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重庆医科大学附属儿童医院,国家儿童健康与疾病临床医学研究中心,儿童发育疾病研究教 育部重点实验室,儿科学重庆市重点实验室,重庆,400014
纸质出版日期:2023,
网络出版日期:2023-12-10,
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李生瑞, 邱银凤, 蒋莉, 等. 继发性线粒体功能障碍的判定与治疗[J]. 儿科药学杂志, 2023,29(12):61-64.
Li Shengrui, Qiu Yinfeng, Jiang Li, et al. Determination and Treatment of Secondary Mitochondrial Dysfunction[J]. 2023,29(12):61-64.
李生瑞, 邱银凤, 蒋莉, 等. 继发性线粒体功能障碍的判定与治疗[J]. 儿科药学杂志, 2023,29(12):61-64. DOI: 10.13407/j.cnki.jpp.1672-108X.2023.12.014.
Li Shengrui, Qiu Yinfeng, Jiang Li, et al. Determination and Treatment of Secondary Mitochondrial Dysfunction[J]. 2023,29(12):61-64. DOI: 10.13407/j.cnki.jpp.1672-108X.2023.12.014.
线粒体是双侧膜包被的细胞器
控制氧化磷酸化 (oxidative phosphorylation
OXPHOS)、脂肪酸氧化、三羧酸循 环(Krebs 循环)等多种代谢过程
还参与维持钙离子稳定、 氧化还原信号传递、活性氧簇的生产和调节、细胞凋亡等体 内多种重要的病理生理过程
线粒体功能一旦受损
机体功 能就会受到影响。 原发性线粒体病(primary mitochondrial disease
PMD)是指线粒体 DNA(mitochondrial DNA
mtDNA) 或编码电子传递链的核 DNA(nuclear DNA
nDNA)变异导 致氧化磷酸化障碍而引发的一组系统性疾病。 在临床工作 中
也常见到一些疾病具备 PMD 的某些或所有表型
却并 未找到与 OXPHOS 相关的 mtDNA 或 nDNA 突变
这种现象 被称为继发性线粒体功能障碍( secondary mitochondrial dysfunction
SMD)[1-2] 。
Objective: To evaluate the efficacy and safety of 2% crisaborole ointment in the treatment of mild to moderate atopic dermatitis in children. Methods: A total of 84 children with mild to moderate atopic dermatitis were randomly divided into 47 cases in the treatment group and 37 cases in the control group
respectively treated with 2% crisaborole ointment+emollients and emollients alone for 4 weeks. The effective rate and degree of pruritus improvement in two groups were compared. Results: The effective rate of treatment group and control group were respectively 72. 34% and 27. 03%
with statistically significant difference (P<0. 01). The score of pruritus in the treatment group was significantly improved compared with the control group
with a particular predominance of improvement in nocturnal pruritus and dynamic pruritus score. The improvement rate of pruritus in the treatment group was 63. 83%
significantly higher than 13. 51% in the control group. Adverse drug reactions were rare
only transient local stimulation. Conclusion: 2% crisaborole ointment is safe and effective in the treatment of mild to moderate atopic dermatitis in children.
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