CN106728702A - 一种预防银屑病复发的药剂 - Google Patents
一种预防银屑病复发的药剂 Download PDFInfo
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Abstract
本发明公开了一种预防银屑病复发的药剂,属于外用药物技术领域,该药剂包括组份A和组份B,所述组份A为吡硫翁锌气雾剂,所述组份B为生物提取物,将组份A与组份B按照重量比1∶2的比例充分混合即得本发明所述的预防银屑病复发的药剂。经临床试验证明,降低了银屑病复发率,且减少了毒副作用。
Description
技术领域
本发明涉及药物技术领域,尤其涉及一种预防银屑病复发的药剂。
背景技术
银屑病作为一种慢性炎性皮肤病,复发性较强,至今病因和发病机制尚未完全清楚,主要是遗传因素和环境因素等多种因素相互作用的结果,病理变化表现为角质形成细胞异常增殖、异常分化、凋亡及局部炎症,进行期的银屑病细胞增殖及炎性反应异常活跃。寻常型银屑病可发于全身各处,常见于四肢伸侧,特别是肘部,膝部,初发为红色或棕红色的丘疹或斑丘疹,后逐渐扩展为边界清楚的棕红色斑片,可损害头皮,也可损害全身,严重影响患者的生活质量,近年来发病率呈逐年增加的趋势。目前采用喷雾疗法也是治疗银屑病主要方法之一,如采用吡硫翁锌气雾剂治疗,虽然效果较好,但易复发,往往也带来副作用,最常见的副作用如皮肤过敏,同样给患者带来痛苦。为解决吡硫翁锌气雾剂在使用中存在的问题,发明人在多年的临床治疗实践中,对吡硫翁锌气雾剂进行改进,以降低其毒副作用。经临床验证,取得了显著的治疗效果。
发明内容
本发明的目的是提供一种预防银屑病复发的药剂。
本发明的目的是通过以下技术方案实现的,该预防银屑病复发的药剂包括组份A和组份B,所述组份A为吡硫翁锌气雾剂,所述组份B为生物提取物。
所述生物提取物由血竭30g、皂荚80g、地肤子60g、土瓜狼毒65g、徐长卿45g、黄药子55g、花椒90g、白花蛇舌草90g、虎掌草77g、乳香44g、木鳖子54g、紫弹树160g、蝉蜕33g、菊花43g、白芥子120g粉碎混匀,加入10倍生物材料重量的蒸馏水浸泡40min后武火加热煮沸,沸腾后改用文火,保持微沸30min,搅拌,趁热过滤,再加适量蒸馏水同法煎煮20min滤过,合并滤液,水煎液经浓缩至400ml,加入95%乙醇,边加边搅拌,使杂质沉淀析出,放置24h滤过,滤液经水浴蒸发至无醇味,加蒸馏水定容至200ml制成,以60kPa,30min灭菌制成。
使用时,将组份A与组份B按照重量比1∶2的比例充分混合即得本发明所述的预防银屑病复发的药剂。
方中:血竭散瘀定通、止血生肌;皂荚祛风痰、除湿毒、杀虫;地肤子利小便、清湿热、主治小便不利带下、疝气风疹、疮毒疥癣,阴部湿痒;土瓜狼毒治胃气疼痛、食积结滞、消水肿、破血积、打虫积、打痰毒;徐长卿镇痛止咳、利水消肿、活血解毒;黄药子凉血降火、消瘿解毒;花椒温中散寒、除湿止痛、杀虫、解鱼腥毒;白花蛇舌草清热利湿、解毒;虎掌草清热解毒、活血舒筋;乳香调气活血、定痛追毒;木鳖子消肿散结、去毒;紫弹树清热解毒、祛痰、利小便;蝉蜕散风热、宣肺、治风疹瘙痒、麻疹透发不畅等;菊花疏风清热、明目解毒;白芥子利气豁痰、温中散寒、通络止痛。
临床资料
1一般资料:2009年6月~2013年7月间我院收治的120例银屑病患者,我们采用随机数字表法将其分为对照组、治疗组、中药组,每组40例;各组患者的临床表现及各项检查结果均符合银屑病的临床诊断标准。只使用组份A治疗的为对照组、使用本发明气雾剂治疗的为治疗组,单独服用本发明所述的组份B治疗的为中药组。各组在年龄、性别等一般资料比较无统计学意义,具有可比性。
2、治疗方法治疗组采用本发明所述的气雾剂对准患处喷雾治疗,对照组采用组份A对准患处喷雾治疗;中药组采用组份B对准患处喷雾治疗;三组均每次对准患处均匀喷湿为宜,每日3-6次;用药8周后观察疗效。
3、疗效评定标准显效:用药6-7周后,患者皮肤瘙痒、斑块、鳞屑等症状基本消失,皮损恢复正常的面积达90%以上。有效:用药6-8周后,患者皮肤瘙痒、斑块、鳞屑等症状明显改善,皮损恢复正常的面积达80%-90%。无效:用药8周后,患者皮肤瘙痒斑块、鳞屑等症状无任何改善,甚至加重。治疗的总有效率=(显效+有效)/总例数×100%。
