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A型肉毒毒素(BTX-A)治疗面部皮肤油性脂溢性皮炎、毛孔粗大和痤疮后症状综合的疗效。

The effectiveness of botulinum toxin type A (BTX-A) in the treatment of facial skin oily seborrhea, enlarged pores, and symptom complex of post-acne.

机构信息

Aesthetic clinics of Maria Shirshakova, Moscow, Russian Federation.

Department of Dermatology and Venereology, I.M. Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russian Federation.

出版信息

Int J Dermatol. 2021 Oct;60(10):1232-1241. doi: 10.1111/ijd.15574. Epub 2021 May 3.

Abstract

BACKGROUND

This study aimed to examine the effectiveness of botulinum toxin type A (BTX-A) in the treatment of acne.

METHODS

The study was conducted in 2018 on 12 patients, 10 females and two males, aged 35 years on average. The injections with BTX-A were given during 2 weeks into the face skin in a dosage of 0.125-0.250 units.

RESULTS

Skin moisture indexes increased during the therapy by 4% (P ≤ 0.05), and porosity decreased by 7% (P ≤ 0.01). Maximal changes were recorded for the sulci and pigmentation of the skin, namely, its values decreased by 10 and 9%, respectively (P ≤ 0.01). BTX-A is recommended for an application not only in plastic surgeries but also for local correction of acne on the patient's skin.

CONCLUSION

A positive correlation was revealed between the duration of treatment and reduction of skin oiliness (0.87), pigmentation (0.78), skin sulci (0.84), and skin porosity (0.88), and negative correlation was established with increased skin moisture (-0.64). The obtained dependencies apply for the therapy period of up to 2 weeks. Pharmacological properties of BTX-A allow recommending it as a drug used in post-acne therapy.

摘要

背景

本研究旨在探讨肉毒杆菌毒素 A(BTX-A)治疗痤疮的疗效。

方法

该研究于 2018 年在 12 名患者中进行,其中 10 名女性,2 名男性,平均年龄 35 岁。在 2 周内,将 BTX-A 注射到面部皮肤中,剂量为 0.125-0.250 单位。

结果

治疗期间皮肤水分指数增加了 4%(P≤0.05),而毛孔减少了 7%(P≤0.01)。皮肤的皱纹和色素沉着的变化最大,分别减少了 10%和 9%(P≤0.01)。BTX-A 不仅推荐用于整形手术,也推荐用于患者皮肤局部纠正痤疮。

结论

治疗时间与减少皮肤油脂(0.87)、色素沉着(0.78)、皮肤皱纹(0.84)和皮肤毛孔(0.88)之间存在正相关,与皮肤水分增加(-0.64)之间存在负相关。所获得的相关性适用于治疗期不超过 2 周。BTX-A 的药理学特性使其成为治疗痤疮后治疗的药物。

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