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口腔扁平苔藓怎么治疗 陈方淳 重庆医科大学附属口腔医院 口腔扁平苔藓的发病原因非常复杂,遗传、免疫、内分泌、情绪因素都有很大的关系,每个人的发病原因都不一样,所以我们要采取个体化的综合治疗的个手段,治疗其实也跟他的临床症状和主观症状相结合,如果是糜烂型的扁平苔藓,这个时候主要是以缓解疼痛,促进糜烂的愈合为主,这个时候可以首选一些免疫抑制剂,大家知道临床上用的一些魄力松,它是一种激素,这种免疫制剂还有一些中成药,比如说火把花根雷公藤,这些沙利度胺都是可以选择的,免疫抑制剂相对来说,副作用相对来说稍微要大一些,所以要掌握它的量和疗程,还有适应征;第二个就是非糜烂型的扁平苔藓,非糜烂型的扁平苔藓的症状稍微来说,不是那么严重比较轻微的,我们可以酌情根据患者的自身的情况,他的心理状态、免疫状态,酌情选择一些抗焦虑的药物,或者是调节免疫的药物,局部对症处理,局部用一些抗炎的,比如说泉奈德,或者安奈替诺,或者一些氯己定这些常规的漱口水,起一个抗炎的一个作用,那么对一些症状非常轻微,就是白色病损也比较浅淡,但也没有充血糜烂,摸起来也比较光滑,患者主观症状也不是很明显的这一类疾病,其实也可以不用治疗,只要不影响我们的生活,其实是完全是可以不用治疗的,只要定期随访就可以了。 How to treat oral lichen planus The causes of oral lichen planus are very complicated, Genetic, immune, endocrine and emotional factors are all closely related, Everyone has different causes, So we need to take a means of individualized comprehensive treatment, In fact, the treatment is also combined with his clinical symptoms and subjective symptoms, In the case of erosive lichen planus, This time is mainly to relieve the pain, Promote the healing of erosion, At this time, some immunosuppressants may be the first choice, You know, some of the boldness used in clinical practice, It's a hormone, There are also some proprietary Chinese medicines for this immune preparation, For example, a torch, a root of Tripterygium wilfordii, All of these thalidomide are optional, Immunosuppressants, by contrast, The side effects were slightly greater, So we need to master its quantity and treatment, There are also indications; The second is non erosive lichen planus, The symptoms of non erosive lichen planus are slightly different, It's not that serious, it's not that serious, Depending on the patient's own situation, we can, His mental state, immune state, Choose some anti anxiety drugs, Or drugs that regulate the immune system, Local symptomatic treatment, Some of them are anti-inflammatory, For example, Quannaide, Or annatino, Or some chlorhexidine, these regular mouthwashes, It has an anti-inflammatory effect, So for some symptoms, it's very mild, Even white lesions are relatively light, But there was no congestion, It feels smooth, The subjective symptoms of patients are not obvious, In fact, there is no need for treatment, As long as it doesn't affect our lives, In fact, there is no need for treatment, Just follow up regularly.