摘要
目的 探讨面部微晶磨削术联合红蓝光治疗痤疮凹陷性瘢痕的疗效。方法 2013年6月至2016年4月,武汉大学中南医院皮肤性病门诊收治98例面部痤疮凹陷性瘢痕患者。联合组50例患者(男34例,女16例,年龄19~31岁)用面部微晶磨削术联合红蓝光治疗,对照组48例患者(男30例,女18例,年龄19~30岁)用面部微晶磨削术治疗;比较两组治疗效果。结果 治疗结束后3个月,两组患者痤疮瘢痕权重评分(ECCA评分)(t=23.208,P<0.001);平均凹陷深度较术前均降低(t=18.586,P<0.001)。联合组患者ECCA评分(t=7.039,P<0.001);平均凹陷深度(t=3.164,P<0.05),显著低于对照组。联合组患者有效率80.00%,显著高于对照组56.25%,两组比较(χ^2=6.387,P<0.05)。治疗后1个月、3个月,联合组患者满意度评分显著高于对照组(t=3.318、3.776,均P<0.05);联合组患者脱痂时间均显著早于对照组(t=4.419,P<0.05)。联合组患者术后水肿(χ^2=8.38,P<0.05)、红斑发生率(χ^2=5.096,P<0.05)显著低于对照组患者。结论 面部痤疮凹陷性瘢痕微晶磨削术联合红蓝光治疗效果优于单用微晶磨削术。
Objective To investigate the clinical effect of facial dermabrasion by microcrystal combined with red blue light in the treatment of acne pitting scar.Methods Selected from June 2013 to April 2016 hospital dermatology outpatients,98 cases of facial acne pitting scar were retrospectively analyzed,in which 50 cases of patients with facial acne dermabrasion were treated with red and blue light treatment(combined group),48 patients only choose facial acne dermabrasion treatment(control group),then treatment effect was compared between the two groups.Results At 3 months after operation,the ECCA score and mean sag depth of the two groups were significantly lower than those of the preoperative(t=23.208 and 18.586,P<0.001).The ECCA score of the combined group was significantly lower than that of the control group(t=7.039,P<0.05);The healing rate was 80%,which was significantly higher than those in the control group(56.25%)(χ^2=6.387,P<0.05);after 1 months and 3 months;the subjective satisfaction scores of the patients in the combined group were significantly higher than those in the control group(t=3.318 and 3.776,P<0.05);Patients in the combined group were significantly earlier than the control group(t=4.419,P<0.05);the incidence of edema and erythema was significantly lower in the combined group than in the control group(χ^2=5.096,P<0.05).Conclusions Facial acne dermabrasion by microcrystal combined with red and blue light treatment is superior to the single use of dermabrasion.
作者
刘琴
郑楷平
吴剑波
严月华
宋韬
肖桂凤
孙祥银
宋继权
Liu Qin;Zheng Kaiping;Wu Jianbo;Yan Yuehua;Song Tao;Xiao Guifeng;Sun Xiangyin;Song Jiquan(Department of Dermatology,Zhongnan Hospital of Wuhan University,Wuhan 430071,China)
出处
《中华医学美学美容杂志》
2020年第1期60-63,共4页
Chinese Journal of Medical Aesthetics and Cosmetology
关键词
寻常痤疮
疗效比较研究
磨削术
红蓝光
瘢痕
Acne vulgaris
Comparative effectiveness research
Grinding
Red and blue light
Scar
