Goldman Mitchel P, Gold Michael H
Dermatology/Cosmetic Laser Associates of La Jolla, San Diego, CA 92121, USA.
J Drugs Dermatol. 2010 Jan;9(1):22-6.
To determine the efficacy of a skin care system developed with a partially neutralized glycolic compound and natural antioxidants when compared to Cetaphil moisturizing regimen for the treatment of photoaging of the face, eye and mouth.
A total of 36 patients between 35 and 65 years of age were randomized on a 3:1 ratio to use either Vivité Skin Care System or Cetaphil cleanser and moisturizer for 60 days. Facial skin was evaluated at baseline, day 30 and day 60. Subjects were required to fill out a self-evaluation of facial skin quality before, during, and after treatment. Investigators evaluated facial wrinkling using a common wrinkling scale as well as a visual evaluation of skin texture in a masked manner.
A similar proportion of patients in each group had a 1-point improvement on the hyperpigmentation scale (42% of Vivité patients, 44% of Cetaphil patients). There were no statistically significant between-group differences in investigator rating of wrinkles. Subjectively, patients preferred Vivité to Cetaphil for noticeable improvement in fine lines or wrinkles (37.6-0%, respectively) at the first follow-up. By the final follow-up, more than half the patients in the Vivité group continued to notice an improvement in fine lines or wrinkles, compared with fewer than 25% in the Cetaphil group. More than twice the number of patients in the Vivité group noticed improvement in skin elasticity or tightness compared with those in the Cetaphil group.
Patients reported that the Vivité skin care system improved the appearance of wrinkling and improved skin texture associated with moderate photoaging of the face, eye and mouth areas. Vivité had a higher patient preference rating than a commonly used moisturizing regimen. There were no differences noted in the physician evaluations.
与丝塔芙保湿方案相比,确定一种由部分中和的乙醇酸化合物和天然抗氧化剂开发的皮肤护理系统对面部、眼部和口部光老化的治疗效果。
总共36名年龄在35至65岁之间的患者按3:1的比例随机分组,分别使用维维特皮肤护理系统或丝塔芙洁面乳和保湿霜,为期60天。在基线、第30天和第60天对面部皮肤进行评估。受试者需要在治疗前、治疗期间和治疗后填写面部皮肤质量的自我评估表。研究人员使用常见的皱纹量表对面部皱纹进行评估,并以盲法对皮肤质地进行视觉评估。
每组中相似比例的患者在色素沉着量表上有1分的改善(维维特组为42%,丝塔芙组为44%)。在研究人员对皱纹的评分中,两组之间没有统计学上的显著差异。主观上,在第一次随访时,患者认为维维特在改善细纹或皱纹方面比丝塔芙更明显(分别为37.6%和0%)。到最后一次随访时,维维特组超过一半的患者继续注意到细纹或皱纹有所改善,而丝塔芙组不到25%。与丝塔芙组相比,维维特组注意到皮肤弹性或紧致度改善的患者人数是其两倍多。
患者报告称,维维特皮肤护理系统改善了皱纹外观,并改善了与面部、眼部和口部中度光老化相关的皮肤质地。与常用的保湿方案相比,维维特的患者偏好评分更高。医生评估中未发现差异。