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窄谱强脉冲光治疗面部痤疮后红斑临床疗效探讨

2019-11-23施伟伟花志祥范向华

中国美容医学 2019年11期
关键词:红斑痤疮生活质量

施伟伟 花志祥 范向华

[摘要]目的:探讨窄谱强脉冲光治疗面部痤疮后红斑的临床疗效。方法:选择2017年10月-2019年1月笔者科室收治的80例面部痤疮后红斑患者资料进行分析,随机分为两组。研究组:40例,单纯接受窄谱强脉冲光治疗;对照组:40例,单纯接受普通光子嫩肤治疗,并对两组治疗有效率、自我皮损程度、红斑程度及生存质量进行比较。结果:研究组治疗有效率90.00%,高于对照组的70.00%,两组比较有显著性差异,具有统计学意义(P<0.05);研究组的自我皮损与红斑程度评分为(3.12±0.80)分、(4.15±1.33)分,低于对照组,差异具有统计学意义(P<0.05);研究组的体育活动、社交休闲评分分别为(0.20±0.14)分、(0.38±0.20)分,均低于对照组,两组比较差异具有统计学意义(P<0.05);研究组副作用发生率2.50%,少于对照组的20.00%,两组比较差异具有统计学意义(P<0.05)。结论:痤疮后红斑患者接受窄谱强脉冲光治疗可改善皮肤屏障功能,促进皮损、红斑尽快消退,提高生存质量。

[关键词]痤疮;红斑;窄谱强脉冲光;光子嫩肤;皮肤屏障功能;生活质量

[中图分类号]R758.73+3   [文献标志码]A   [文章编号]1008-6455(2019)11-0050-03

Abstract: Objective  To study and analyze the effect of narrow-spectrum intense pulsed light on erythema after facial acne. Methods  The clinical data of 80 patients with erythema after facial acne who had received treatment in the Hospital between October 2017 and January 2019 were analyzed. 40 patients underwent narrow-spectrum intense pulsed light therapy only,and the other 40 patients underwent general photorejuvenation. The response rate, self-induced lesions, erythema and quality of life were compared between the two groups. Results  The response rate of treatment in the study group was 90.00%, higher than that in the control group, which was 70.00%, and the difference was statistically significant (P<0.05); the scores of self-induced skin lesions and erythema were (3.12±1.80) and (4.15±1.33) points in the study group, lower than the control group, and the difference was statistically significant (P<0.05). The scores of physical activity and social leisure in the study group were (0.20±0.14) and (0.38±0.20) points, both shown to be lower than the control group, and the difference was statistically significant (P<0.05). The incidence of side effects was 2.50% in the study group, lower than the 20.00% in the control group, and the difference was statistically significant (P<0.05). Conclusion  For patients with erythema after facial acne, narrow-spectrum intense pulsed light can help improve their skin barrier function, promote the recession of skin lesions and erythema, and improve their quality of life.

Key words: facial acne; erythema; narrow-spectrum intense pulsed light; photorejuvenation; skin barrier function; quality of life

痤瘡是高患病率的一种皮肤病,好发于12~18岁的青少年,是因机体内毛囊皮脂腺失调而引起的疾病,发病部位主要在肩部、背部、胸部及面部。目前治疗方法较多,治疗后皮损部位易出现瘢痕、色素沉着及红斑等,需数月后方能消除,不仅会对患者容貌造成不同程度的影响,而且可使患者出现自卑、焦躁的情绪,严重影响其身心健康[1-2]。痤疮皮损消退后,因炎症反应对受损皮肤具一定刺激性,可使毛细血管扩张、充血,且红细胞数量显著增加,继而形成难以消退的红斑,患者皮损部位越深,其炎症刺激越严重,面部红斑越显眼[3-4]。为明确窄谱强脉冲光治疗面部痤疮后红斑的治疗效果,本文收集笔者医院皮肤科2017年10月-2019年1月就诊的80例面部痤疮后红斑患者资料并进行分析,现将结果报道如下。

综上所述,窄谱强脉冲光在治疗痤疮后红斑方面有较佳的临床疗效,既能有效促进皮损、红斑消退,改善皮肤屏障功能,还能提高患者生存质量,值得临床推广。

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[收稿日期]2019-03-14

本文引用格式:施伟伟,花志祥,范向华,等.窄谱强脉冲光治疗面部痤疮后红斑临床疗效探讨[J].中国美容医学,2019,28(11):50-52.

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