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特比萘芬间歇疗法治疗老年人甲真菌病的疗效和安全性评价
引用本文:石建萍,张宏,吴海斌,石家宴,杨义成,肖海珍.特比萘芬间歇疗法治疗老年人甲真菌病的疗效和安全性评价[J].中国皮肤性病学杂志,2010,24(3).
作者姓名:石建萍  张宏  吴海斌  石家宴  杨义成  肖海珍
作者单位:1. 广州医学院附属深圳沙井医院皮肤科,广东,深圳,518104
2. 暨南大学附属第一医院皮肤科,广东,广州,510632
基金项目:深圳市宝安区科技计划项目 
摘    要:目的探讨特比萘芬间歇疗法在治疗老年人甲真菌病中的疗效和安全性。方法采用随机双盲方法,将老年人甲真菌病患者分为2组。特比萘芬间歇疗法组:特比萘芬250mg,1次/d,连续4周,停药4周,再予连续4周;特比萘芬持续疗法组:特比萘芬250mg,次1/d,连续12周。在服药后第12周、24周、36周、48周、72周进行回访,观察疗效和不良反应。结果在72周时,特比萘芬间歇疗法组与持续疗法组的临床有效率为79.17%和81.82%;真菌清除率为83.33%和90.91%。在不同的观察时间,两组的临床有效率和真菌清除率相比较,差异均无统计学意义(P均>0.05)。结论在治疗老年人甲真菌病中,特比萘芬间歇疗法可以达到与特比萘芬持续疗法类似的疗效和安全性。

关 键 词:甲真菌病  老年人  特比萘芬  间歇疗法

Efficacy and Safety of Intermittent Terbinafine in the Treatment of Elderly Patients with Onychomycosis
SHI Jian-ping,ZHANG Hong,WU Hai-bin,SHI Jia-yan,YANG Yi-cheng,XIAO Hai-zhen.Efficacy and Safety of Intermittent Terbinafine in the Treatment of Elderly Patients with Onychomycosis[J].The Chinese Journal of Dermatovenereology,2010,24(3).
Authors:SHI Jian-ping  ZHANG Hong  WU Hai-bin  SHI Jia-yan  YANG Yi-cheng  XIAO Hai-zhen
Institution:SHI Jian-ping1,ZHANG Hong2,WU Hai-bin1,SHI Jia-yan1,YANG Yi-cheng1,XIAO Hai-zhen1(1.Department of Dermatology,Affiliated Shenzhen Shajing Hospital of Guangzhou medical college,Shenzhen 518104,China,2.Department of Dermatology,The First Affiliated Hospital of Jinan University,Guangzhou 510632 China)
Abstract:Objective To compare the efficacy and safety of intermittent terbinafine scheme with continuous terbinafine scheme for onychomycosis in the elderly. Methods All patients were divided into two groups scheme. Intermittent terbinafine group received a therapy of terbinafine 250 mg/day for 4 weeks followed by 4 weeks of no terbinafine and then an additional 4 weeks of terbinafine 250 mg/day,while continous terbinafine group received a therapy of terbinafine 250 mg/day for 12 weeks. Patients were assessed at wee...
Keywords:Onychomycosis  Elderly  Terbinafine  Intermittent treatment  
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