백반증 환자에서 엑시머 레이저 치료의 연속 요법과 주기 요법의 효과 비교 연구

DC Field Value Language
dc.contributor.advisor강희영-
dc.contributor.author성재민-
dc.date.accessioned2019-10-21T07:30:38Z-
dc.date.available2019-10-21T07:30:38Z-
dc.date.issued2017-08-
dc.identifier.other25498-
dc.identifier.urihttps://dspace.ajou.ac.kr/handle/2018.oak/19082-
dc.description학위논문(석사)--아주대학교 일반대학원 :의학과,2017. 8-
dc.description.tableofcontentsINTRODUCTION 1 MATERIAL AND METHODS 2 A. Study design and population 2 B. Treatment protocol 2 C. Assessment and primary outcome 2 D. Statistical analysis 3 RESULTS 4 A. Patient characteristics 4 B. Repigmentation rate of continuous and cyclic on-off excimer laser treatments 4 C. Clinical changes during intermission period in cyclic on-off protocol 7 DISCUSSION 8 CONCLUSION 10 REFERENCES 11 국문요약 13-
dc.language.isoeng-
dc.publisherThe Graduate School, Ajou University-
dc.rights아주대학교 논문은 저작권에 의해 보호받습니다.-
dc.title백반증 환자에서 엑시머 레이저 치료의 연속 요법과 주기 요법의 효과 비교 연구-
dc.title.alternativeEfficacy of conventional continuous vs. cyclic on-off excimer laser treatment in vitiligo-
dc.typeThesis-
dc.contributor.affiliation아주대학교 일반대학원-
dc.contributor.alternativeNameJae Min Sung-
dc.contributor.department일반대학원 의학과-
dc.date.awarded2017. 8-
dc.description.degreeMaster-
dc.identifier.localId788613-
dc.identifier.urlhttp://dcoll.ajou.ac.kr:9080/dcollection/jsp/common/DcLoOrgPer.jsp?sItemId=000000025498-
dc.subject.keywordvitiligo-
dc.subject.keywordexcimer laser-
dc.subject.keywordUVB treatment-
dc.subject.keywordcyclic treatment-
dc.subject.keywordmelanocyte exhaustion-
dc.description.alternativeAbstractOBJECTIVE: To compare the efficacy of conventional continuous excimer laser treatment and cyclic on-off scheduled excimer laser treatment in vitiligo. DESIGN: A randomized, controlled, split-body, non-inferiority study. SETTING: The trial was performed in two tertiary health care centers in Korea. PARTICIPANTS: 12 patients (16 pairs of lesions) with bilateral and symmetrically distributed vitiligo and whose disease duration was less than 5 years. The patients taking systemic steroids or having enlarging lesions were excluded. All of 12 patients completed the study. INTERVENSIONS: All lesions were treated twice weekly by excimer laser for a total of 9-month trial period: continuously in group A, or cyclically with 2-month treatment and 1-month intermission every 3 month (total 3 cycles during the trial) in group B. Topical tacrolimus 0.1% ointment was equally applied to both groups throughout the trial. MAIN OUTCOMES AND MEASURES: Photographic documentation of lesions was conducted every month and the final degree of repigmentation of each group was assessed with a repigmentation rate (%) by using image analysis software. The non-inferiority margin was set at 10%. RESULTS: The mean difference of repigmentation rate between group A and B was 2.194% and the 95% confidence interval (-4.982% to 9.370%) was lower than the non-inferiority margin (10%). In group B, neither loss of repigmentation nor worsening of the vitiligo lesions was observed during intermission. CONCLUSIONS AND RELEVANCE: The cyclic on-off excimer laser treatment was as effective as the continuous excimer laser treatment in vitiligo. It can be a new treatment strategy for vitiligo without deteriorating the disease.-
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