90 Sr-90 Y敷贴联合鸡眼膏治疗鸡眼的疗效观察
张锋1,2 , 张玲1
1. 武汉科技大学医学院公共卫生学院,湖北 武汉 430065; 2. 天门市第一人民医院,湖北 天门 431700
Observation on the effect of 90 Sr-90 Y application combined with corn paste in the treatment of corns
ZHANG Feng1,2 , ZHANG Ling1
1. School of Public Health, Medical College, Wuhan University of Science and Technology, Wuhan 430065 China; 2. The First People's Hospital of Tianmen, Tianmen 431700 China
摘要 目的 评价90 Sr-90 Y敷贴联合鸡眼膏治疗鸡眼的临床疗效及安全性。方法 选取2019年9月—2020年12月在天门市第一人民医院治疗鸡眼的85例患者,基于随机数字表将患者随机分为A、B、C3组。A组28例,行单纯90 Sr-90 Y 敷贴治疗;B组27例,行90 Sr-90 Y 敷贴 + 间断鸡眼膏联合治疗;C组30例,行90 Sr-90 Y 敷贴 + 连续鸡眼膏联合治疗。比较3组患者治疗效果、痊愈时间、复发率及不良反应发生率。结果 3组患者治愈率分别为78.57%(21/28)、81.48%(22/27)及83.33%(25/30),差异无统计学意义(P > 0.05);总有效率分别为92.86%(26/28)、92.59%(25/27)、96.67%(29/30),差异无统计学意义(P > 0.05);治愈时间分别为(5.67 ±1.80)周、(2.82 ±1.11)周、(2.24 ±1.05)周,B、C两组的治愈时间明显短于A组(P < 0.05);复发率分别为9.52%(2/21)、4.55%(1/22)、4.00%(1/25),差异无统计学意义(P > 0.05);不良反应发生率分别为3.57%(1/28)、11.11%(3/27)、26.67%(8/30),C组不良反应发生率高于A组(P < 0.05)。结论 90 Sr-90 Y敷贴+间断鸡眼膏联合治疗鸡眼的疗效好、复发率低,且治愈时间短、不良反应少,值得临床推广。
关键词 :
鸡眼 ,
90 Sr-90 Y敷贴 ,
鸡眼膏
收稿日期: 2020-12-29
通讯作者:
张玲,E-mail:2440285218@qq.com
E-mail: 2440285218@qq.com
作者简介 : 张锋(1980-),男,湖北天门人,主治医师,从事核医学工作,E-mail:zfeng348@163.com
[1] Demir B, Erden I, Ucak H, et al. Quality of life in patients with calluses[J]. Int J Dermatol, 2016, 55(1): e47-e49. DOI: 10.1111/ijd.12996 [2] Araguas Garcia C, Corbi Soler F. Do plantar hyperkeratoses affect balance in people older than 65 years old[J]. Foot (Edinb), 2018, 36: 43-48. DOI: 10.1016/j.foot.2018.03.002 [3] 张学军, 郑捷. 皮肤性病学[M]. 9版. 北京: 人民卫生出版社, 2018: 126-128. Zhang XJ, Zheng J. Dermatovenereology[M]. Beijing: People's Medical Publishing House, 2018: 126-128. [4] 张奇亮. 敷贴治疗核医学[M]. 济南: 济南出版社, 2004: 47-54. Zhang QL. Application of nuclear medicine[M]. Jinan: Publishing House of Jinan, 2004: 47-54. [5] Stephenson J, Farndon L, Concannon M. Analysis of a trial assessing the long-term effectiveness of salicylic acid plasters compared with scalpel debridement in facilitating corn resolution in patients with multiple corns[J]. J Dermatol, 2016, 43(6): 662-669. DOI: 10.1111/1346-8138.13203 [6] Gijón-Noguerón G, García-Paya I, Morales-Asencio JM, et al. Short-term effect of scalpel debridement of plantar callosities versus treatment with salicylic acid patches: The EMEDESCA randomized controlled trial[J]. J Dermatol, 2017, 44(6): 706-709. DOI: 10.1111/1346-8138.13720 [7] 于雪, 何虎, 武伟名, 等. 90 Sr/90 Y源的应用及制备[J]. 同位素,2015,28(3):189-192. DOI: 10.7538/tws.2015.28.03.0189 Yu X, He H, Wu WM, et al. The applications and fabrication methods of 90 Sr/90 Y sources[J]. J Isot, 2015, 28(3): 189-192. DOI: 10.7538/tws.2015.28.03.0189 [8] Chakravarty R, Dash A, Pillai MR. Availability of yttrium-90 from strontium-90: a nuclear medicine perspective[J]. Cancer Biother Radiopharm, 2012, 27(10): 621-641. DOI: 10.1089/cbr.2012.1285 [9] 郑向红, 王社教, 屈伟, 等. 90锶敷贴治疗鸡眼疗效观察[J]. 