调Q开关激光治疗色素增加性皮肤病的临床研究  

Clinical study on hyperpigmentation dermatosis treated by Q-switched laser

作　　者：刘晋延 张虹 王蓉 LIU Jin-yan;ZHANG Hong;WANG Rong(Department of Dermatology,Nanping first hospital,Fujian Province,353000,China)

机构地区：[1]福建省南平市第一医院皮肤科,福建南平353000

出　　处：《中国医疗美容》2022年第4期34-37,共4页China Medical Cosmetology

摘　　要：目的探讨色素增加性皮肤病患者采用调Q开关激光治疗的临床价值。方法选取2019年8月-2021年1月我院收治的色素增加性皮肤病患者80例,按照随机数表法分为两组,每组40例。对照组给予强脉冲光处理,观察组基于对照组条件给予调Q开光激光治疗,比较两组的临床疗效、治疗前后皮损情况、随访1年复发率以及不良反应发生率。结果观察组治疗总有效率(95.00%)高于对照组(80.00%),差异有统计学意义(P<0.05)。治疗后3、6个月,观察组斑块颜色、斑块面积两项评分均低于对照组,差异有统计学意义(P<0.05)。观察组随访1年的复发率(5.00%)低于对照组(22.50%),差异有统计学意义(P<0.05)。两组治疗期间均无严重瘢痕及色素沉着发生。结论调Q开光激光用于色素增加性皮肤病的治疗效果显著,并且可减少复发,具有较高的临床开展价值。Objective To investigate the clinical value of Q-switched laser in the treatment of pigmented skin diseases.Methods Eighty patients with pigmented skin diseases treated in our hospital from August 2019 to January 2021 were randomly divided into two groups with 40 cases in each group.The control group was treated with intense pulsed light,and the observation group was treated with Q-switched laser based on the conditions of the control group.The clinical efficacy,skin lesions before and after treatment,recurrence rate and incidence of adverse reactions were compared between the two groups.Results The total effective rate of the observation group(95.00%)was higher than that of the control group(80.00%).The difference was statistically significant(P<0.05).At 3 and 6 months after treatment,the two scores of plaque color and plaque area in the observation group were lower than those in the control group(P<0.05).The recurrence rate of the observation group(5.00%)was lower than that of the control group(22.50%),and the difference was statistically significant(P<0.05).No severe scar and pigmentation occurred in both groups during treatment.Conclusion Q-switched laser is effective in the treatment of pigmented skin diseases,and can reduce recurrence.It has high clinical value.

关 键 词：色素增加性皮肤病 调Q开光激光 皮损情况 复发率 

分 类 号：R758.4[医药卫生—皮肤病学与性病学]