首页|CO2点阵激光联合A型肉毒毒素治疗凹陷性瘢痕的疗效和安全性研究

CO2点阵激光联合A型肉毒毒素治疗凹陷性瘢痕的疗效和安全性研究

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目的 研究CO2点阵激光联合注射用A型肉毒毒素治疗凹陷性瘢痕的临床疗效和安全性.方法 前瞻性研究2021年5月至2023年5月,凹陷性瘢痕患者120例,随机分为研究组和对照组,每组患者60例,两组患者均采取CO2点阵激光治疗,研究组患者激光治疗后使用注射用A型肉毒毒素联合治疗;对照组仅行激光治疗.记录两组患者治疗后1 d、治疗后1个月和治疗后6个月的ECCA评分、临床疗效、瘢痕症状、生活质量以及不良反应情况.结果 治疗后6个月,对照组和研究组患者治疗总有效率分为86.7%、96.7%,差异具有统计学意义(P<0.05).治疗后1 d、治疗后1个月和治疗后6个月研究组ECCA评分显著低于对照组(P<0.05);两组患者的DLQI各指标均低于治疗前,且研究组患者的DLQI各指标评分显著低于对照组(P<0.05);两组患者的不良反应发生率比较,差异无统计学意义(P>0.05).结论CO2点阵激光联合注射用A型肉毒毒素治疗凹陷性瘢痕疗效较好,安全性较高.
Study on Efficacy and Safety to Treat Depressed Scars Jointly with CO2 Dot Matrix Laser and Botulinum Toxin Type A
objective To study the clinical efficacy and safety to treat depressed scars jointly with CO2 dot matrix laser and botulinum toxin type A.Methods In this prospective study,totally 120 patients with depressed scars treated between May 2021 and May 2023 were selected and randomly divided into a study group and a control group,60 patients in each group.While the patients in both groups being given CO2 dot matrix laser treatment,the patients in the study group were applied botulinum toxin type A after the laser treatment.For both groups,the ECCA scores,clinical efficacy,scar symptoms,quality of life and adverse reactions were recorded 1 d,1 month and 6 months after the treatment respectively.Results Six months after the treatment,the total effective rate of the control group and study group was 86.7%and 96.7%respectively,and the difference was statistically significant(P<0.05).The ECCA score was significantly lower in the study group than in the control group 1 day,1 month and 6 months after the treatment(P<0.05).The scores of DLQI indexes of both groups dropped after the treatment,and the post-treatment scores of DLQI indexes were much lower in the study group than 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).Conclusions Featuring high patients'satisfaction and safety,the combination of CO2 dot matrix laser and Botox is effective in treating depressed scars.

LaserBotulinum toxin type ADepressed scars

郭春香、孙文龙、张坤、王晓梦

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青岛市第八人民医院皮肤病与性病科(青岛市,266100)

激光 注射用A型肉毒毒素 凹陷性瘢痕

2024

中国激光医学杂志
中国光学学会

中国激光医学杂志

CSTPCD
影响因子:0.677
ISSN:1003-9430
年,卷(期):2024.33(6)