强脉冲光与激光治疗黄褐斑新进展  

Intense pulsed light and laser for the treatment of chloasma： an update

作　　者：王辉[1] 林彤[1] 

机构地区：[1]中国医学科学院北京协和医学院皮肤病研究所,南京210042

出　　处：《国际皮肤性病学杂志》2014年第4期218-221,共4页International Journal of Dermatology and Venereology

摘　　要：黄褐斑是一种多发生于面部的色素增多性疾病.其病因及发病机制复杂,疗效不佳且容易复发.治疗的主要目的是使皮损颜色变淡、缩小范围.对于外用药物后容易复发、治疗反应差的黄褐斑,可尝试激光治疗.Q开关Nd：YAG激光可能对表皮型和真皮型黄褐斑有一定疗效,强脉冲光可治疗表皮型黄褐斑,不同类型点阵激光的发展可进一步提高黄褐斑激光治疗的效果.治疗前应告知患者激光治疗的局限性和不良反应,治疗时应降低能量,减少对皮损的刺激,治疗后应严格防晒.Chloasma is an acquired pigmentary disorder mainly affecting the face.The etiology and pathogenesis of chloasma have not yet been fully understood.It is difficult to treat and relapse is common.The purpose of treatment is to reduce hyperpigmentation and decrease lesion size.For chloasma resistant to traditional topical drugs and with a high recurrence rate,laser can be attempted.Q-switched Nd：YAG laser is somewhat effective for both epidermal and dermal types of chloasma,and intense pulsed light can be used to treat epidermal type of chloasma.A variety of new models of fractional lasers have increased evidence for the use of laser in chloasma treatment.Patients should be informed about the limitations of and adverse reactions to lasers before treatment,the energy of laser should be low enough to reduce skin irritation,and sun exposure should be avoided strictly after treatment.

关 键 词：黄褐斑 激光 强脉冲光治疗 

分 类 号：R758.42[医药卫生—皮肤病学与性病学]