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伊曲康唑联合萘替芬酮康唑乳膏治疗复发性真菌性外耳道炎
Naftifineand Ketoconazole Cream and Itraconazole Capsule in Treatment of Recurrent Fungal Otitis Externa
  
DOI:
中文关键词:  伊曲康唑  萘替芬酮康唑乳膏  复发性真菌性外耳道炎
英文关键词:Itraconazole capsule  Naftifine and ketoconazole cream  Recurrent fungal otitis externa
基金项目:
作者单位
徐翔 何庆文 肖才文 邱红 ①江汉大学附属武汉市第六医院耳鼻咽喉科(武汉 430015)②华中科技大学同济医学院附属同济医院肿瘤中心。 
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中文摘要:
      摘 要 目的:观察伊曲康唑与萘替芬酮康唑乳膏联用治疗复发性真菌性外耳道炎的疗效及安全性。方法:复发性真菌性外耳道炎患者48例随机分为两组。对照组24例给予萘替芬酮康唑乳膏外用,qd,连续2周。观察组24例在对照组基础上,加用伊曲康唑胶囊200 mg,po, qd,连续2周。比较两组近期及远期疗效,并评价安全性。结果:用药两周后,观察组总有效率为100.0%,明显优于对照组的83.3%(P<0.05)。治疗结束后6个月随访,观察组无1例复发,对照组复发率为20.0%;观察组复发率明显低于对照组(P<0.05)。治疗期间,两组患者均未见药品不良反应发生。结论:萘替芬酮康唑乳膏与伊曲康唑联用治疗复发性真菌性外耳道炎效果显著、安全性好。
英文摘要:
      ABSTRACT Objective:To observe the clinical efficacy and security of naftifine and ketoconazole cream combined with itraconazole capsule in treatment of recurrent fungal otitis externa. Methods:A total of 48 patients with recurrent fungal otitis externa were randomly divided into two groups, the control group (n=24) was treated only with naftifine and ketoconazole cream(ad us ext, qd, 2 weeks), and naftifine and ketoconazole cream combined with itraconazole capsule(200 mg,po, qd, 2 weeks) were applied in the observation group(n=24). Then recent and late result and safety of therapy was evaluated in the two groups. Results:After the treatment, the total effective rate of treatment was 100.0% in the observation group, which was superior to the control group’s 83.3% (P<0.05). After treatment, both groups were followed up for 6 months, there was no recurrence in the observation group, but the recurrence rate was 20.0% in the control group; the recurrence rate of observation group was obviously lower than the control group(P<0.05). During the treatment, there wasn’t adverse reaction occurred in two groups of patients. Conclusion:The effect of naftifine and ketoconazole cream combined with itraconazole capsule in the treatment of the recurrent fungal otitis externa was remarkable, and it had good safety.
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