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含2%左旋肉碱和5%表没食子儿茶素没食子酸酯的抗皮脂保湿霜治疗脂溢性皮炎的疗效:一项随机临床试验。

Efficacy of anti-sebum moisturizing cream containing 2% l-carnitine and 5% epigallocatechin gallate in seborrhea: A randomized clinical trial.

作者信息

Detudom Pipatpong, Kamanamool Nanticha, Paichitrojjana Anon, Udompataikul Pawat, Udompataikul Montree

机构信息

Department of Dermatology, Faculty of Medicine, Srinakharinwirot University, Bangkok, Thailand.

Department of Preventive and Social Medicine, Srinakharinwirot University, Bangkok, Thailand.

出版信息

J Cosmet Dermatol. 2023 Nov;22(11):3058-3064. doi: 10.1111/jocd.15816. Epub 2023 May 17.

Abstract

BACKGROUND

Seborrhea leads to facial greasiness and unpleasant feeling. People with seborrhea also have trouble with selecting moisturizers. l-Carnitine and epigallocatechin gallate (EGCG) are reported anti-sebum properties. However, neither efficacy comparison nor the combination effect of the two topical anti-sebum agents was studied. Moisturizing cream with these agents is supposed to provide skin with an optimal water-oil balance.

AIMS

To compare the efficacy of moisturizer containing 2% l-carnitine or 5% EGCG alone on sebum controlling, and the synergistic effect of these two agents.

METHODS

Three study creams were formulated by adding three kinds of anti-sebum agents which were 2% l-carnitine, 5% EGCG, and 2% l-carnitine plus 5% EGCG in moisturizing cream base of dimethicone and glycerin. A randomized clinical trial was conducted. Ninety subjects, divided into three groups, applied the cream for 4 weeks. Sebum level, skin capacitance, and transepidermal water loss (TEWL) were evaluated at Weeks 0, 1, 2, and 4. Life qualities and subjective outcomes were assessed before and after treatment.

RESULTS

The mean sebum reduction from baseline was statistically significant in all treatment groups (p < 0.01). The median time to oil control was longer in l-carnitine group. The combine group had significantly greater anti-sebum efficacy than l-carnitine group (p = 0.009). All three groups had significant improvement of other objective parameters and subjective outcomes.

CONCLUSIONS

The anti-sebum moisturizing cream exhibited beneficial effect on the sebum reduction with improve skin hydration in people with seborrhea and made users satisfied. The EGCG group and the combine group show the greater anti-sebum effect than the l-carnitine group.

摘要

背景

脂溢性皮炎会导致面部油腻和不适感。脂溢性皮炎患者在选择保湿霜时也会遇到困难。据报道,左旋肉碱和表没食子儿茶素没食子酸酯(EGCG)具有抗皮脂分泌的特性。然而,尚未对这两种局部抗皮脂分泌剂的疗效比较及其联合效果进行研究。含有这些成分的保湿霜应能为皮肤提供最佳的水油平衡。

目的

比较单独含有2%左旋肉碱或5%EGCG的保湿霜在控油方面的疗效,以及这两种成分的协同作用。

方法

通过在含有二甲基硅氧烷和甘油的保湿霜基质中添加三种抗皮脂分泌剂(2%左旋肉碱、5%EGCG以及2%左旋肉碱加5%EGCG),配制出三种研究用乳膏。进行了一项随机临床试验。90名受试者被分为三组,使用该乳膏4周。在第0、1、2和4周评估皮脂水平、皮肤电容和经表皮水分流失(TEWL)。在治疗前后评估生活质量和主观结果。

结果

所有治疗组从基线开始的平均皮脂减少量具有统计学意义(p < 0.01)。左旋肉碱组达到控油的中位时间更长。联合组的抗皮脂分泌疗效明显高于左旋肉碱组(p = 0.009)。所有三组在其他客观参数和主观结果方面均有显著改善。

结论

抗皮脂保湿霜对脂溢性皮炎患者的皮脂减少具有有益作用,可改善皮肤水合作用,并使使用者满意。EGCG组和联合组的抗皮脂效果比左旋肉碱组更强。

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