脉冲染料激光联合CO2点阵激光治疗增生性瘢痕的临床效果
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白佳霖(1997.3-),女,内蒙古乌拉特前旗人,本科,主要从事激光与皮肤治疗方面工作

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R619+.6

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Clinical Effect of Pulsed Dye Laser Combined with CO2 fractional laser in the Treatment of Hypertrophic Scars
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    摘要:

    目的 分析脉冲染料激光联合CO2点阵激光治疗增生性瘢痕的临床效果。方法 选取2023年1月-12月 我院收治的64例增生性瘢痕患者为研究对象,按照治疗方式不同分为对照组与观察组,各32例。对照组应 用CO2点阵激光治疗,观察组应用脉冲染料激光联合CO2点阵激光治疗,比较两组临床疗效、瘢痕厚度、 面积、疼痛评分、瘙痒评分、不良反应发生情况。结果 观察组治疗总有效率为96.88%,高于对照组的 75.00%(P<0.05);观察组治疗后瘢痕厚度、面积、VAS评分、NRS评分低于对照组(P<0.05);观察组 不良反应发生率为15.63%,高于对照组的12.50%,但差异无统计学意义(P >0.05)。结论 脉冲染料激光 联合CO2点阵激光治疗增生性瘢痕的效果优于单独使用CO2点阵激光治疗,更有助于缩小瘢痕面积,改善 皮肤外观,降低疼痛及瘙痒情况,且不会增加不良反应发生几率,值得临床应用。

    Abstract:

    Objective To analyze the clinical effect of pulsed dye laser combined with CO2 fractional laser in the treatment of hypertrophic scars. Methods A total of 64 patients with hypertrophic scar admitted to our hospital from January to December 2023 were selected as the research objects. According to different treatment methods, they were divided into control group and observation group, with 32 patients in each group. The control group was treated with CO2 fractional laser, and the observation group was treated with pulsed dye laser combined with CO2 fractional laser. The clinical efficacy, scar thickness, area, pain score, pruritus score and adverse reactions were compared between the two groups. Results The total effective rate of treatment in the observation group was 96.88 %, which was higher than 75.00 % in the control group (P <0.05). After treatment, the scar thickness, area, pain score and pruritus score of the observation group were lower than those of the control group (P <0.05). The incidence of adverse reactions in the observation group was 15.63 %, which was higher than 12.50 % in the control group, but the difference was not statistically significant (P >0.05). Conclusion The effect of pulsed dye laser combined with CO2 fractional laser in the treatment of hypertrophic scar is better than that of CO2 fractional laser. It is helpful to reduce the scar area, improve the skin appearance, reduce the pain and itching, and will not increase the incidence of adverse reactions. It is worthy of clinical application.

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白佳霖.脉冲染料激光联合CO2点阵激光治疗增生性瘢痕的临床效果[J].医学美学美容,2024,33(20):140-143.

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  • 在线发布日期: 2024-11-08
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