0．1％他克莫司软膏联合毫米波治疗慢性非特异性唇炎的疗效评价及护理方法

目的：评价0．1％他克莫司软膏（ tacrolimus ointment）联合毫米波（ millimeter wave,MMW）治疗慢性非特异唇炎（ chronic cheilitis,CC）的临床疗效,并探讨相应的护理标准。方法：选择慢性非特异唇炎40例,按治疗方式分为3组,0．1％他克莫司软膏治疗组、毫米波治疗组和0．1％他克莫司软膏治疗与毫米波治疗联合治疗组。严格按照拟定的治疗方案对各组患者进行治疗,7 d为一疗程,在第7 d和第14 d分别评价各组患者的治疗效果。结果：联合组与0．1％他克莫司软膏治疗组疗效均优于毫米波治疗组（P＜0．05）,且两者在第14 d疗效并无显著差异。但是在第7 d时,联合治疗组的疗效优于0．1％他克莫司软膏组（P＜0．05）,且联合治疗组在第7 d与第14 d的疗效差异无统计学意义。结论：联合使用毫米波虽不能有效提高0．1％他克莫司软膏对于慢性非特应性唇炎的治疗效果,但能缩短治疗时间、减少用量,从而降低0．1％他克莫司软膏的副作用。     

慢性唇炎的临床进展

慢性非特异性唇炎（简称“慢性唇炎”）是一种病因不明的黏膜疾病,如何治疗慢性唇炎一直困扰着临床医生。本文对慢性唇炎可能的致病因素、临床表现及其治疗措施进行综述,为临床医生制定慢性唇炎最佳治疗方案提供参考。     

慢性唇炎中药湿敷联合微波治疗的临床疗效观察

目的 :评价中药五白湿敷剂结合微波治疗慢性唇炎的临床疗效。方法 :采用随机对照方法。 71例慢性唇炎 ,分成 3组 ,中药五白湿敷剂结合微波治疗 2 7例 ,单纯五白湿敷剂治疗 2 4例 ,单纯微波治疗 2 0例。疗程均为 2个月 ,观察临床疗效 ,并用X2 检验。结果 :中药五白湿敷结合微波治疗慢性唇炎的疗效虽与单纯中药湿敷的疗效一样好 (P >0 .0 5 ) ,但可缩短疗程近 1/ 2 ,而且单纯用中药湿敷的疗效亦比单纯微波治疗的疗效好 (P <0 .0 5 )。结论 :中药五白湿敷剂湿敷结合微波治疗慢性唇炎的疗效好。     

慢性唇炎中药显敷联合微波治闻的临床疗效观察

目的评价中药五白湿敷剂结合微波治疗慢性唇炎的临床疗效.方法采用随机对照方法.71例慢性唇炎,分成3组,中药五白湿敷剂结合微波治疗27例,单纯五白湿敷剂治疗24例,单纯微波治疗20例.疗程均为2个月,观察临床疗效,并用X2检验。结果中药五白湿敷结合微波治疗慢性唇炎的疗效虽与单纯中药湿敷的疗效一样好（P>0.05）,但可缩短疗程近1/2,而且单纯用中药湿敷的疗效亦比单纯微波治疗的疗效好(P<0.05).结论中药五白湿敷剂湿敷结合微波治疗慢性唇炎的疗效好.     

三种治疗慢性唇炎的方法比较

慢性唇炎尚无公认的有效治疗方法。本文旨在观察康宁克通口周注射和康纳乐霜局部涂擦及毫米波穴位加局部照射３种治疗方法的疗效，从而探讨较有效的治疗方法。１材料和方法选择６７例１９９７年６月至１９９７年１１月在华西医科大学附属口腔医院就诊并确诊为慢性唇炎的患...     

中药护唇膏对不良习惯引起慢性唇炎的疗效观察

目的:探讨中药护唇膏对不良习惯引起慢性唇炎的临床疗效.方法:纳入由不良习惯引起慢性唇炎的患者66例,随机分为两组(n=33),A组患者纠正不良习惯的同时敷用中药护唇膏,4次/d,持续3个月;B组只纠正不良习惯.随访观察3个月后慢性唇炎的临床表现.结果:A组患者红肿、皲裂、脱屑及疼痛等症状明显改善,总有效率为81.82％...     

曲安缩松与康纳乐霜联合治疗慢性唇炎疗效观察

目的：观察曲安缩松与康纳乐霜联合治疗慢性唇炎的临床疗效。方法：将38例慢性唇炎患者随机分为治疗组和对照组,对照组只外用康纳乐霜,治疗组加用曲安缩松作病损区粘膜下封闭,疗程2周,以病损区自觉症状及愈合情况判断疗效。结果：治疗组总有效率为100％。结论：曲安缩松与康纳乐霜联合运用,是治疗慢性唇炎的一种有效的方法,值得临床运用。     

中西医结合治疗慢性唇炎

中西医结合治疗慢性唇炎天津市大港医院口科（３００２７０）吴亚辉慢性唇炎，以唇粘膜、糜烂为特征。初起水疱，发痒，破裂流水，脱屑，结痂，灼痛或脉冲样跳动性痛，破裂渗血，症状时轻时重，反复发作，延续多年。中医称唇炎为“唇风”、“唇润”、“唇燥裂”。《医宗金...     

