Curative Effect of 30% Supramolecular Salicylic Acid Combined with Yufa Spray Dressing on Moderate to Severe Scalp Seborrheic Dermatitis

Jing Wang, Xinjiang Zhu, Yao Bai, Zhuo Fan
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Abstract

Objective: To observe the clinical efficacy of 30% supramolecular salicylic acid combined with Yufa spray dressing in the treatment of moderate to severe seborrheic dermatitis (seborrheic dermatitis of the scalp, SDS). Methods: From January 2020 to December 2021, 150 patients with SDS, who were treated in the Dermatology Clinic of the First Affiliated Hospital of Xi’an Medical University, were randomly divided into two groups, a treatment group and a control group, with 75 cases in each group. The treatment group was given 30% supramolecular salicylic acid combined with Yufa spray dressing on the basis of external medicine given to the control group, while the control group was given oral medicine combined with external medicine. Results: The difference in scores of erythema, scales, pruritus, and folliculitis of the treatment group before and after treatment was significant (P < 0.01), indicating that supramolecular salicylic acid combined with Yufa spray dressing can relieve the symptoms of SDS. The difference in scores of erythema of the control group before and after treatment was significant as well (P < 0.05), indicating that traditional antibiotics are also effective in treating SDS; however, there was no significant difference (P > 0.05) in the scores of other signs and symptoms, such as scales, pruritus, and folliculitis, before and after treatment, indicating that traditional antibiotics have no obvious curative effect on SDS. After 12 weeks of treatment, the improvement in erythema, scaling, and folliculitis was significantly greater in the treatment group compared with the control group (P < 0.05). Curative effect comparison showed that the total effective rate of the treatment group was 80.00%, compared with 25.67% of the control group, and the difference was statistically significant (P < 0.05). Conclusion: 30% supramolecular salicylic acid combined with Yufa spray dressing can significantly improve the therapeutic effect in moderate to severe SDS; the recurrence rate is lower, the course of treatment is shorted, and patients generally feel better; thus, it is a new option for the treatment of dermatitis.
30%超分子水杨酸联合玉发喷雾敷料治疗中重度头皮脂溢性皮炎疗效观察
目的:观察30%超分子水杨酸联合愈发喷雾剂治疗中重度脂溢性皮炎(SDS)的临床疗效。方法:从2020年1月至2021年12月,在西安医科大学第一附属医院皮肤科门诊接受治疗的150例SDS患者,随机分为治疗组和对照组,每组75例。治疗组在对照组外用药物的基础上给予30%超分子水杨酸联合愈发喷雾剂,对照组给予口服药物联合外用药物。结果:治疗组治疗前后红斑、鳞屑、瘙痒症、毛囊炎评分差异有统计学意义(P<0.01),说明超分子水杨酸联合愈发喷雾剂可减轻SDS症状。对照组治疗前后红斑评分也有显著性差异(P<0.05),说明传统抗生素治疗SDS也有效;但治疗前后其他体征(如鳞屑、瘙痒、毛囊炎)评分无显著差异(P>0.05),说明传统抗生素对SDS无明显疗效。治疗12周后,治疗组对红斑、脱屑、毛囊炎的改善明显大于对照组(P<0.05)。疗效比较显示,治疗组总有效率为80.00%,对照组为25.67%,结论:30%超分子水杨酸联合愈发喷雾剂治疗中重度SDS疗效显著;复发率较低,疗程较短,患者总体感觉较好;因此,它是治疗皮炎的一种新选择。
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