中国皮肤性病学杂志,2003,17(4):263. DOI: 10.3969/j.issn.1001-7089.2003.04.046 Zheng XH, Wang SJ, Qu W, et al. Observation on the effect of 90 strontium application on corns[J]. Chin J Dermatovenereol, 2003, 17(4): 263. DOI: 10.3969/j.issn.1001-7089.2003.04.046 [10] 董娟聪, 原雅艺, 党旭红, 等. 不同剂量γ射线对人外周血miRNA的表达影响[J]. 中国辐射卫生,2020,29(5):458-461. DOI: 10.13491/j.issn.1004-714X.2020.05.003 Dong JC, Yuan YY, Dang XH, et al. Effects of the expression of miRNA in human peripheral blood after different doses of gamma rays[J]. Chin J Radiol Health, 2020, 29(5): 458-461. DOI: 10.13491/j.issn.1004-714X.2020.05.003 [11] 刘涵笑, 方连英, 李洁清, 等. 低剂量辐射适应性反应机制研究进展[J]. 中国辐射卫生,2020,29(4):438-441. DOI: 10.13491/j.issn.1004-714X.2020.04.029 Liu HX, Fang LY, Li JQ, et al. Advances on the mechanisms of adaptive response to low dose radiation[J]. Chin J Radiol Health, 2020, 29(4): 438-441. DOI: 10.13491/j.issn.1004-714X.2020.04.029 [12] Herranz P, Morton C, Dirschka T, et al. Low-dose 0.5% 5-fluorouracil/10% salicylic acid topical solution in the treatment of actinic keratoses[J]. J Cutan Med Surg, 2016, 20(6): 555-561. DOI: 10.1177/1203475416659259 [13] 杨军, 张永学. 治疗核医学[M]. 武汉: 武汉出版社, 2002: 250-260. Yang J, Zhang YX. Therapeutic nuclear medicine[M]. Wuhan: Wuhan Publishing House, 2002: 250-260. [14] 陈慧峰, 谭斯文, 闫雪华, 等. 不同剂量电离辐射对人外周血淋巴细胞DNA损伤修复相关基因转录水平的影响[J]. 中国辐射卫生,2020,29(1):7-12. DOI: 10.13491/j.issn.1004-714X.2020.01.002 Chen HF, Tan SW, Yan XH, et al. Effects of different dose ionizing radiation on the transcriptional level of DNA damage repair related genes in human peripheral blood lymphocytes[J]. Chin J Radiol Health, 2020, 29(1): 7-12. DOI: 10.13491/j.issn.1004-714X.2020.01.002 [15] 刘菁华. 90 Sr-90Y敷贴治疗婴幼儿皮肤血管瘤的临床研究[J]. 中国辐射卫生,2006,15(4):491-492. DOI: 10.3969/j.issn.1004-714X.2006.04.060 Liu JH. Angiolip clinical study on the application of 90 Sr-90Y to treating infant skin hemangioma[J]. Chin J Radiol Health, 2006, 15(4): 491-492. DOI: 10.3969/j.issn.1004-714X.2006.04.060 [16] 郑玉明. 敷贴治疗寻常型银屑病的疗效分析[J]. 国际放射医学核医学杂志,2015(4):300-302. DOI: 10.3760/cma.j.issn.1673-4114.2015.04.006 Zheng YM. Clinical effectiveness of applicator brachytherapy for psoriasis vulgaris[J]. Int J Radiat Med Nucl Med, 2015(4): 300-302. DOI: 10.3760/cma.j.issn.1673-4114.2015.04.006 [17] 范益军, 叶万忠, 沈国平, 等. 90 Sr-90 Y敷贴治疗瘢痕疙瘩的疗效观察[J]. 中国辐射卫生,2008,17(2):242-243. DOI: 10.3969/j.issn.1004-714X.2008.02.066 Fan YJ, Ye WZ, Shen GP, et al. Effect of 90 Sr-90 Y application on keloid[J]. Chin J Radiol Health, 2008, 17(2): 242-243. DOI: 10.3969/j.issn.1004-714X.2008.02.066 [18] 翟士军, 丁英华. 90 Sr-90 Y敷贴治疗瘢痕疙瘩的疗效观察[J]. 中国辐射卫生,2007,16(4):483. DOI: 10.3969/j.issn.1004-714X.2007.04.059 Zhai SJ, Ding YH. Effect of 90 Sr-90 Y application on keloid[J]. Chin J Radiol Health, 2007, 16(4): 483. DOI: 10.3969/j.issn.1004-714X.2007.04.059