life quality index (CDLQI) score [(6.1±1.4) points vs (9.6±1.8) points,t=8.470], the infants' dermatology life quality index (IDQOL) scores [(6.8±1.3) points vs (10.8±1.8) points,t=7.947] were lower in observation group than those in control group (all P<0.001). After treatment, serumL-17 level, IL-13 level, SCORAD score, EASI score, CDLQI score and IDQOL score in observation groupand control group were significantly lower than before treatment, with statistical significance (all P<0.05).The effective rate of observation group was higher than that of control group [94.0% (47/50) vs 76.0% (38/50),χ2=5.020, P=0.025). Conclusion Ozone hydrotherapy for children with atopic dermatitis can effectivelyimprove the clinical symptoms and sleep quality of patients, reduce itching and inflammatory reactions, and improve the quality of life, which is safe and effective.

Key words:  Atopic dermatitis in children    Ozone hydrotherapy    Itching    Sleep    Curative effect
收稿日期:  2023-03-07                     发布日期:  2024-05-31     
基金资助: 石家庄市科技技术研究与发展计划项目任务书(201200543)
通讯作者:  田艳欣    E-mail:  ul8499@163.com
引用本文:    
谢红霞 霍文倩 陈丹阳 盖田 田艳欣. 臭氧水疗治疗儿童特应性皮炎的疗效分析[J]. 发育医学电子杂志, 2024, 12(3): 187-192.
Xie Hongxia, Huo Wenqian, Chen Danyang, et al. Analysis of curative effect of ozone hydrotherapy in children with atopic dermatit. Journal of Developmental Medicine(Electronic Version), 2024, 12(3): 187-192.
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http://www.fyyxzz.com/CN/10.3969/j.issn.2095-5340.2024.03.005  或          http://www.fyyxzz.com/CN/Y2024/V12/I3/187
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