代谢综合征银屑病患者联合使用二甲双胍和甲氨蝶呤。

IF 1.5 Q3 DERMATOLOGY
Dermatology Research and Practice Pub Date : 2022-04-22 eCollection Date: 2022-01-01 DOI:10.1155/2022/9838867
Huynh Thi Xuan Tam, Luong Nguyen Dac Thuy, Ngo Minh Vinh, Tran Ngoc Anh, Bui Thi Van
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引用次数: 0

摘要

目的评估二甲双胍和甲氨蝶呤(MTX)联合治疗与MTX单药治疗代谢综合征银屑病的疗效和安全性:采用二甲双胍和MTX治疗代谢综合征银屑病患者的前瞻性临床试验。治疗组由 35 名患有代谢综合征的银屑病患者组成,接受 MTX 和二甲双胍治疗。对照组有 31 名患有代谢综合征的银屑病患者,只接受 MTX 治疗:结果:与接受 MTX 单药治疗的患者相比,接受联合疗法治疗的患者的疾病状况明显改善。使用二甲双胍和MTX联合疗法的代谢综合征银屑病患者的银屑病面积和严重程度指数(PASI)评分明显低于仅使用MTX疗法的患者(P<0.05)。3 个月后,联合治疗组的血糖和甘油三酯水平也明显下降(P < 0.05)。然而,治疗组和对照组的亚临床指标没有明显差异:结论:在这一治疗样本中,二甲双胍和MTX联合疗法对患有代谢综合征的银屑病患者的疗效显著,且无严重副作用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The Combined Use of Metformin and Methotrexate in Psoriasis Patients with Metabolic Syndrome.

Objective: To evaluate the efficacy and safety of the combination of metformin and methotrexate (MTX) versus MTX monotherapy in treating psoriasis in patients with metabolic syndrome.

Materials and methods: A prospective clinical trial was conducted using metformin and MTX to treat psoriasis patients with metabolic syndrome. A treatment group of 35 psoriasis patients with metabolic syndrome was treated with MTX and metformin. A control group of 31 psoriasis patients with metabolic syndrome was treated with MTX only.

Results: Patients treated with the combined regimen showed measured improvement in disease status compared to those treated with MTX monotherapy. The Psoriasis Area and Severity Index (PASI) scores of psoriasis patients with metabolic syndrome using the metformin and MTX combination were significantly lower than those treated with MTX only (p < 0.05). The combination treatment group also showed a significant decrease in blood sugar and triglyceride levels after 3 months (p < 0.05). However, there were no significant differences in subclinical indexes between the treatment and control groups.

Conclusion: In this treatment sample, a combination of metformin and MTX in psoriasis patients with metabolic syndrome showed positive responses and no serious side effects.

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来源期刊
CiteScore
3.80
自引率
0.00%
发文量
16
审稿时长
11 weeks
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