中华皮肤科杂志 ›› 2021, Vol. 54 ›› Issue (12): 1033-1047.doi: 10.35541/cjd.20210643

• 指南与共识 • 上一篇    下一篇

中国银屑病生物制剂治疗指南(2021)

中华医学会皮肤性病学分会    中国医师协会皮肤科医师分会    中国中西医结合学会皮肤性病专业委员会   

  1. 中华医学会皮肤性病学分会    中国医师协会皮肤科医师分会    中国中西医结合学会皮肤性病专业委员会
  • 收稿日期:2021-09-03 修回日期:2021-10-02 发布日期:2021-12-01
  • 通讯作者: 王刚;张学军 E-mail:xjwgang@fmmu.edu.cn; ayzxj@vip.sina.com

Guidelines for the treatment of psoriasis with biologic agents in China (2021)

Chinese Society of Dermatology; China Dermatologist Association; Dermatology & Venereology Specialized Committee of Chinese Association of Integrative Medicine   

  1. Chinese Society of Dermatology; China Dermatologist Association; Dermatology & Venereology Specialized Committee of Chinese Association of Integrative Medicine
  • Received:2021-09-03 Revised:2021-10-02 Published:2021-12-01
  • Contact: Wang Gang; Zhang Xuejun E-mail:xjwgang@fmmu.edu.cn; ayzxj@vip.sina.com

摘要: 【摘要】 生物制剂在银屑病治疗中的应用越来越广泛,在治疗中重度、难治性及特殊类型银屑病方面发挥了积极的作用。在我国获批上市并已用于治疗银屑病的生物制剂包括肿瘤坏死因子α抑制剂、白细胞介素12/23抑制剂和白细胞介素17A抑制剂三大类7种制剂,如何合理、有效、安全地使用生物制剂已经成为临床工作中备受关注的问题。为此,我国银屑病诊疗及相关领域专家依据国内外研究数据和临床经验,结合中国银屑病患者的特点,在深入讨论的基础上制订本指南,从生物制剂的应用原则与方法、疗效与安全性、患者的筛查与监测、常见问题与对策以及特殊人群应用的注意事项等方面,为临床医生提供具体的指导意见。

关键词: 银屑病, 生物制剂, 治疗, 指南

Abstract: 【Abstract】 Biologic agents are increasingly used in the treatment of psoriasis, and have played an active role in addressing moderate to severe, refractory and special types of psoriasis. Biologic agents that have been approved for marketing and used in the treatment of psoriasis in China include 7 agents of 3 major categories, namely tumor necrosis factor-α inhibitors, interleukin 12/23 inhibitors and interleukin 17A inhibitors. How to use biologic agents in a rational, effective and safe way has become an issue of great concern in clinical practice. To this end, experts in the field of diagnosis and treatment of psoriasis and related fields in China developed this guideline based on Chinese and international research data, clinical experience, as well as characteristics of Chinese patients with psoriasis after in-depth discussions. This guideline provides specific guidance for clinicians in terms of application principles and methods of major biologic agents, efficacy and safety profiles, patient screening and monitoring, common problems and solutions, as well as considerations for their application in special populations.

Key words: Psoriasis, Biologic agents, Treatment, Guidelines