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題 名 | 以中劑量長波段紫外線A光治療中重度異位性皮膚炎--臺灣一醫學中心的臨床初經驗=Medium-Dose UVA1 as a Monotherapy for Moderate to Severe Atopic Dermatitis--Primitive Results of a Monocenter Trial in Taiwan |
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作 者 | 林祺彬; 許義郎; 宗天一; | 書刊名 | 中華皮膚科醫學雜誌 |
卷 期 | 24:2 民95.06 |
頁 次 | 頁102-109 |
分類號 | 415.712 |
關鍵詞 | 長波段紫外線A光; 異位性皮膚炎; UVA1; Atopic dermatitis; Taiwan; Satisfaction; |
語 文 | 中文(Chinese) |
中文摘要 | 長波段紫外線A光(340-400nm:UVA1)是異位性皮膚炎急性發作時有效的治療方式。然而,有關UVA1光療法治療亞洲地區異位性皮膚炎患者之療效或相關副作用,文獻上少有報告。我們篩選21位患有急性中重度異位性皮膚炎的華人,以中劑量(50-100J/平方公分)進行每週5次、連續3週、總共15次的照光治療,及4週的治療後觀察。結果顯示UVA1光療法能顯著地降低研究者總體評估值(從3.9改善至1.9)和溼疹面積與嚴重度指標(從30.1改善至10.3),並改善癢和睡眠品質的視覺性類比評分。然而,皮膚出現灼熱感、乾燥現象與膚色變黑,是治療期間常見的副作用;此外,有18位患者抱怨UVA1單一療法之療效維持短暫,而影響到觀察期末患者的滿意度。 |
英文摘要 | Long-wavelength ultraviolet A (340-400nm: UVA1) phototherapy is known to be effective in the treatment of acute exacerbation of atopic dermatitis. However, little has been mentioned in the literature concerning the therapeutic efficacy and possible side effects of UVA1 phototherapy in Asian patients with atopic dermatitis. Medium-dose (50-100J/cm^2) UVA1 phototherapy was used to treat 21 Chinese patients with acute moderate to severe atopic dermatitis for 15 times (5 times per week). After 3 consecutive weeks of treatment, they were followed up for another 4 weeks. The results showed that UVA1 phototherapy notably reduced the mean scores of investigator's global assessment (IGA, from 3.9 to 1.9) and eczema area and severity index (EASI, from 30.1 to 10.3) as well as the visual analogue scale (VAS) of pruritus and sleep disturbance after 3 weeks of treatment. However, burning sensation, dryness and skin tanning were often observed during the treatment phase. Moreover, the short maintenance effect of UVA1 monotherapy was complained by 18 patients and thus compromised their satisfactions at the end of follow-up. |
本系統中英文摘要資訊取自各篇刊載內容。