摘要
脂溢性皮炎的药物治疗主要集中在抗真菌药及钙调神经磷酸酶抑制剂,外用糖皮质激素、烟酰胺及透明质酸钠等也有报告。因长期外用糖皮质激素有诱发激素依赖性皮炎的风险,已经逐渐少用,烟酰胺及透明质酸钠治疗脂溢性皮炎还有待更多文献支持。脂溢性皮炎的物理治疗主要集中在强脉冲光及光动力治疗,这些治疗可以减少皮脂腺的分泌、减轻皮肤红斑,值得深入探索。窄谱中波紫外线治疗面部脂溢性皮炎因有色素再生风险受到一定限制。射频治疗脂溢性皮炎的疗效还处于试用阶段。
The treatment of seborrheic dermatitis by medicine, mainly focused on antifungal agents and calcineurin inhibitors. The applications of topical corticosteroids, nicotinamide and sodium hyaluronate have also been reported. Since long-term topical treatment with glucocorticoid steroid may induce hormone dependent dermatitis, the method is less adopted now. The application of nicotinamide and hyaluronic acid sodium in the treatment of seborrheic dermatitis remains to be studied. The physical treatment of seborrheic dermatitis mainly concentrates in the intense pulse light and photodynamic therapy, which can reduce sebaceous gland secretion of oils and fats, relieve the skin erythema, and worthy exploring. Narrow spectrum ultraviolet treatment of facial seborrheic dermatitis may induce homogeneous repigmentation, which limits its application. Treating seborrheic dermatitis with radiofrequency is still in the trial stage.
出处
《实用皮肤病学杂志》
2016年第4期266-268,共3页
Journal of Practical Dermatology
关键词
皮炎
脂溢性
治疗
Dermatitis
seborrheic
Treatment