中国皮肤性病学杂志2025,Vol.39Issue(1) :40-47.DOI:10.13735/j.cjdv.1001-7089.202405032

止脱茁发方治疗湿热型头皮脂溢性皮炎30例临床观察

Clinical Observation of"Zhituo Zhuofa Formula"on Scalp Seborrheic Dermatitis of Damp-Heat Type

唐磊 傅强 黄富均 黄梦雅 刘林 刘娅 周汛
中国皮肤性病学杂志2025,Vol.39Issue(1) :40-47.DOI:10.13735/j.cjdv.1001-7089.202405032

止脱茁发方治疗湿热型头皮脂溢性皮炎30例临床观察

Clinical Observation of"Zhituo Zhuofa Formula"on Scalp Seborrheic Dermatitis of Damp-Heat Type

唐磊 1傅强 1黄富均 1黄梦雅 1刘林 1刘娅 1周汛1
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作者信息

  • 1. 重庆市中医院皮肤美容科,重庆 400021
  • 折叠

摘要

目的 观察止脱茁发方治疗湿热型头皮脂溢性皮炎的疗效.方法 将60例头皮脂溢性皮炎患者随机分为两组,试验组30例,使用止脱茁发方治疗,对照组30例,使用2%酮康唑洗剂治疗,1次/周,治疗4周.治疗结束后随访4周,治疗前后记录临床症状评分、起效时间、马拉色菌镜检结果、不良反应及复发情况.8周后进行疗效判定.结果 治疗组临床症状指标总疗效有效率为86.20%(25/29),对照组临床症状指标总疗效有效率为60.71%(17/28),治疗组疗效高于对照组(P<0.05).两组在瘙痒、头皮屑、头皮出油、头皮红斑/炎性丘疹等临床症状均明显改善(P<0.05),试验组在脱发症状改善方面差异有统计学意义(P<0.05),对照组脱发改善不明显(P>0.05).治疗组改善瘙痒、头皮屑、头皮出油、脱发等的平均起效时间短于对照组(P<0.05);两组改善头皮红斑/炎性丘疹的平均起效时间差异无统计学意义(P>0.05).两组在马拉色菌有效清除率方面差异无统计学意义(P>0.05).两组均未出现明显不良反应.随访完成后,试验组复发率低于对照组(P<0.05).结论 止脱茁发方治疗湿热型头皮脂溢性皮炎起效快,无明显不良反应,与酮康唑洗剂相比具有一定优势.

Abstract

Objective To observe the effectiveness of Zhituo Zhuofa Formula in ftreating scalp seborrheic dermatitis.Methods Sixty patients with SSD were randomly divided into two groups,the test group(n=30)was treated with Zhituo Zhufa Formula,while the control group(n=30)was treated with 2%ketoconazole,both groups received treatment once a week for a total of 4 weeks.Follow up for 4 weeks,calculate the clinical symptom scores,Malassezia microscopy results,adverse reactions,and recurrence.Results The effective rate of the treatment group was 86.20%(25/29),while the effective rate of the control group was 60.71%(17/28).The therapeutic effect of the treatment group was higher than that of the control group(P<0.05).After treatment,both groups showed significant improvement in clinical symptoms such as itching,dandruff,scalp oiliness,and scalp erythema/inflammatory papules(P<0.05).However,the experimental group was able to control hair loss symptoms(P<0.05),while the control group had no such effect(P>0.05).The comparison between the two groups showed that the treatment group had a better average onset time in improving itching,dandruff,scalp oiliness,hair loss,etc.than the control group(P<0.05).There was no statistically significant difference(P>0.05)in the effective clearance rate of Malassezia between the two groups.Both groups did not show any significant adverse reactions.After follow-up,the recurrence rate in the experimental group was lower than that in the control group(P<0.05).Conclusion Zhituo Zhuofa Formula has a fast onset and no significant adverse reactions in treating scalp seborrheic dermatitis of damp heat type,and has certain advantages compared to Caile Lotion.

关键词

头皮脂溢性皮炎,湿热型/止脱茁发方/症状改善

Key words

Scalp seborrheic dermatitis,damp heat type/Zhituo Zhuofa Formula/Improvement of symptoms

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出版年

2025
中国皮肤性病学杂志
西安交通大学

中国皮肤性病学杂志

CSCD北大核心
影响因子:0.66
ISSN:1001-7089
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