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中国真菌学杂志 2017, Vol. 12  Issue (1): 45-48.

真菌病治疗 上一篇    下一篇

1%卢立康唑乳膏治疗足癣的临床疗效观察

杨静, 董碧麟, 江萍, 尹婧, 陈尊义, 张伟明, 夏凡, 赖彬, 童中胜   

  1. 武汉市第一医院皮肤科, 武汉 430022
  • 收稿日期:2017-02-11 出版日期:2017-02-28 发布日期:2017-02-28
  • 通讯作者: 童中胜,E-mail:tongzhongsheng@126.com E-mail:tongzhongsheng@126.com
  • 作者简介:杨静,女(汉族),硕士,副主任医师.E-mail:yangjing8228@126.com
  • 基金资助:

    中国中西医结合学会皮肤性病专业委员会临床研究基金(CAIM-LLKZ-008)

Evaluation of clinical efficacy of 1% luliconazole cream in the treatment of tinea pedis

YANG Jing, DONG Bi-lin, JIANG Ping, YIN Jing, CHEN Zun-yi, ZHANG Wei-ming, XIA Fan, LAI Bin, TONG Zhong-sheng   

  1. Dermatology Department of First Hospital of Wuhan, Wuhan 430022
  • Received:2017-02-11 Online:2017-02-28 Published:2017-02-28

摘要:

目的 评价1%卢立康唑乳膏治疗足癣的疗效和安全性。方法 将120例患者随机分为4组,包括实验组卢立康唑2周组、卢立康唑4周组及对照组萘替芬酮康唑2周组、萘替芬酮康唑4周组。在用药结束时及停药后2周评价临床和真菌学疗效。结果 卢立康唑2周组停药时,临床有效率为67.86%,对照组为70.37%(P>0.05)。真菌清除率为46.43%,对照组为51.85%(P>0.05);停药后2周,卢立康唑2周组临床有效率为85.71%,对照组为85.19%(P>0.05)。真菌清除率为82.14%,对照组为81.48%(P>0.05)。卢立康唑4周组停药时,临床有效率为88.89%,对照组为88.89%(P>0.05)。真菌清除率为85.19%,对照组为88.89%(P>0.05);停药后2周,卢立康唑4周组临床有效率为92.59%,对照组为88.89%(P>0.05)。真菌清除率为88.89%,对照组为88.89%(P>0.05);试验组和对照组药物不良反应均表现为局部刺激,发生率均为3.33%。结论 1%卢立康唑乳膏治疗足癣的疗效及安全性与萘替芬酮康唑乳膏相似。1%卢立康唑乳膏外用治疗足癣安全有效,每日1次治疗2周与治疗4周的疗效相当。

关键词: 卢立康唑乳膏, 萘替芬酮康唑乳膏, 足癣, 临床疗效

Abstract:

Objective To evaluate the efficacy and safety of luliconazole 1% cream in the treatment of tinea pedis.Methods One hundred and twenty patients positive for fungal elements on direct microscopy were equally and randomly divided into 4 groups:the trial groups applying luliconazole 1% cream for 2 weeks or 4 weeks and the control groups applying naftifine ketoconazole 2 weeks or 4 weeks.Efficacy was assessed in terms of mycological clearance and clinical response rates on week 2,4 and 6 after initiation of treatment.Results In 2-week regimen,the clinical response rates at weeks 2 were 67.86% in trial group and 70.37% in control group (P>0.05);The mycological clearance rates were 46.43% in trial group and 51.85% in control group (P>0.05).They were 85.71% vs.85.19% and 82.14% vs.81.48% respectively at weeks 4 (2 weeks after the end of treatment)(P>0.05).In 4-week regimen,the clinical response rates were 88.89% vs.88.89% and mycological clearance rates were 85.19% vs.88.89% at weeks 4.They were 92.59% vs.88.89% and 88.89% vs.88.89% respectively on 2 weeks after the end of treatment (P>0.05).Treatment-related adverse events consisted of local irritation occurred in 3.33% of patients both in the trial group and control group.Conclusion The efficacy and safety of 1% luliconazole cream in the treatment of tinea pedis are similar to that of naftifine ketoconazole cream.This study suggests that 1% luliconazole cream was effective and safe in the treatment of tinea pedis,with the efficacy of 2-week once-daily regimen equivalent to that of 4-week once-daily regimen.

Key words: luliconazole, naftifine ketoconazole, tinea pedis, clinical efficacy

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