目的:护肤品是酒渣鼻治疗的一部分;患者受益于补充的皮肤美容护理以及药物治疗。众所周知,一些护肤习惯会引发并加剧酒渣鼻,但是关于这个问题的流行病学研究很少。
方法:共200人,包括100名酒渣鼻患者和100名对照,包括在研究中。我们质疑参与者在日常面部清洁中使用的方法。太阳和热暴露,化妆习惯,使用局部类固醇的历史,并记录了户外工作状态。皮肤镜检查,一种非侵入性和有价值的方法来评估蠕形螨的存在和严重程度,已执行。
结果:我们评估了30%的酒渣鼻患者为红斑血管扩张性酒渣鼻,13%为丘疹性酒渣鼻,57%的病人是混合型的,无法与这些亚型之一区分开。在案例组中,每天使用洗面奶和肥皂的比例低于对照组,而仅用水清洁面部的人和使用面部清洁剂频率较低的人的比例更高(p<0.001)。在案例组中,而每日化妆和化妆产品的使用率较低(分别为p=0.001,p<0.001),不化妆的比例更高(p=0.001)。病例组的热浴使用史高于对照组(p=0.011)。我们发现斑块和干燥外观的严重程度与蠕形螨密度的增加之间存在显着关系(分别为p=0.007,p<0.001)。
结论:我们建议酒渣鼻患者每天用肥皂或洗面奶清洁面部,不要用非常热的水洗澡。应评估患者的蠕形螨增多,特别是如果皮肤干燥伴随。
OBJECTIVE: Skincare is a part of rosacea treatment; patients benefit from complementary dermo-cosmetic care as well as medical treatments. Some
skincare habits are known to trigger and exacerbate rosacea, but there are very few epidemiological studies on this matter.
METHODS: A total of 200 people, including 100 patients with rosacea and 100 controls, were included in the study. We questioned the methods used by the participants in daily facial cleansing. Sun and heat exposure, makeup habits, the history of the use of topical steroids, and outdoor working status were noted. A dermoscopic examination, a non-invasive and valuable method to evaluate the presence and severity of Demodex, was performed.
RESULTS: We evaluated 30% of our rosacea patients as erythematotelangiectatic rosacea, 13% as papulopustular rosacea, and 57% of our patients had mixed type, which could not be distinguished from one of these subtypes. In the
case group, the proportion of people who used daily facial cleansers and daily soaps was lower than in the control group, while the proportion of those who cleaned their face with only water and those who used facial cleansers less frequently was higher (p<0.001). In the
case group, while the rate of daily make-up and use of make-up products was lower (p=0.001, p<0.001, respectively), the rate of not wearing make-up was higher (p=0.001). The history of hot bath use was higher in the
case group than in the control group (p=0.011). We found a significant relationship between the severity of plaque and dry appearance and the increase in Demodex density (p=0.007, p<0.001, respectively).
CONCLUSIONS: We recommend that patients with rosacea clean their faces daily with soap or facial cleansers and not take a bath with very hot water. Patients should be evaluated for increased Demodex mites, especially if skin dryness is accompanied.