油性皮膚：治療手段評述

摘要：

皮膚科最常見的就是油性皮膚，本文列舉了不同的治療方法，比如表皮塗抹的維甲類化合物，OG（皮脂抑製劑），還有一些葯妝成分。系統治療有合併異維A酸，安體舒通，口服避孕藥，肉毒素，光動力以及激光治療，文章對每種治療方式都做了作用機理的分析，相關文獻對其療效的報道和可能的副作用。

對於表皮塗抹，維甲類化合物療效確切，OG還需進一步臨床驗證，所謂葯妝的煙醯胺與綠茶成份也還需要更多的臨床數據。（美國的葯妝定義是：產品里含有眾所周知的某種功效成份，而且這種功效成分達到一定程度的佔比，FDA認證，滿足這三點可稱為葯妝。我們國家CFDA沒有葯妝這個類別）對於系統治療，口服低劑量異維A酸 (

J Clin Aesthet Dermatol. 2017 Aug;10(8):49-55. Epub 2017 Aug 1.

Oily Skin: A review of Treatment Options.

Endly DC1, Miller RA1.

Author information

Abstract

One of the most common dermatologic concerns is oily skin, and the demand for effective treatment options is ever apparent. This review article addresses numerous topical treatment options such as retinoids, olumacostat glasaretil, and various cosmeceutical agents. several systemic and procedural techniques that incorporate isotretinoin, spironolactone, oral contraceptives, botulinum toxin, photodynamic therapy, and lasers are reviewed as well. Each treatment option is analyzed in terms of the proposed mechanism of action, efficacy reported in the literature, and potential adverse effects.

KEYWORDS:

L-carnitine; Oily skin; botulinum toxin; diode laser; green tea; isotretinoin; niacinamide; olumacostat glasaretil; oral contraceptives; photodynamic therapy; seborrhea; sebum production; spironolactone; topical retinoids

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