外用复方肝素钠尿囊素凝胶(主要成分:洋葱提取物槲皮素)治疗酒渣鼻的疗效和安全性

IF 2.3 4区 医学 Q2 DERMATOLOGY
Zining Xu, Biao Yu, Yuxin Qing, Shuhong Ye, Bingyang Xu, Yuanqin Wang, Bin Zhao, Hong Sun, Na Wu, Jiawen Wu
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引用次数: 0

摘要

背景丘疹性酒渣鼻的治疗是一个重大的临床挑战。抗炎和血管收缩治疗对于快速改善丘疹性酒渣鼻患者皮肤屏障损伤引起的干燥、灼烧和瘙痒是无效的。目的评价复方肝素钠尿囊素凝胶外用治疗酒渣鼻的疗效和安全性。方法82例患者参加随机、前瞻性、单中心、对照试验。在0、2、4、8和12周时评估临床医生红斑评估评分、研究者整体评估评分、经皮失水和皮肤水化。还对酒渣鼻特异性生活质量评分、瘙痒、干燥、灼烧、整体审美改善量表和患者自我评估评分进行了评估。结果与传统治疗组比较,局部应用复方肝素钠尿囊素凝胶治疗红斑痤疮8周和12周后,临床医生红斑评估/研究者全球评估评分、灼烧和瘙痒评分以及红斑痤疮特异性生活质量评分均显著降低。复方肝素钠尿囊素凝胶显著改善皮肤水合屏障,显著减少表皮水分流失。对于蠕形螨感染的患者,外用复合肝素钠尿囊素凝胶比外用透明质酸具有更好的酒渣鼻治疗效果和改善皮肤屏障功能。这可能是由于抑制了异常蠕形螨,改善了皮肤屏障,修复了轻微的皮肤伤口。结论复方肝素尿囊素钠凝胶能有效改善面部红斑,减轻瘙痒、烧灼感,提高患者生活质量。临床试验注册ClinicalTrials.gov标识符:ChiCTR2400087948
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Efficacy and Safety of Topical Compound Heparin Sodium Allantoin Gel (Main Components: Onion Extract Quercetin) for the Treatment of Rosacea

Efficacy and Safety of Topical Compound Heparin Sodium Allantoin Gel (Main Components: Onion Extract Quercetin) for the Treatment of Rosacea

Background

The management of papulopustular rosacea presents a significant clinical challenge. Anti-inflammatory and vasoconstrictive treatments are ineffective in the rapid amelioration of the dryness, burning, and itching caused by skin barrier damage in patients with papulopustular rosacea.

Aims

To assess the efficacy and safety of the topical application of compound heparin sodium allantoin gel to treat rosacea.

Methods

Eighty-two patients participated in this randomized, prospective, single-center, and controlled trial. The Clinician Erythema Assessment score, Investigator Global Assessment score, transepidermal water loss, and skin hydration were evaluated at 0, 2, 4, 8, and 12 weeks. Rosacea-specific quality of life score, itching, dryness, burning, Global Aesthetic Improvement Scale, and Patient Self-Assessment grades were also assessed.

Results

Compared with the traditional therapy group, the 8-week and 12-week topical application of compound heparin sodium allantoin gel to treat rosacea significantly decreased Clinician Erythema Assessment/Investigator Global Assessment grades, burning and itching grades, and rosacea-specific quality of life scores. Compound heparin sodium allantoin gel significantly improved the skin barrier with hydration and significantly decreased trans-epidermal water loss. For patients with Demodex infestation, externally applied compound heparin sodium allantoin gel was associated with better rosacea treatment outcomes and improved skin barrier function than externally applied hyaluronic acid. This may be attributable to the inhibition of abnormal demodex, improved skin barrier, and repair of minor skin wounds.

Conclusions

Compound heparin sodium allantoin gel effectively improved facial erythema, alleviated ithching and burning sensations, and improved patients' quality of life.

Trail Registration

ClinicalTrials.gov identifier: ChiCTR2400087948

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来源期刊
CiteScore
4.30
自引率
13.00%
发文量
818
审稿时长
>12 weeks
期刊介绍: The Journal of Cosmetic Dermatology publishes high quality, peer-reviewed articles on all aspects of cosmetic dermatology with the aim to foster the highest standards of patient care in cosmetic dermatology. Published quarterly, the Journal of Cosmetic Dermatology facilitates continuing professional development and provides a forum for the exchange of scientific research and innovative techniques. The scope of coverage includes, but will not be limited to: healthy skin; skin maintenance; ageing skin; photodamage and photoprotection; rejuvenation; biochemistry, endocrinology and neuroimmunology of healthy skin; imaging; skin measurement; quality of life; skin types; sensitive skin; rosacea and acne; sebum; sweat; fat; phlebology; hair conservation, restoration and removal; nails and nail surgery; pigment; psychological and medicolegal issues; retinoids; cosmetic chemistry; dermopharmacy; cosmeceuticals; toiletries; striae; cellulite; cosmetic dermatological surgery; blepharoplasty; liposuction; surgical complications; botulinum; fillers, peels and dermabrasion; local and tumescent anaesthesia; electrosurgery; lasers, including laser physics, laser research and safety, vascular lasers, pigment lasers, hair removal lasers, tattoo removal lasers, resurfacing lasers, dermal remodelling lasers and laser complications.
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