封包疗法对滑膜炎-痤疮-脓疱病-骨肥厚-骨髓炎综合征皮肤病变的治疗效果

Therapeutic effect of occlusive dressing therapy on skin lesions in synovitis-acne-pustulosis- hyperostosis-osteomyelitis syndrome

  • 摘要:
    目的 观察封包疗法联合烤灯照射对滑膜炎-痤疮-脓疱病-骨肥厚-骨髓炎(SAPHO)综合征患者皮肤病变的疗效。
    方法 选取52例SAPHO综合征患者为研究对象, 采用随机数字表法分为对照组和观察组,每组26例。对照组采用常规治疗,观察组在对照组基础上采用封包疗法联合烤灯照射治疗。比较2组患者的皮肤病变评分、皮肤病生活质量指数(DLQI)评分、焦虑自评量表(SAS)评分和抑郁自评量表(SDS)评分,并统计2组临床疗效及不良反应。
    结果 治疗后1、2个月, 2组皮肤病变评分均低于治疗前,且观察组低于对照组,差异有统计学意义(P < 0.05); 治疗后, 2组DLQI评分、SAS评分和SDS评分均低于治疗前,且观察组低于对照组,差异有统计学意义(P < 0.05); 观察组的总有效率为96.15%, 高于对照组的80.77%, 差异有统计学意义(P < 0.05); 2组不良反应发生率比较,差异无统计学意义(P>0.05)。
    结论 封包疗法联合烤灯照射可显著改善SAPHO综合征患者的皮肤病变症状与心理状态,提升生活质量和疾病治疗效果。

     

    Abstract:
    Objective To observe the efficacy of occlusive dressing therapy combined with infrared lamp irradiation on skin lesions in patients with synovitis-acne-pustulosis-hyperostosis-osteomyelitis (SAPHO) syndrome.
    Methods A total of 52 patients with SAPHO syndrome were selected as study subjects. They were randomly divided into control group and observation group using random number table method, with 26 patients in each group. The control group received conventional treatment, while the observation group received occlusive dressing therapy combined with infrared lamp irradiation on the basis of the control group. The skin lesion scores, Dermatology Life Quality Index (DLQI) scores, Self-rating Anxiety Scale (SAS) scores, and Self-rating Depression Scale (SDS) scores of the two groups were compared. The clinical efficacy and adverse reactions of the two groups were also statistically analyzed.
    Results One and two months after treatment, the skin lesion scores of both groups were lower than those before treatment, and the scores in the observation group were lower than those in the control group (P < 0.05). After treatment, the DLQI, SAS, and SDS scores of both groups were lower than those before treatment, and the scores in the observation group were lower than those in the control group (P < 0.05). The total effective rate in the observation group was 96.15%, which was higher than 80.77% in the control group(P < 0.05). There was no statistically significant difference in the incidence of adverse reactions between the two groups (P>0.05).
    Conclusion Occlusive dressing therapy combined with infrared lamp irradiation can significantly improve the symptoms of skin lesions and the psychological state of patients with SAPHO syndrome, as well as enhance their quality of life and the therapeutic effect of the disease.

     

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