应用黄金微针射频治疗面部凹陷性痤疮瘢痕的安全性分析  

Safety Analysis of Radiofrequency Treatment of Facial Sunken Acne Scar with Gold Microneedle

作　　者：田茂贵[1] TIAN Maogui(Guizhou Xingyi People's Hospital,Xingyi 562400,China)

机构地区：[1]贵州省兴义市人民医院,贵州兴义562400

出　　处：《中国医药指南》2021年第34期64-66,共3页Guide of China Medicine

摘　　要：目的探究黄金微针射频治疗面部凹陷性痤疮瘢痕的安全性。方法选取2018年6月至2020年6月贵州省兴义市人民医院收治的98例面部凹陷性痤疮瘢痕患者作为研究对象,采用随机数字表法分为参照组与研究组,每组49例。所有患者在治疗前应用复方利多卡因乳膏治疗,使用碘伏消毒清洁皮肤。参照组实施点阵激光治疗:设置能量密度10-20 mJ/cm^(2),光斑5 cm×5 cm,调整有关参数。瘢痕较深者,多次治疗,并调整能量密度。在治疗后冰敷2 h,使用湿润乳膏敷用。研究组应用黄金微针射频治疗:设置频率是8-14 W,射频输出时间是400 ms、500 ms与600 ms,重复率设置为40%-60%,出针长度0.8-1.4 mm。治疗头在患处轻轻放置,不可用力。在治疗以后,贴敷医用面膜,持续20 min;3 d不能沾水,并继续敷医用面膜。结合患者实际情况确定治疗次数,给予患者生活指导,包括饮食、睡眠、运动等。对比治疗效果,并详细统计所有患者的不良反应发生率。结果研究组患者治疗有效率高于参照组(P <0.05);研究组患者治疗后瘢痕评分低于参照组(P <0.05);研究组患者治疗后疼痛评分低于参照组(P <0.05);研究组不良反应发生率低于参照组(P <0.05);研究组患者治疗后生活质量评分高于参照组(P <0.05)。结论面部凹陷性痤疮瘢痕采用黄金微针射频治疗,能够有效改善临床症状,提高治疗有效率,不良反应少,安全性高,同时还可有效减轻疼痛,改善生活质量,具有显著治疗效果,可广泛应用于临床。Objective To explore the safety of gold microneedle radiofrequency in the treatment of facial sunken acne scar. Methods Ninety eight patients with facial sunken acne scar treated in Xingyi People’s Hospital of Guizhou Province from June 2018 to June 2020 were selected as the research objects. They were randomly divided into reference group and study group, with 49 cases in each group. Before treatment, all patients were treated with compound lidocaine cream, cleaned their skin and disinfected with Iodophor. The reference group was treated with dot matrix laser: the energy density was 10-20 mJ/cm^(2), the spot was 5 cm×5 cm, and the relevant parameters were adjusted. Those with deep scars should be treated for many times and the energy density should be adjusted. Ice compress for 2 hours after treatment and apply with Moist Cream. The study group was treated with gold microneedle radiofrequency: the parameters were adjusted, the setting frequency was 8-14 W, the radiofrequency output time was 400 ms, 500 ms and 600 ms, the repetition rate was 40%-60%, and the needle length was 0.8-1.4 mm. The treatment head shall be placed gently on the affected area without force. After treatment, apply the medical mask for 20 minutes. Do not touch the water for 3 days, and continue to apply the medical mask. Combined with the actual situation of patients, determine the treatment times and give patients life guidance, including diet, sleep, exercise, etc. Compared with the treatment effect, and incidence of adverse reactions in all patients was statistically analyzed. Results The effective rate of the study group was higher than that of the reference group(P <0.05). The scar score of the study group was lower than that of the reference group(P <0.05). The pain score of the study group was lower than that of the control group(P <0.05). The incidence of adverse reactions in the study group was lower than that in the reference group(P <0.05). The score of quality of life in the study group was higher than that in the reference gr

关 键 词：黄金微针射频 面部凹陷性痤疮瘢痕 点阵激光 

分 类 号：R622[医药卫生—整形外科]