595 nm脉冲染料激光和强脉冲光治疗面部毛细血管扩张的临床效果比较  

Comparison of clinical effects of 595 nm pulsed dye laser and intense pulsed light in the treatment of facial telangiectasia

作　　者：韩艳艳 宋艳丽 HAN Yanyan;SONG Yanli(Department of Dermatology,Henan Jingcheng Skin Hospital of Traditional Chinese Medicine,Henan Province,450000,China)

机构地区：[1]河南京城皮肤中医院皮肤科,河南郑州450000

出　　处：《中国医疗美容》2024年第12期8-11,共4页China Medical Cosmetology

摘　　要：目的探讨595 nm脉冲染料激光和强脉冲光治疗面部毛细血管扩张的临床效果。方法本研究选取2021年4月至2023年4月河南京城皮肤中医院收治的面部毛细血管扩张患者94例,按照治疗方法不同分为对照组47例,采用强脉冲光治疗,研究组47例,采用595 nm脉冲染料激光治疗。比较两组患者的治疗效果,治疗前后不同时间点面部美学分区评分及毛细血管形态评分,不良反应。结果治疗后,研究组患者总有效率为95.74%,高于对照组的80.85%,差异有统计学意义(χ2=5.045,P<0.05);治疗后两组患者面部美学分区评分、毛细血管形态评分与治疗前比有一定程度的降低,且研究组患者上述评分下降幅度大于对照组,差异有统计学意义(t=5.310、5.350,P<0.05);研究组患者一过性水肿、红斑、浅表瘢痕的发生率相较于对照组下降,差异有统计学意义(χ2=6.130、5.393、7.563,P<0.05)。结论在对面部毛细血管扩张患者进行治疗时,采用595nm脉冲染料激光可对面部美观度和毛细血管形态起到改善作用,疗效显著,并可减少不良反应的发生。Objective To investigate the clinical effect of 595 nm pulsed dye laser and intense pulsed light on facial telangiectasia.Methods A total of In this study,94 patients with facial telangiectasia treated in Henan Jingcheng Skin Hospital of Traditional Chinese Medicine from April 2021 to April 2023 were selected.According to the different treatment methods,they were divided into the control group(47 cases)and the study group(47 cases)with 595 nm pulsed dye laser treatment.The treatment effect,facial aesthetics score and capillary morphology score at different time points before and after treatment,and adverse reactions were compared between the two groups.Results After treatment,the total effective rate of the study group was 95.74%,higher than 80.85%of the control group,and the difference was statistically significant(χ~2=5.045,P<0.05);After treatment,the facial aesthetic division score and capillary morphology score of the two groups were reduced to a certain extent compared with those before treatment,and the decrease of the above scores in the study group was greater than that in the control group,with statistical significance(t=5.310,5.350,P<0.05);The incidence of transient edema,erythema,and superficial scar in the study group was significantly lower than that in the control group(χ~2=6.130,5.393,7.563,P<0.05).Conclusions In the treatment of patients with facial telangiectasia,using 595nm pulsed dye laser can improve the facial aesthetics and capillary morphology,improve the comfort,and reduce the occurrence of adverse reactions.

关 键 词：毛细血管扩张 595 nm脉冲染料激光 毛细血管形态 

分 类 号：R47[医药卫生—护理学]