窄谱强脉冲光与双波长脉冲染料激光治疗面部毛细血管扩张症的疗效对比分析  

Comparative analysis of the e fficacy of narrow-spectrum intense pulsed light and dual-wavelengthpulsed dye laser in the treatment of facial telangiectasia

作　　者：朱红云 姚晓东[2] 崔晓美[2] ZHU Hong-yun;YAO Xiao-dong;CUI Xiao-mei(Nantong Timus Medical Aesthetic Clinic,Jiangsu Province,226001,China;Department of Medical Aesthetics,Affiliated Hospital of Nantong University,Jiangsu Province,226001,China)

机构地区：[1]南通缇美思医疗美容诊所,江苏南通226001 [2]南通大学附属医院医学美容科,江苏南通226001

出　　处：《中国医疗美容》2020年第5期72-76,共5页China Medical Cosmetology

基　　金：2018年度南通市市级科技计划(指导性)项目(MSZ8129)

摘　　要：目的探讨窄谱强脉冲光与双波长脉冲染料激光治疗面部毛细血管扩张症的疗效。方法选取我院2016年11月至2019年至7月收治的面部毛细血管扩张症患者共50例,按随机数表法分为两组,25例患者采用窄谱强脉冲光进行治疗,设为研究A组;另一组25例患者采用双波长脉冲染料激光治疗,设为研究B组。在治疗前、疗程结束后(六个月)对患者斑点、毛孔、紫外线光斑、红色区的特征采用VISIA皮肤检测仪分析并计数值,对比分析两组患者治疗后的临床疗效的差异;并观察不良反应。结果研究A组与研究B组患者的总有效率分别为92.00%和96.00%,两组差异无统计学意义(P>0.05);研究A组患者治疗6个月后的观察指标中斑点、毛孔、紫外线光斑指标变化显著优于研究B组,且差异有统计学意义(P<0.05),而两组之间红色区这一项指标差异不显著;此外,两组不良反应发生率差异无统计学意义(P>0.05)。结论采用窄谱强脉冲光或双波长脉冲染料激光治疗面部毛细血管扩张症,临床总有效率无明显差异;而窄谱强脉冲光对患者治疗区域的斑点、毛孔、紫外线光斑的改善更为明显。Objective To explore the e ffect of narrow-spectrum intense pulsed light and dual-wavelength pulsed dye laser on facial telangiectasia.Methods A total of 50 patients with facial telangiectasia admitted to our hospital from November 2016 to 2019 to July were divided into two groups according to the random number table method.25 patients were treated with narrow-band intense pulsed light.For study group A;another group of 25 patients were treated with dual-wavelength pulsed dye laser and set as study group B.Before treatment and after treatment(six months),the characteristics of patients'spots,pores,ultraviolet spots,and red areas were analyzed and counted by VISIA skin detector,and the differences in clinical efficacy between the two groups of patients were compared and analyzed;And observe the adverse reactions.Results The total effective rates of the patients in Study A and Study B were 92.00%and 96.00%,respectively,and there was no significant difference between the two groups(P>0.05);The changes of pore and ultraviolet spot index were significantly better than that of study group B,and the difference was statistically significant(P<0.05),while the difference between the two groups in the red area was not significant.In addition,there was no statistically significant difference in the incidence of adverse reactions between the two groups(P>0.05).Conclusion The use of narrow-spectrum intense pulsed light or dual-wavelength pulsed dye laser to treat facial telangiectasia has no significant difference in clinical effective rate;while narrow-spectrum intense pulsed light improves the spots,pores and ultraviolet spots of the treated area of patients obvious.

关 键 词：窄谱强脉冲光 双波长脉冲染料激光 面部毛细血管扩张症 

分 类 号：R751.05[医药卫生—皮肤病学与性病学]