果酸换肤联合强脉冲光治疗黄褐斑的效果
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李牧桑(1975.9-),男,浙江宁波人,本科,副主任医师,主要从事皮肤性病学方面研究

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祁薇(1982.5-),女,重庆人,本科,副主任医师,主要从事皮肤性病学方面研究

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R758.4+2

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Effect of Glycolic Acid Peels Combined with Intense Pulsed Light in the Treatment of Chloasma
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    摘要:

    目的 探究果酸换肤联合强脉冲光治疗黄褐斑的临床效果。方法 选取2021年6月-2022年6月于 我院接受治疗的60例黄褐斑患者为研究对象,采用随机数字表法分为对照组与研究组,每组30例。对照 组采用强脉冲光治疗,研究组采用果酸换肤联合强脉冲光治疗,比较两组临床疗效、皮肤状态、血清氧 化物水平及不良反应发生情况。结果 研究组治疗总有效率为96.67%,高于对照组的76.67%(P<0.05); 两组治疗3个月后皮肤状态各项评分均高于治疗前,且研究组高于对照组(P<0.05);两组治疗3个月后 SOD水平均高于治疗前,且研究组高于对照组(P<0.05);两组治疗3个月后MAD、TYR水平均低于治 疗前,且研究组低于对照组(P<0.05);两组不良反应发生率比较,差异无统计学意义(P>0.05)。结 论 果酸换肤联合强脉冲光治疗黄褐斑的临床效果良好,可有效抑制血清氧化水平升高,改善患者的皮肤 状况,且应用安全性较好。

    Abstract:

    Objective To explore the clinical effect of glycolic acid peels combined with intense pulsed light in the treatment of chloasma. Methods Sixty patients with chloasma who were treated in our hospital from June 2021 to June 2022 were selected as the research objects. They were divided into control group and study group by random number table method, with 30 cases in each group. The control group was treated with intense pulsed light, and the study group was treated with glycolic acid peels combined with intense pulsed light. The clinical efficacy, skin condition, serum oxide level and adverse reactions were compared between the two groups. Results The total effective rate of treatment in the study group was 96.67%, which was higher than 76.67% in the control group (P<0.05). After 3 months of treatment, the scores of skin status in the two groups were higher than those before treatment, and those in the study group were higher than the control group (P<0.05). The level of SOD in the two groups after 3 months of treatment were higher than those before treatment, and that in the study group was higher than that in the control group (P<0.05). After 3 months of treatment, the levels of MAD and TYR in the two groups were lower than those before treatment, and those in the study group were lower than those in the control group (P<0.05). There was no significant difference in the incidence of adverse reactions between the two groups (P>0.05).Conclusion Glycolic acid peels combined with intense pulsed light has a good clinical effect in the treatment of chloasma, which can effectively inhibit the increase of serum oxidation level, improve the skin condition of patients, and has good application safety.

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李牧桑,张跃伟,祁薇,等.果酸换肤联合强脉冲光治疗黄褐斑的效果[J].医学美学美容,2023,32(3):42-45.

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  • 在线发布日期: 2023-04-21
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