川北医学院学报2025,Vol.40Issue(1) :29-32.DOI:10.3969/j.issn.1005-3697.2025.01.006

A型肉毒毒素联合不同参数CO2点阵激光改善眶周皮肤老化的临床效果

Clinical effect of botulinum toxin type A combined with CO2 fractional la-ser with different parameters on improving periorbital skin aging

韩东梅 马瑛 刘晓花 赵兰
川北医学院学报2025,Vol.40Issue(1) :29-32.DOI:10.3969/j.issn.1005-3697.2025.01.006

A型肉毒毒素联合不同参数CO2点阵激光改善眶周皮肤老化的临床效果

Clinical effect of botulinum toxin type A combined with CO2 fractional la-ser with different parameters on improving periorbital skin aging

韩东梅 1马瑛 1刘晓花 1赵兰1
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作者信息

  • 1. 西京医院整形外科,陕西西安 710032
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摘要

目的:探究A型肉毒毒素联合不同参数CO2点阵激光改善眶周皮肤老化的临床效果.方法:纳入收治的108例眶周皮肤老化患者为研究对象.按照CO2点阵激光不同参数分为两组,将参数为50 mJ、8%的患者纳入A组;将参数为30 mJ、4%的患者纳入B组,每组各54例.两组均给予A型肉毒毒素联合CO2点阵激光治疗.比较两组整体美容效果改善评分(GAIS)、皮肤图像评分、皮肤屏障功能、疼痛水平[视觉模拟评分法(VAS)]及并发症发生情况.结果:治疗后6个月,A组患者GAIS等级优于B组(P<0.05);两组皮肤图像评分、经皮水分丢失量均低于治疗前(P<0.05),且A组低于B组(P<0.05);两组皮肤油脂含量及角质层含水量均升高(P<0.05),且A组高于B组(P<0.05);治疗后即刻,A组VAS评分均高于B组(P<0.05);两组并发症发生率无统计学差异(P>0.05).结论:给予A型肉毒毒素联合50 mJ、8%CO2点阵激光能够提高患者整体美容效果,但在术后即刻疼痛水平较高.

Abstract

Objective:To explore the clinical effect of botulinum toxin type A combined with different parameters of CO2 frac-tional laser with different parameters on improving periorbital skin aging.Methods:A total of 108 patients with periorbital skin aging were enrolled as the research subjects.Both groups were given botulinum toxin type A combined with CO2 fractional laser.54 patients with parameters of 50 mJ and 8%were collected as group A,and 54 patients with parameters of 30 mJ and 4%were included in group B.The Global Aesthetic Improvement Scale(GAIS),skin images scores,skin barrier function,pain level[Visual Analogue Scale(VAS)]and incidence rates of complications were compared between groups.Results:At 6 months after treatment,the GAIS grading in group A was better than that in group B(P<0.05).The skin images scores and transcutaneous water loss in both groups were lower than those before treatment(P<0.05),and the indicators in group A were lower than those in group B(P<0.05).The skin grease content and water content of stratum corneum were increased in both groups(P<0.05),and the indicators in group A were higher than those in group B(P<0.05).Immediately after treatment,the VAS score was higher in group A than that in group B(P<0.05).There were no statistical differences in the incidence rates of complications between groups(P>0.05).Conclusion:Botulinum toxin type A combined with 50 mJ,8%CO2 fractional laser can improve the overall cosmetic effect of patients,but the immediate postoperative pain level is higher.

关键词

眶周皮肤老化/A型肉毒毒素/CO2点阵激光/参数/临床效果

Key words

Periorbital skin aging/Botulinum toxin type A/CO2 factional laser/Parameters/Clinical effect

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出版年

2025
川北医学院学报
川北医学院

川北医学院学报

影响因子:0.958
ISSN:1005-3697
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