非剥脱铒玻璃点阵激光治疗妊娠纹疗效观察及患者满意度分析  

Aesthetics and Patient Satisfaction Observation of 1 540 nm Non-Exfoliated Er Glass Lattice Laser Treatment for Stretch Marks

作　　者：邵燕磊 张俭 陆维 SHAO Yan-lei;ZHANG Jian;LU Wei(Department of Optical Medicine,Shanghai Dermatology Hospital,Shanghai 200000,China;Department of Medical Cosmetology,Shanghai Dermatology Hospital,Shanghai 200000,China)

机构地区：[1]上海市皮肤病医院光医学治疗科,上海200000 [2]上海市皮肤病医院医学美容科,上海200000

出　　处：《中国美容医学》2019年第11期60-62,共3页Chinese Journal of Aesthetic Medicine

摘　　要：目的:观察1540nm非剥脱铒玻璃点阵激光治疗妊娠纹的疗效及患者满意度。方法:选取笔者医院2018年1月-2018年12月收治的62例妊娠纹患者,按随机数表法分为观察组与对照组,每组31例。观察组采用1540nm铒玻璃点阵激光治疗,对照组采用10600nm CO2点阵激光治疗。比较两组治疗后的有效率、治疗前和末次治疗3个月后的灰度差值、患者满意度、创面红斑水肿消退时间、痂皮脱落时间及色素沉着发生率。结果:观察组有效率83.87%,高于对照组的61.29%,差异有统计学意义(P<0.05)。两组治疗前腹部照片灰度差值的差异无统计学意义(P>0.05),末次治疗后3个月,两组腹部照片的灰度差值均较治疗前显著下降(P<0.05),且观察组末次治疗后3个月腹部照片的灰度差值显著低于对照组(P<0.05)。观察组患者满意度为93.55%,高于对照组74.19%,两组比较差异具有统计学意义(P<0.05)。两组治疗后即刻均出现创面红斑水肿与痂皮脱落,红斑水肿消退时间与痂皮脱落时间比较,差异无统计学意义(P>0.05);观察组与对照组色素沉着发生率分别为6.45%与19.35%,差异无统计学意义(P>0.05)。结论:1540nm铒玻璃点阵激光对妊娠纹的改善作用优于10600nm CO2点阵激光,且不良反应少,是妊娠纹的理想治疗方案。Objective To observe the aesthetics and patient satisfaction of 1540 nm non-exfoliated Er glass lattice laser treatment of stretch marks.Methods A total of 62 patients with stretch marks admitted to our hospital from January 2018 to December 2018 were enrolled in the observation group and the control group,31 cases each.The observation group was treated with a 1540 nm Er glass dot matrix laser,and the control group was treated with a 10600 nm CO2 dot matrix laser.Compare the efficiency of the two groups,the gray level difference after treatment and the last treatment for 3 months,the patient satisfaction,the time of erythematous edema,the time of molting and the incidence of pigmentation.Results The effective rate of the observation group was 83.87%,which was higher than 61.29%in the control group,the difference was statistically significant(P<0.05).There was no significant difference in the gray-scale difference between the two groups before treatment(P>0.05).At 3 months after the last treatment,the gray-scale differences in the abdominal photographs of the two groups were significantly lower than those before the treatment(P<0.05).The gradation difference of the abdominal photographs of the observation group at 3 months after the last treatment was significantly lower than that of the control group(P<0.05).The patient satisfaction of the observation group was 93.55%,which was higher than 74.19%in the control group(P<0.05).The wound erythema edema and ecdysis of both groups immediately after treatment,and there was no significant difference between the time of erythematous edema and the time of ecdysis(P>0.05).The incidence of pigmentation in the observation group and the control group were 6.45%and 19.35%,respectively,and the difference was not statistically significant(P>0.05).Conclusion The 1540nm non-exfoliated Er glass lattice laser is better than the 10600 nm CO2 dot matrix laser in improving the stretch marks,and has fewer adverse reactions.It is an ideal treatment for stretch marks.

关 键 词：非剥脱性 铒玻璃点阵激光 妊娠纹 局灶性光热作用 美观性 

分 类 号：R616.4[医药卫生—外科学]