左旋咪唑联合VB12治疗复发性口腔溃疡患者的临床效果及对血清IL6与VB12水平的影响
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首都医科大学附属北京同仁医院科研基金项目


The therapeutic effect and level of IL6 and VB12 in recurrent oral ulcer patients with levamisole combined VB12 treatment
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    摘要:

    【摘要】 目的 比较左旋咪唑联合VB12对复发性口腔溃疡患者的治疗效果及其血清IL6、VB12水平的影响,探讨治疗复发性口腔溃疡更好的治疗方法。方法 选择2015年9月~2016年9月在我院口腔黏膜科就诊的128例复发性口腔溃疡患者作为研究对象。按照治疗方式不同分为联合治疗组(左旋咪唑联合VB12治疗)和左旋咪唑组(单独采用左旋咪唑),每组64例。治疗1月后,观察口腔溃疡的愈合情况,同时采用疼痛视觉模拟量表(VAS)评分评估患者的疼痛情况;检测所有患者血清中的IL6、VB12水平。结果 整个试验随访率9375%。联合治疗组VAS评分小于左旋咪唑组,差异有统计学意义(P<005);联合治疗组口腔溃疡痊愈率大于左旋咪唑组,差异有统计学意义(P<005);联合治疗组血清中VB12水平大于左旋咪唑组,差异有统计学意义(P<005);联合治疗组血清中IL6水平和左旋咪唑组相比差异无统计学意义(P>005)。结论 左旋咪唑联合VB12对于复发性口腔溃疡治疗效果更佳,其可能是通过提高血清中VB12水平来发挥作用的。因此,对于临床上治疗效果欠佳的复发性口腔溃疡患者,可以选用左旋咪唑联合VB12进行治疗。

    Abstract:

    【Abstract】 objective To compared therapeutic effect and serum IL6 and VB12 levels of the levamisole combining VB12 and levamisole in patients with recurrent oral ulcer and, explore the better treatment method for the recurrent oral ulcer. Methods 128 patients with recurrent oral ulcer were choosen as the research objects between September 2015 and September 2016 in our hospital division of the oral mucosa. The patients were randomly divided into levamisole combined VB12 groups and levamisole treatment group. The healing of oral ulcer, visual analog pain scale (visual analog scale for pain, VAS pain), serum IL6 and VB12 were observed. Results The whole test followup rate was 9375%. The number of losting to followup was 8 people. VAS score of levamisole combined VB12 treatment group was statistically significant lower than that of levamisole treatment group (P< 005). The oral ulcer healing rate of levamisole combined VB12 treatment group was statistically significant greater than that of levamisole treatment group (P< 005). The serum VB12 of levamisole combined VB12 combined group was statistically significant greater than that of levamisole treatment group (P< 005). The serum IL6 of levamisole combined VB12 combined group was statistically significant greater than that of levamisole treatment group (P>005). Conclusion Levamisole combined VB12 has better effect of treatment for recurrent oral ulcer, the better treatment effect may be related with the higher level of serum IL6 and VB12. So clinical doctors can choose levamisole combined VB12 to cure the recurrent oral ulcer patients who are not well effent in traditional curation.

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  • 在线发布日期: 2018-08-01
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