首页|17型胶原蛋白联合二氧化碳点阵激光治疗斑秃的对照研究

17型胶原蛋白联合二氧化碳点阵激光治疗斑秃的对照研究

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目的:研究17型胶原蛋白联合二氧化碳点阵激光治疗斑秃的有效性和安全性.方法:选择2023年4-12月在武汉大学中南医院进行斑秃治疗的患者61例作为研究对象,依据随机数字表法,将入选患者分为联合组及对照组.所有患者均口服甘草酸苷片治疗,同时对照组(30例)接受二氧化碳点阵激光治疗,联合组(31例)则接受17型胶原蛋白联合二氧化碳点阵激光治疗.治疗3个月后,对两组患者的皮肤镜下皮损形态、SALT评分、高频B超的真皮厚度及血流改善情况进行评估.结果:治疗3个月后,联合组SALT评分低于对照组(P<0.05);联合组皮肤镜下皮损形态数量低于对照组(P<0.05);联合组真皮厚度及血流改善情况显著优于对照组(P<0.05).结论:对斑秃患者使用17型胶原蛋白联合二氧化碳点阵激光治疗疗效显著,可以重新激活毛囊,改善斑秃患者的终毛密度及头皮局部的真皮厚度及真皮血流,值得临床推广应用.
A controlled study of collagen type ⅩⅦ combined with fractional CO2 laser in the treatment of alopecia areata
Objective:To investigate the effectiveness and safety of collagen type ⅩⅦ(COL17)combined with CO2 fractional laser in alopecia areata treatment.Methods:A total of 61 patients with alopecia areata treated in Zhongnan Hospital of Wuhan University from April 2023 to December 2023 were se-lected as the research subjects.According to the random number table method,the enrolled patients were randomly divided into a combined group and a control group.All patients were treated with oral Compound Glycyrrhizin Tablets.At the same time,the control group(30 cases)received CO2 frac-tional laser treatment,while the combined group(31 cases)received COL17 combined with CO2 frac-tional laser treatment.Three months after treatment,the skin lesion morphology under dermoscopy,SALT score,dermal thickness,and blood flow improvement of high-frequency ultrasound were evaluated in both groups.Results:Three months after treatment,the SALT score of the combined group was lower than that of the control group(P<0.05);the number of skin lesion morphology under dermoscopy in the combined group was less than that in the control group(P<0.05);the dermal thick-ness and blood flow improvement in the combined group were significantly better than those in the con-trol group(P<0.05).Conclusion:The treatment using COL17 combined with CO2 laser shows sig-nificant efficacy for patients with alopecia areata.It can reactivate hair follicles,improve the terminal hair density in alopecia areata patients,as well as the thickness of the dermis and dermal blood flow lo-cally in the scalp.This treatment is worthy of clinical promotion and application.

Collagen Type ⅩⅦFractional CO2 LaserAlopecia AreataDermoscopeHigh-Requency Ultrasound

杨超儒、郑永宜、黄竹君、温又霖、吴剑波、谢君

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武汉大学中南医院皮肤科 湖北 武汉 430071

17型胶原蛋白 二氧化碳点阵激光 斑秃 皮肤镜 高频超声

2024

武汉大学学报(医学版)
武汉大学

武汉大学学报(医学版)

CSTPCD
影响因子:0.959
ISSN:1671-8852
年,卷(期):2024.45(12)