治疗玫瑰痤疮的药物有哪些 郝飞 陆军军医大学第一附属医院 скачать в хорошем качестве

治疗玫瑰痤疮的药物有哪些 郝飞 陆军军医大学第一附属医院

治疗玫瑰痤疮的药物有哪些 郝飞 陆军军医大学第一附属医院 治疗玫瑰痤疮的药物主要分为两大类，口服药和外用药。外用药主要有两大类：一、抗炎类，甲硝唑凝胶、壬二酸、E维菌素，这三个药可以相互替代。从研究的角度来看，甲硝唑稍微差一点，但也并不是差了很多，而壬二酸包括E维菌素，效果会好一些，但同样也不是百分之百能代替甲硝唑的。所以我觉得外用药当中如果从抗炎的角度来讲，甲硝唑是一个非常重要的选择。外用药主要有溴莫尼定，它可以在外用的过程当中舒缓缩小血管，这是被国际上推动玫瑰痤疮治疗的一个重要的外用药，但是要长期反复使用以后，患者会发现停药以后有反跳的现象，所以我认为溴莫尼定凝胶这种剂型也应该慎重选择。二、口服药，口服药也有三大类，四环素类药物、影响血管的药物、抗增生的药物。四环素类药物有四环素、多西环素、米罗环素，这三个药之间差异是有的，但可以相互替代，另主要作用是抗炎。影响血管的药，主要是普萘洛尔（心得安）、卡维地洛，但国际上推荐卡维地洛，更加安全有效，而且它可以解决严重的问题，所以卡维地洛是一个比较值得推荐的药物。抗增生治疗的药物，E维A酸，可以小剂量的使用，可以解决一些肿胀和增生的问题。在药物的使用问题上，一定是遵循医生的意见，不要自己盲目地去选择药物 What are the drugs for rosacea There are two main types of drugs for rosacea, Oral and topical. There are two main categories of external drugs: first, anti-inflammatory, Metronidazole Gel, azelaic acid and E vermectin. These three drugs can replace each other. From a research perspective, Metronidazole is slightly worse, But it's not much worse, And azelaic acid includes e-actin, The effect will be better, But it is also not 100% to replace metronidazole. So I think that in terms of anti-inflammatory, when it comes to external medication, Metronidazole is a very important choice. The main drugs for external use are bromonidine, It can relieve and shrink blood vessels during external use, This is an important external medicine promoted by the international community to treat rosacea, But after long-term repeated use, The patient will find that there is rebound after the drug is stopped, So I think the dosage form of brommonide gel should be carefully chosen. 2、 Oral medicine, There are also three categories of oral drugs, Tetracycline drugs, drugs that affect blood vessels, anti proliferative drugs. Tetracyclines include tetracycline, doxycycline and mirocillin, There are differences among the three drugs, But they can replace each other, The other main effect is anti-inflammatory. Drugs that affect blood vessels, Mainly propranolol (propranolol), carvedilol, But carvedillo is recommended internationally, More secure and effective, And it can solve serious problems, So carvedilol is a more recommended drug. Antiproliferative drugs, E-retinoic acid, It can be used in small doses, It can solve some swelling and hyperplasia problems. When it comes to the use of drugs, It must follow the doctor's advice, Don't choose medicine blindly