应用广义评估方程评价肤痒清凝胶治疗儿童湿疹的疗效  

Efficacy Evaluation of Fuyangqing Gel in the Treatment of Children with Eczema Based on Generalized Estimating Equation Model

作　　者：乔善鑫 陈培峰 魏海燕 徐萌 武力栋 薛寒梅 马亚琴[1] Qiao Shanxin;Chen Peifeng;Wei Haiyan;Xu Meng;Wu Lidong;Xue Hanmei;Ma Yaqin(Inner Mongolia Baogang Hospital,Inner Mongolia Baotou 014010,China;Shanghai Pudong New District Nanhui Mental Health Center,Shanghai200120,China;Sichuan Integrated Traditional Chinese Medicine Hospital,Chengdu 610000,China)

机构地区：[1]内蒙古包钢医院,内蒙古包头014010 [2]上海市浦东新区南汇精神卫生中心,上海200120 [3]四川省中西医结合医院,成都610000

出　　处：《儿科药学杂志》2025年第2期40-44,共5页Journal of Pediatric Pharmacy

基　　金：内蒙古科技厅“十四五”重点研发与成果转化项目,编号2022YFSH0012。

摘　　要：目的:探讨儿童湿疹的有效治疗方案。方法:回顾性分析2022年6月至2023年2月内蒙古包钢医院收治的158例湿疹患儿的临床资料,根据治疗方法分为观察组86例和对照组72例,观察组使用西替利嗪口服液联合肤痒清凝胶治疗,对照组采用西替利嗪口服液治疗,疗程为28 d,每7 d随访1次。比较治疗前后不同时间点患儿湿疹面积及严重程度指数(EASI)评分、临床症状评分、皮损程度评分、免疫因子水平、炎症因子水平等。建立广义估计方程模型(GEE),比较治疗效果在不同时间点、不同组别之间的差异。结果:两组患儿性别、年龄、病程、胃肠积热、饮食结构、患病史、过敏史、居住环境情况、治疗前EASI评分、临床症状评分及皮损程度评分比较差异无统计学意义(P>0.05)。治疗后各时间点患儿EASI评分、临床症状评分及皮损程度评分较治疗前均下降,且观察组改善情况优于对照组(P<0.05)。两组患儿CD4^(+)T水平、CD4^(+)/CD8^(+)升高,CD8^(+)T、白细胞介素(IL)-10和IL-17水平降低且观察组降低更显著(P<0.01)。观察组治疗总有效率为91.18%,高于对照组的80.33%,差异有统计学意义(P<0.05)。结论:西替利嗪口服液联合肤痒清凝胶治疗儿童湿疹疗效显著,值得临床推广应用。Objective:To probe into the effective treatment of children with eczema.Methods:Retrospective analysis was performed on clinical data of 158 children with eczema admitted into the Inner Mongolia Baogang Hospital from Jun.2022 to Feb.2023.According to different treatment method,all patients were divided into the observation group(86 cases)and the control group(72 cases).The observation group was treated with cetirizine oral liquid combined with Fuyangqing gel,while the control group received cetirizine oral liquid.The treatment course was 28 d,and follow-up was performed every 7 d.Eczema area and severity index(EASI)score,clinical symptom score,skin lesion degree score,immune factor level and inflammatory factor level were compared before and after treatment at different time points.The generalized estimating equation model(GEE)was established to compare the difference of treatment effect at different time points and among different groups.Results:There was no significant difference between two groups in gender,age,course of disease,gastrointestinal fever,diet structure,disease history,allergy history,living environment,EASI score before treatment,clinical symptom score and skin lesion degree score(P>0.05).Compared with before treatment,EASI score,clinical symptom score and lesion degree score decreased after treatment,and the improvement in observation group was better than that in control group(P<0.05).The level of CD4^(+)T and CD4^(+)/CD8^(+)T lymphocytes increased significantly,the level of CD8^(+)T lymphocytes,interleukin(IL)-10 and IL-17 decreased significantly,and the changes in the observation group were more significant(P<0.01).The total effective rate of observation group was 91.18%,higher than 80.33%of control group,with statistically significant difference(P<0.05).Conclusion:The efficacy of cetirizine oral liquid combined with Fuyangqing gel in the treatment of children with eczema is significant,which is worthy of clinical promotion.

关 键 词：肤痒清凝胶 儿童 湿疹 疗效 广义估计方程 

分 类 号：R725.9[医药卫生—儿科]