首页|清热除湿汤治疗湿热内蕴型面部脂溢性皮炎患者疗效及对面部皮肤屏障功能、血清IL-2、IL-6和INF-γ水平的影响

清热除湿汤治疗湿热内蕴型面部脂溢性皮炎患者疗效及对面部皮肤屏障功能、血清IL-2、IL-6和INF-γ水平的影响

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目的:研究清热除湿汤治疗湿热内蕴型面部脂溢性皮炎(SD)患者的疗效及对面部皮肤屏障功能、血清白细胞介素2(IL-2)、白细胞介素6(IL-6)、干扰素-γ(INF-γ)水平的影响.方法:选取2020年5月~2022年5月在本院就诊的82例面部SD(湿热内蕴型)患者,应用简单随机分组法分为试验组和对照组,各41例.对照组进行西药治疗,试验组此基础上采用清热除湿汤治疗,比较两组患者疗效、中医证候积分、皮肤屏障功能、炎性因子等.结果:试验组治疗总有效率高于对照组(P<0.05);治疗后,红色丘疹、油腻性鳞屑或斑片、瘙痒等主次症及总评分均低于对照组(P<0.05);治疗后,试验组角质层含水量(SCH)、表皮脂质含量、皮肤PH高于对照组,经皮肤水分流失量(TEWL)低于对照组(P<0.05);试验组治疗后IL-2、INF-γ水平高于对照组,IL-6水平低于对照组(P<0.05).结论清热除湿汤治疗湿热内蕴型面部SD患者,能够提升治疗效果,缓解SD相关症状,改善面部皮肤屏障功能指标和血清炎性因子水平.
Efficacyof Qingre Chushi Decoction in the treatment of patients with dampness-heat internal retention type facial seb-orrheic dermatitis and the impact on facial skin barrier function and serum IL-2,IL-6and INF-γ levels
Objective:To study the efficacy of Qingre Chushi Decoction in the treatment ofpatients with dampness-heat internal retention type facial seborrheic dermatitis,and the impact on facial skin barrier function and serum interleukin-2(IL-2),interleu-kin-6(IL-6)and interferon-gamma(INF-γ)levels.Methods:A total of 82patients with facial SD(dampness-heat internal re-tentiontype)who were treated in the hospital from May 2020to May 2022were selected,and randomly divided into the treatment group and the control groupwith 41 patients in each group.The control group was treated with western medicine,and the treatment group was treated with Qingre Chushi Decoction on this basis.Efficacy,TCM syndrome scores,skin barrier function and inflammato-ry factorswere compared between the two groups.Results:The total treatment response rate in the experimental group was higher than that in the control group(P<0.05).After treatment,the scores for primary and secondary symptoms such as red pimples,greasy scalesor patchesand itching,and the total score of the treatment group were lower than those of the control group(P<0.05).After treatment,stratum corneum hydration(SCH),epidermal lipid contentand skin pH in the treatment group were higher than those in the control group.The transepidermal water loss(TEWL)was lower than that in the control group(P<0.05).After treatment,the levels of IL-2 and INF-γ in the treatment group were higher than those in the control group,and the level of IL-6was lower than that in the control group(P<0.05).Conclusion:Qingre Chushi Decoction is effective in the treatment of facial SD as it can significantly alleviate SD related symptoms,and improve facial skin barrier function and serum inflammatory factor levels.

Seborrheic dermatitisQingre Chushi DecoctionDampness-heat internal retentionSkin barrierInflammatory factor

宋鑫、吴科佳、鲍映雪

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常州市中医医院皮肤科,江苏常州 213000

浙江省人民医院手术室,浙江 杭州 310000

脂溢性皮炎 清热除湿汤 湿热内蕴 皮肤屏障 炎性因子

2024

四川中医
四川省中医药学会,四川省中西医结合学会,四川省针灸学会,四川省中医药科学院

四川中医

CSTPCD
影响因子:0.522
ISSN:1000-3649
年,卷(期):2024.42(11)