Objective: To assess the feasibility, effectiveness and side - effects of home phototherapy in the treatment of patients with vitiligo. Methods: After trained, the patients were permitted to use a portable phototherapy device for the treatment of vitiligo lesions at home. Regular follow - ups, assessment of responses to the treatment and side - effects were done. Results: A total of 93 patients were assessed. All patients received the therapy for at least 1 year and many patients displayed re - pigmentation within 1 month. Out of these patients, the number of patients with excellent, good, moderate, poor and no response was 35, 16, 15, 16 and 11, respectively. The adverse effects were minimal. Conclusion: Home - used NB - UVB therapy is effective and safe in the treatment of vitiligo.%目的:评价家庭内窄谱中波紫外线(NB-UVB)治疗白癜风的可行性、疗效和不良反应.方法:培训患者掌握NB-UVB治疗白癜风的操作方法及技巧后,嘱患者在家自行照射白斑,并定期随访和评价疗效及不良反应.结果:有93例患者参加治疗且满1年时间,很多患者应用1月内即获得色素复原.93例中35例(37.6％)获得4级色素恢复,16例(17.2％)患者获得3级色素恢复,15例(16.1％)患者获得2级色素恢复,16例(17.2％)患者获得1级色素恢复,11例(11.8％)患者无任何色素恢复,所有患者均无严重不良反应.结论:家庭内NB-UVB治疗白癜风依从性高,疗效好,不良反应发生少.
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