4、治疗结果如下表所示。
组别 | 例数 | 日喷次数 | 显效 | 有效 | 无效 | 副作用 | 复发率 | 总有效率 |
治疗组 | 40 | 3 | 32 | 8 | 0 | 0 | 0 | 100% |
对照组 | 40 | 6 | 16 | 12 | 12 | 7 | 8 | 70% |
中药组 | 40 | 6 | 12 | 12 | 16 | 2 | 7 | 60% |
通过以上临床资料可知,治疗组虽然日喷次数较少,但是取得了理想的治疗效果,总有效率高于对照组和中药组,而且无副作用,无复发率。而对照组使用组份A治疗,有8例出现过敏现象。中药组有2例伴发痒痛症状。由此可知,治疗组中各成份配伍后发生了协同增效作用,值得临床推广应用。
在对以上治疗组患者进行随访时,其中有3例自述“使用本发明的气雾剂后,不但银屑病得到了有效治疗,而且急性期血栓性静脉炎症状也好了”。得到这一消息后,我们随即对30例患有不同程度急性期血栓性静脉炎患者,采用本发明气雾剂进行喷雾治疗。疗效标准:治愈指局部静脉索条肿物及疼痛消失,无任何自觉症状。有效指仍有条索状改变,局部、疼痛红肿减轻,硬结消失。无效指局部疼痛、红肿及索条状硬物无明显变化,硬结仍存在。治疗结果:30例患者中,痊愈18例(60%),显效9例(30%),无效3例(90%),总有效率按痊愈和显效计,为90%。由此可知,服用本发明的气雾剂,不但治疗银屑病疗效显著,而且对急性期血栓性静脉炎具有很好的治疗效果,值得临床推广应用。
具体实施方式
该预防银屑病复发药剂包括组份A和组份B,所述组份A为吡硫翁锌气雾剂,所述组份B为生物提取物;所述生物提取物由血竭30g、皂荚80g、地肤子60g、土瓜狼毒65g、徐长卿45g、黄药子55g、花椒90g、白花蛇舌草90g、虎掌草77g、乳香44g、木鳖子54g、紫弹树160g、蝉蜕33g、菊花43g、白芥子120g粉碎混匀,加入10倍生物材料重量的蒸馏水浸泡40min后武火加热煮沸,沸腾后改用文火,保持微沸30min,搅拌,趁热过滤,再加适量蒸馏水同法煎煮20min滤过,合并滤液,水煎液经浓缩至400ml,加入95%乙醇,边加边搅拌,使杂质沉淀析出,放置24h滤过,滤液经水浴蒸发至无醇味,加蒸馏水定容至200ml,以60kPa,30min灭菌制成;使用时,将组份A与组份B按照重量比1∶2的比例充分混合即得本发明所述的预防银屑病复发的气雾剂。
Claims (3)
1.一种预防银屑病复发的药剂,其特征在于该药剂包括组份A和组份B,所述组份A为吡硫翁锌气雾剂,所述组份B为生物提取物。
2.根据权利要求1所述的一种预防银屑病复发的药剂,其特征在于生物提取物由血竭30g、皂荚80g、地肤子60g、土瓜狼毒65g、徐长卿45g、黄药子55g、花椒90g、白花蛇舌草90g、虎掌草77g、乳香44g、木鳖子54g、紫弹树160g、蝉蜕33g、菊花43g、白芥子120g粉碎混匀,加入10倍生物材料重量的蒸馏水浸泡40min后武火加热煮沸,沸腾后改用文火,保持微沸30min,搅拌,趁热过滤,再加适量蒸馏水同法煎煮20min滤过,合并滤液,水煎液经浓缩至400ml,加入95%乙醇,边加边搅拌,使杂质沉淀析出,放置24h滤过,滤液经水浴蒸发至无醇味,加蒸馏水定容至200ml制成,以60kPa,30min灭菌制成。
3.根据权利要求1所述的一种预防银屑病复发的药剂,其特征在于将组份A与组份B按照重量比1∶2的比例充分混合即得本发明所述的预防银屑病复发的药剂。
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CN112190708B (zh) * | 2019-07-08 | 2023-09-05 | 上海交通大学医学院附属瑞金医院 | 趋化因子受体ccr6抑制剂在预防银屑病复发中的新应用 |
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