点阵CO_(2)激光与Nd∶YAG激光治疗痤疮凹陷性瘢痕的对比研究  

Comparative Study of Fractional CO_(2)Laser and Nd:YAG Laser in the Treatment of Acne with Depressed Scars

作　　者：白谕 冯莹莹 李茉[1] BAI Yu;FENG Yingying;LI Mo(Department of Burn and Plastic Dermatology,961 Hospital of the Joint Service Support Force of the People's Liberation Army,Qiqihar 161000,Heilongjiang,China;Department of Dermatology,Qiqihar Traditional Chinese Medicine Hospital 161000,Qiqihar 161000,Heilongjiang,China)

机构地区：[1]中国人民解放军联勤保障部队第九六一医院烧伤整形皮肤科,黑龙江齐齐哈尔161000 [2]齐齐哈尔市中医医院皮肤科,黑龙江齐齐哈尔161000

出　　处：《中国美容医学》2024年第5期99-102,共4页Chinese Journal of Aesthetic Medicine

摘　　要：目的:比较点阵CO_(2)激光与Nd∶YAG激光治疗痤疮凹陷性瘢痕的效果。方法:选取笔者医院2021年3月-2022年12月收治的94例痤疮凹陷性瘢痕患者,依就诊顺序按照数字表法随机分为两组。对照组予以Nd∶YAG激光治疗,观察组予以点阵CO_(2)激光治疗。比较两组治疗前与治疗4次后温哥华瘢痕量表评分、凹陷度评分、光滑度评分、整体美学效果、不良反应及面部美观满意度。结果:观察组整体美学效果显著优于对照组(P<0.05),观察组总有效率95.74%,显著高于对照组82.98%(P<0.05);观察组治疗后瘢痕评分、凹陷度评分以及光滑度评分均显著低于对照组(P<0.05);两组红斑、皮疹、色素沉着、感染等不良反应总发生率比较差异无统计学意义(P>0.05);观察组患者面部美观满意度明显优于对照组(P<0.05)。结论:相较于Nd∶YAG激光,点阵CO_(2)激光治疗痤疮凹陷性瘢痕能够更好改善瘢痕症状,提高面部美观度,整体美学效果更好,患者满意度更高。Objective To compare the effects of fractional carbon dioxide(CO_(2))laser and Nd:YAG laser in the treatment of acne with depressed scars.Methods Ninety-four patients with acne depressed scarring admitted to the author's hospital from March 2021 to December 2022 were selected and randomly divided into two groups according to the order of consultation in accordance with the numerical table method.Patients in the control group and the observation group were treated with Nd:YAG laser and fractional CO_(2)laser,respectively.The two groups were compared in terms of Vancouver Scar Scale scores,depression scores and smoothness scores before treatment and after 4 times of treatment,overall aesthetic effect,adverse reactions,and facial aesthetic satisfaction.Results The overall aesthetic effect in the observation group was significantly better when compared with that in the control group(P<0.05).The total effective rate in the observation group(95.74%)was significantly higher when compared with that in the control group(82.98%)(P<0.05).After treatment,scar score,depression score and smoothness score of the observation group were significantly lower when compared with those of the control group(P<0.05).The total incidence of adverse reactions in the two groups were close(P>0.05).Patients in the observation group were more satisfied with facial aesthetics than those in the control group(P<0.05).Conclusion Compared with Nd:YAG laser,fractional CO_(2)laser treatment for acne with depressed scars can better improve scar condition and facial aesthetics,with better overall aesthetic effect and higher patient satisfaction.

关 键 词：凹陷性瘢痕 痤疮 点阵CO_(2)激光 Nd∶YAG激光 美观 

分 类 号：R758[医药卫生—皮肤病学与性病学]