自体血浆治疗慢性荨麻疹的疗效观察

A. Shirkani, A. Hadipour, A. Ostovar, A. Movahed, Safora Pordel, Marjan Zamani, Milad Shamshrikar, Fatemeh Omrani, S. Farrokhi
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摘要

背景:慢性荨麻疹是一种以持续至少6周的严重痒疹为特征的过敏性皮肤病。本研究旨在评价首次应用血浆治疗特发性慢性荨麻疹的疗效。材料与方法:本病例系列研究采用标准问卷(DLQI和TSS)评价30例特发性慢性荨麻疹(自身免疫性和自发性)患者自体血浆治疗前后的生活质量(QOL)。结果:血浆治疗后患者DLQI、TSS评分均值明显降低。结果显示,血浆治疗后患者TSS评分均值显著降低(p<0/001)。此外,通过标准问卷调查(TSS)发现,血浆治疗对特发性慢性荨麻疹(自身免疫性和自发性)患者显著有效(p=0.001)。结果显示,血浆治疗后患者DLQI评分均值显著降低(p=<0.001),女性患者DLQI评分均值较男性患者显著降低(p= 0.04),提示患者生活质量改善。此外,发现血浆治疗在两性中均显着有效。结论:自体血浆治疗是治疗特发性慢性荨麻疹的一种较好的方法。
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The Efficacy of Autologous Plasma Therapy in Patients with Chronic Urticaria
Background: Chronic urticaria is an allergic skin disease characterized by severe pruritic wheal persisting at least for 6 weeks. This study aimed to evaluate the efficacy of plasma therapy used for the first time for the treatment of idiopathic chronic urticaria. Materials and Methods: In this case series study, the quality of life (QOL) of 30 patients with idiopathic chronic urticaria (autoimmune and spontaneous) referred to allergy clinic was evaluated before and after autologous plasma therapy by using standard questionnaires (DLQI and TSS). Results: The findings showed that the means of DLQI and TSS scores in the patients after plasma therapy was significantly reduced. The findings showed that the means of TSS scores in the patients after plasma therapy was significantly reduced (p<0/001). Moreover, it was found that plasma therapy was significantly effective patients with idiopathic chronic urticaria (autoimmune and spontaneous) by using standard questionnaires (TSS)(p=0.001). The findings showed that the means of DLQI scores in the patients after plasma therapy was significantly reduced (p=<0.001) means of DLQI scores in the women in contrast to men after plasma therapy was significantly reduced ( p=0.04) .This indicates that the improvement of the QOL in the patients. Moreover, it was found that plasma therapy was significantly effective in both sexes. Conclusion: The results of the present study suggest that autologous plasma therapy could be a suitable method for the treatment of patients with idiopathic chronic urticaria.
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