地塞米松复方丹参局部注射治疗干燥脱屑型唇炎临床疗效观察

目的:探讨一种治疗干燥脱屑型唇炎的有效方法.方法:应用地塞米松加复方丹参对23例伴有皲裂的干燥脱屑型唇炎病损区黏膜下注射治疗并观察疗效.结果:痊愈21例,好转2例,总有效率100%.结论:地塞米松加复方丹参局部注射治疗干燥脱屑型唇炎疗程短、疗效显著.     

Therapeutic approaches for actinic cheilitis: therapeutic efficacy and malignant transformation after treatment

Actinic cheilitis (AC) is a sun-induced premalignant lesion. AC is a clinical term housing a wide pathological spectrum ranging from hyperkeratosis to invasive squamous cell carcinoma. The aim of this systematic review was to examine the therapeutic efficacy of different approaches in clinical, histological, and cosmetic terms, and the malignization rate after treatment. A systematic search was undertaken in October 2016 and updated in April 2019 at MEDLINE (from 1966), Embase (from 1980), and Proceedings Web of Science (Conference Proceedings Citation Index-Science (CPCI-S) from 1990) databases. The search strategy was ((“actinic” or “solar”) AND (“cheilitis”)) using both medical subject headings (MeSH) and freetext. A total of 392 potentially eligible reports were identified. After the selection procedure, 20 articles were included. It was concluded that surgical treatment is the first line of treatment for AC and has proved useful for the clinical and pathological control of the disorder. However, there was no evidence of effective treatment in preventing malignant transformations. Non-surgical procedures showed less consistent results, although drug therapy may improve the results obtained by other therapeutic approaches.     

226例唇部疾病的前瞻性分析

目的:掌握唇部疾病基本损害的特点,不断提高唇部疾病鉴别诊断水平。方法:1995.8.~2004.9.口腔黏膜病专科唇部疾病初诊患者226例,均详细记录临床诊断、损害发生部位和损害类型。结果:发病部位按照损害累及频率,依次为下唇唇红134例次(34.9%)、下唇黏膜95例次(24.7%)、上唇唇红64例次(16.7%)、上唇黏膜56例次(14.6%)、口角20例次(5.2%)、口周9例次(2.3%)、唇部6例次(1.6%)。226例共出现16种损害类型,按照损害出现频率排序,溃疡92例(31.7%)、糜烂31例(10.7%)、白纹25例(8.6%)、痂皮24例(8.3%)、皲裂23例(7.9%)、肿胀22例(7.6%)、鳞屑22例(7.6%)、充血18例(6.2%)、白斑9例(3.1%)、肿块8例(2.8%)、色素沉着6例(2.1%)、色素脱失、疱、红斑各3例(1.0%)、萎缩和丘疹各1例(0.3%)。结论:唇红是唇部损害的好发部位,下唇唇红是首发部位,溃疡、糜烂、鳞屑、皲裂、白纹、痂皮、肿胀等7种损害是唇部黏膜病常见损害。     

唇炎诊断性新分类及其临床诊断路径

唇炎是发生在唇部类型各异的炎症疾病的总称,其病因各异,临床表现和病理特点存在重叠,导致了临床诊断的困难.合理的分类有利于唇炎的诊断,但鉴于唇炎自身的特点,其分类存在困难.目前已有学者提出2种不同的分类方案,但尚未建立统一的分类标准.笔者在结合临床实践经验并总结既往唇炎诊疗文献与特殊病案报道的基础上,将从唇炎的病因、临床...     

Prevalence and factors associated to actinic cheilitis in beach workers

Oral Diseases (2012) 18, 575–579 Objectives: Assess the prevalence and potential factors associated to actinic cheilitis (AC) in workers exposed to the sun. Materials and methods: Workers assigned to urban beaches in a city in Northeastern Brazil completed a questionnaire containing personal and health data. Lips were examined to identify AC. Results: A total of 362 workers, of which 15.5% exhibited AC, were examined. Among those with AC, there was a prevalence of males (86%), aged 37 years or older (61.4%) and light‐skinned (52.6%). They were undocumented (96.5%), exposed to the sun (84.2%), worked up to 6 h daily (57.9%), five or more times per week (52.6%), and for more than 8 years (54.4%). Photoprotection was used by 89.5%, including sunscreen (42.0%), lip protector (17.5%), and cap/hat (87.7%). Approximately 30% smoked and 29.8% consumed alcohol, 56.2% over two standard shots per day. Most (91.2%) ate healthy food five or more times per week. Being male, aged 37 years or older, having up to 6 years of schooling, being light‐skinned, wearing a cap/hat, and using sunscreen were factors associated to AC. Conclusion: A high prevalence of actinic AC was observed. Special attention should be given to individuals chronically exposed to UV radiation, with the institution of educational, preventive, and curative measures.     

肉芽肿性唇炎与牙源性感染病灶的关系

临床观察发现33例肉芽肿性唇炎患者口内均存在牙源性感染病灶,单纯处理感染病灶牙后,唇肿胀明显消退.提示肉芽肿性唇炎与牙源性感染病灶密切相关.消除牙源性感染病灶可作为治疗肉芽肿性唇炎的重要措施.