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Abstract

Evaluation of Adverse Reactions and Effects of Triamcinolone Acetonide Combined with Compound Betamethasone in Keloid

Author(s): Wei Zhang*, Jincui Shen and B. Zeng
Department of Dermatology, Maternal and Child Health Hospital of Dujiangyan City, Dujiangyan, Sichuan 611830, 1Department of Dermatology, Chengdu Second People’s Hospital, Chengdu, Sichuan 610011, 2Department of Dermatology, Jiangyou People’s Hospital, Mianyang, Sichuan 621700, China

Correspondence Address:
Wei Zhang, Department of Dermatology, Maternal and Child Health Hospital of Dujiangyan City, Dujiangyan, Sichuan 611830, China, E-mail: cheesptsh@126.com


To explore the drug effect and adverse reaction of triamcinolone acetonide combined with compound betamethasone in keloid is the objective of the study. 100 patients were randomly divided into study group and control group (50 patients in each group). The research group received sequential treatment with triamcinolone acetonide injection combined with compound betamethasone injection and the control group received compound betamethasone injection. Both groups had 3 courses of treatment and each course of treatment lasted for 3 w. The Vancouver scar scale score, treatment effect and adverse reactions were compared between the two groups and the recurrence rate was followed up for 1 y after the end of medication. Before treatment, there was no significant difference in Vancouver scar scale scores between the two groups but after medication, the study group was better than that of the control group (p<0.05). The total effective rate of the study group (82 %) was higher than that of the control group (54 %, p<0.05). The total incidence of adverse drug reactions in the study group was 8 % while in the control group it was 6 % and the comparison between the two groups was not statistically significant. The recurrence rates of the study group and the control group were 28 % and 34 % 6 mo after the end of medication and 32 % and 42 % after 12 mo. There was a significant difference between the two groups. The sequential injection of triamcinolone acetonide combined with compound betamethasone is effective in the treatment of keloids, with high safety and low recurrence rate, which is worthy of clinical recommendation.

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