调Q1064nm激光和IPL治疗黄褐斑的疗效比较  

Comparison of the effect of Q1064nm laser and IPL in treatment of chloasma

作　　者：周颖华[1] 郝思辉 倪小丽[1] 王路[1] 

机构地区：[1]南京医科大学友谊整形外科医院,江苏南京210000 [2]南京奇致整形医院,江苏南京210000

出　　处：《中国美容医学》2015年第11期63-65,共3页Chinese Journal of Aesthetic Medicine

摘　　要：目的:探讨调Q1 064nm激光和IPL治疗黄褐斑的疗效比较。方法:选取黄褐斑患者52例(女46例,男6例),随机分为两组,每组26例。实验1组:采用大光斑低能量调Q1 064nm激光治疗,每月治疗1次,连续治疗8次,每次治疗前后进行拍照对比,并检测黑度(MI)和黄褐斑面积(S)的评分;实验2组:采用强脉冲光治疗,选择波长为570nm,每月治疗1次,连续治疗8次。两组均治疗结束后3个月进行回访,观察治疗后的复发率。结果:实验1组总有效率达96.15%,实验2组总有效率达84.62%,两组疗效比较存在统计学差异(P<0.05)。结论:大光斑低能量调Q1 064nm激光和IPL对黄褐斑治疗均有疗效,但大光斑低能量调Q1 064nm激光治疗黄褐斑的疗效更好。Objective To compare the clinical effect of Q1 064 nm laser and IPL in the treatment of chloasma. Methods 52 patients with chloasma（46women,6 men）were collected and equally divided into two groups：experiment group 1 and experiment group 2.The patients ofexperiment group 1 were treated with philton large spot low- energy Q- switched laser monthly until 8 times.Patients were asked to visit the doctor within 3 months after treatment,observing the recurrence rate,MI and S score.Photos were taken to compare the before and after treatment.The patients ofexperiment group 1 were treated with IPL intense pulsed light fly produced by the 2nd Dayton of Israeli monthly until 8 times,using the Q1 064 nm laser.Patients were asked to visit the doctor within 3 months after treatment,observing the recurrence rate. Results The total effective rate of the experimental group 1 and experimental group 2were 96.15% and 84.62%,respectively.There was a significant difference between experimental group 1 and experimental group 2 in terms of the degree of influence.Conclusion The research results show that the Q1 064 nm laser and IPL treatment has curative effect on chloasma,but adjustable Q1 064 nm laser treatment of chloasma curative effect is better than IPL curative effect.

关 键 词：黄褐斑 激光 大光斑低能量 Q1064nm 

分 类 号：R758.42[医药卫生—皮肤病学与性病学]