卤米松乳膏临床应用专家共识
摘要
<正>外用糖皮质激素类药物是皮肤科医生经常处方的药物之一,但临床仍存在不合理应用现象。过度使用会导致不良反应,而"激素恐惧"则严重限制了皮肤病的有效治疗。有效的局部治疗必须符合足强度、足剂量和正确使用3个基本原则~([1])。初始治疗时应根据皮损性质选用强度足够的制剂,以求迅速控制症状~([2]),减少因强度不足、疗程不够导致的病程延长、病情反复及长期用药所致的不良反应。卤米松乳膏是目前国内最常用的外用强效糖皮质激素,
引文
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[16]中国医师协会皮肤科医师分会自身免疫性疾病亚专业委员会.大疱性类天疱疮诊断和治疗的专家建议[J].中华皮肤科杂志,2016,49(6):384-387.
[17]刘晓依,潘萌,郑捷.大疱性类天疱疮的临床路径与预后初探[J].中国皮肤性病学杂志,2011,25(1):9-11.
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[21]Xu W,Li Y,Chen Z,et al.Wet-wrap therapy with halometasone cream for severe adult atopic dermatitis[J].Postgrad Med,2018,130:470-476.
[22]Imafuku S,Zheng M,Tada Y,et al.Asian consensus on assessment and management of mild to moderate plaque psoriasis with topical therapy[J].J Dermatol,2018,45:805-811.
[23]Chi CC,Kirtschig G,Aberer W,et al.Updated evidence-based(S2e)European Dermatology Forum guideline on topical corticosteroids in pregnancy[J].J Eur Acad Dermatol Venereol,2017,31:761.
[24]王家璧.卤米松在中国5年临床疗效观察回顾[J].临床皮肤科杂志,2008,37(12):775-776.
[25]Maddin S.What is new in therapeutics?[J].J Eur Acad Dermatol Venereol,1992,1:31-36.
[26]Li Y,Xu W,Li L.Efficacy and Safety of Halometasone cream to treat chronic generalized eczema and the effects of halometasone cream on serum cortisol levels[J].Biomed Res Int,2017,2017:1-7.
[2]中华医学会皮肤性病学分会免疫学组、特应性皮炎协作研究中心.中国特应性皮炎诊疗指南(2014版)[J].中华皮肤科杂志,2014,47(7):511-514.
[3]中国中西医结合学会皮肤性病专业委员会环境与职业性皮.规范外用糖皮质激素类药物专家共识[J].中华皮肤科杂志,2015,48(2):73-75.
[4]李邻峰.肾上腺糖皮质激素类药物在皮肤科的应用[M].北京:北京大学医学出版社,2004:1-4.
[5]Katayama I,Aihara M,Ohya Y,et al.Japanese guidelines for atopic dermatitis 2017[J].Allergol Int,2017,66:230-247.
[6]Kirtschig G.2016 European guideline for the management of vulval conditions[J].J Eur Acad Dermatol Venereol,2017,31:925-941.
[7]宋昊,孙建方.卤米松在中国临床应用12年疗效及安全性总结[J].临床皮肤科杂志,2017,46(4):282-285.
[8]黄岚,曾宪玉,段逸群,等.0.05%卤米松乳膏治疗皮炎湿疹类皮肤病多中心、随机对照、开放研究[J].临床皮肤科杂志,2004,33(6):376-378.
[9]夏育民,李漫莉,徐刚.卤米松乳膏治疗局限性神经性皮炎的临床疗效观察[J].临床皮肤科杂志,2004,33(10):635-636.
[10]解其伟,刘东海,赵桂云,等.0.05%卤米松乳膏和0.02%丙酸氯倍他索乳膏治疗神经性皮炎临床疗效观察[J].临床皮肤科杂志,2004,33(10):641-641.
[11]崔法新.卤米松乳膏治疗儿童特应性皮炎疗效观察[J].临床皮肤科杂志,2004,33(12):766-766.
[12]中华医学会皮肤性病分会银屑病学组.中国银屑病治疗专家共识(2014版)[J].中华皮肤科杂志,2014,47(3):213-215.
[13]杨顶权,张立新,白彦萍.卡泊三醇软膏和卤米松乳膏序贯疗法治疗斑块状银屑病临床观察[J].临床皮肤科杂志,2009,38(6):401-403
[14]曹永萍,戴辉,许爱娥.外用他克莫司与卤米松自身对照和联合治疗白癜风临床疗效分析[J].中国中西医结合皮肤性病学杂志,2012,11(1):21-24.
[15]李建明,唐杨婷.卤米松乳膏治疗儿童白癜风27例疗效观察[J].中国皮肤性病学杂志,2005,19(3):186.
[16]中国医师协会皮肤科医师分会自身免疫性疾病亚专业委员会.大疱性类天疱疮诊断和治疗的专家建议[J].中华皮肤科杂志,2016,49(6):384-387.
[17]刘晓依,潘萌,郑捷.大疱性类天疱疮的临床路径与预后初探[J].中国皮肤性病学杂志,2011,25(1):9-11.
[18]中国中西医结合学会皮肤性病专业委员会色素病学组.白癜风诊疗共识(2018版)[J].中华皮肤科杂志,2018,51(4):247-250
[19]Taieb A,Alomar A,Boehm M,et al.Guidelines for the management of vitiligo:the European Dermatology Forum consensus[J].Br JDermatol,2013,168:5-19.
[20]Oiso N,Suzuki T,Wataya-Kaneda M,et al.Guidelines for the diagnosis and treatment of vitiligo in Japan[J].J Dermatol,2013,40:344-354.
[21]Xu W,Li Y,Chen Z,et al.Wet-wrap therapy with halometasone cream for severe adult atopic dermatitis[J].Postgrad Med,2018,130:470-476.
[22]Imafuku S,Zheng M,Tada Y,et al.Asian consensus on assessment and management of mild to moderate plaque psoriasis with topical therapy[J].J Dermatol,2018,45:805-811.
[23]Chi CC,Kirtschig G,Aberer W,et al.Updated evidence-based(S2e)European Dermatology Forum guideline on topical corticosteroids in pregnancy[J].J Eur Acad Dermatol Venereol,2017,31:761.
[24]王家璧.卤米松在中国5年临床疗效观察回顾[J].临床皮肤科杂志,2008,37(12):775-776.
[25]Maddin S.What is new in therapeutics?[J].J Eur Acad Dermatol Venereol,1992,1:31-36.
[26]Li Y,Xu W,Li L.Efficacy and Safety of Halometasone cream to treat chronic generalized eczema and the effects of halometasone cream on serum cortisol levels[J].Biomed Res Int,2017,2017:1-7.