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复发性口疮性口炎的处理存在很多问题。Graykowaski等报道74%患者创伤为诱发因素,63%病例有情绪紧张,39%病例有食物、药物过敏或有哮喘、枯草热病史,但食物变应原并不多见。对于本病特异性治疗的疗效颇有争论,因为病情加剧和缓解通常难以预料,故疗效评价困难。以往曾用过许多药物均无特殊效用。局部麻醉剂如2%粘性利多卡因、0.5%盐酸达克罗宁可作为辅助治疗,用来漱口,常能消除症状,使严重患者能进食。糖类皮质素的使用价值尚未肯定。早期应用醋酸氟羟强的松龙(0.1%软膏基质),日4次,对非溃疡性损害可能改变其自然病程。在大的疼痛性溃疡基底部注射醋酸氟羟强的松龙(10毫克/毫升)0.1毫升有卓越疗效。系统应用糖类皮质激素用免疫抑制
Recurrent aphthous stomatitis treatment there are many problems. Graykowaski et al reported 74% of patients trauma as a predisposing factor, 63% of cases have emotional stress, 39% of cases have food, drug allergy or asthma, hay fever history, but food allergens are rare. The efficacy of specific treatment for this disease is quite controversial, because the exacerbation and relief are often unpredictable, so the evaluation of the curative effect is difficult. Many drugs that have been used in the past have no special utility. Local anesthetics such as 2% sticky lidocaine, 0.5% dacronine hydrochloride can be used as an adjunct therapy for mouthwash, often eliminating symptoms and allowing serious patients to eat. The value of the use of corticosteroids is yet to be confirmed. Early application of fluticasone acetate (0.1% ointment base), 4 times a day, the non-ulcer damage may change its natural history. In the base of the large painful ulcer injection of fludarabine acetate (10 mg / ml) 0.1 ml has excellent curative effect. Systemic use of glucocorticoids with immunosuppression