首页|复方黄柏液涂剂联合他克莫司软膏对脂溢性皮炎患者的影响

复方黄柏液涂剂联合他克莫司软膏对脂溢性皮炎患者的影响

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目的:探讨复方黄柏液涂剂联合他克莫司软膏对脂溢性皮炎(SD)患者的影响.方法:选择 2021 年 10 月—2022 年 12 月莆田市皮肤病防治院接诊的 83 例SD患者作研究对象,按照随机数表法将其分为对照组(n=41)、试验组(n=42).对照组予他克莫司软膏治疗,试验组在对照组基础上联合复方黄柏液涂剂治疗.比较两组的疗效、瘙痒程度[视觉模拟评分法(VAS)评分]、炎症指标[γ干扰素(IFN-γ)、肿瘤坏死因子-α(TNF-α)及白细胞介素-8(IL-8)]及皮肤屏障功能.结果:试验组总有效率为 95.24%,高于对照组的 78.05%,差异有统计学意义(P<0.05).治疗前,两组瘙痒程度、炎症指标、皮肤屏障功能指标比较,差异无统计学意义(P>0.05);治疗后,试验组VAS评分、TNF-α、IFN-γ水平、经皮水分丢失(TEWL)、皮脂含量均低于对照组,IL-8、角质层水含量均高于对照组,差异有统计学意义(P<0.05).结论:复方黄柏液涂剂联合他克莫司软膏治疗SD效果确切,可降低炎症反应,减轻瘙痒程度,改善皮肤屏障功能.
Effect of Compound Huangbaiye Pigmentum and Tacrolimus Ointment in Patients with Seborrheic Dermatitis
Objective:To investigate the effect of Compound Huangbaiye Pigmentum combined with Tacrolimus Ointment on patients with seborrheic dermatitis(SD).Method:A total of 83 SD patients admitted to Putian Skin Disease Prevention and Control Hospital from October 2021 to December 2022 were selected as the study subjects.The subjects were divided into control group(n=41)and experimental group(n=42)according to random number table method.The control group was treated with Tacrolimus Ointment,and the experimental group was treated with Compound Huangbaiye Pigmentum on the basis of the control group.The efficacy,pruritus degree[visual analogue scale(VAS)score],inflammatory markers[interferon-γ(IFN-γ),tumor necrosis factor-α(TNF-α)and interleukin-8(IL-8)]and skin barrier function were compared between the two groups.Result:The total effective rate of the experimental group was 95.24%,which was higher than 78.05%of the control group,and the difference was statistically significant(P<0.05).Before treatment,there were no significant differences in pruritus degree,inflammation index and skin barrier function index between the two groups(P>0.05).After treatment,VAS score,TNF-α,IFN-γ levels,trans epidermal water loss(TEWL)and sebum content in the experimental group were lower than those in the control group,IL-8 and cuticle water content were higher than those in the control group,the differences were statistically significant(P<0.05).Conclusion:Compound Huangbaiye Pigmentum combined with Tacrolimus Ointment is effective in treating SD,which can reducing inflammation,relieving itching and improving skin barrier function.

Seborrheic dermatitisCompound Huangbaiye PigmentumTacrolimus OintmentPruritus degree

陈清宇、李剑峰

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莆田市皮肤病防治院 福建 莆田 351100

脂溢性皮炎 复方黄柏液涂剂 他克莫司软膏 瘙痒程度

2024

中外医学研究
中国医院管理杂志社

中外医学研究

影响因子:1.149
ISSN:1674-6805
年,卷(期):2024.22(1)
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