中国烧伤创疡杂志2024,Vol.36Issue(1) :74-77.DOI:10.3969/j.issn.1001-0726.2024.01.019

精准强脉冲光与宽谱强脉冲光治疗玫瑰痤疮疗效对比

Comparison of Clinical Efficacy of Delicate Pulsed Light and Optimal Pulse Technology-Intense Pulsed Light in the Treatment of Rosacea

杨怡 胡耀刚 孟小卉
中国烧伤创疡杂志2024,Vol.36Issue(1) :74-77.DOI:10.3969/j.issn.1001-0726.2024.01.019

精准强脉冲光与宽谱强脉冲光治疗玫瑰痤疮疗效对比

Comparison of Clinical Efficacy of Delicate Pulsed Light and Optimal Pulse Technology-Intense Pulsed Light in the Treatment of Rosacea

杨怡 1胡耀刚 1孟小卉1
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作者信息

  • 1. 450016 河南 郑州, 郑州市第七人民医院皮肤科
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摘要

目的 对比分析精准强脉冲光(DPL)与宽谱强脉冲光(OPT-IPL)治疗玫瑰痤疮的临床疗效.方法 选取2021 年2 月至2022 年2 月郑州市第七人民医院收治的40 例玫瑰痤疮患者作为研究对象,按照不同治疗方法将其分为 DPL 组(20 例)与 OPT-IPL 组(20 例),DPL 组患者采用 DPL 治疗,OPT-IPL 组患者采用OPT-IPL治疗,对比观察两组患者皮肤含水量、经皮水分丢失量、红斑情况、临床疗效与不良反应发生情况.结果 治疗 4 周后,DPL组患者皮肤含水量、经皮水分丢失量与OPT-IPL组均无明显差异(t=0.283、0.581,P= 0.779、0.565),临床红斑评定量表(CEA)评分明显低于 OPT-IPL 组(t= 2.566,P= 0.014);治疗 4 周后,DPL组患者中显效 11 例、有效 8 例、无效 1 例,与OPT-IPL组患者的显效 6 例、有效 11 例、无效 3 例无明显差异(Z=-1.337,P=0.181).治疗期间,DPL组患者不良反应发生率为 15.00%,明显低于OPT-IPL组患者的不良反应发生率 45.00%(χ2=4.286,P=0.038).结论 DPL与OPT-IPL均能有效改善玫瑰痤疮患者的皮肤含水量,降低经皮水分丢失量,修复皮肤屏障功能,但DPL对红斑的改善效果更好,不良反应更少,临床应用价值更高.

Abstract

Objective To compare the clinical efficacy of delicate pulsed light(DPL)and optimal pulse technol-ogy-intense pulsed light(OPT-IPL)in the treatment of rosacea.Methods 40 patients with rosacea,admitted to The Seventh People's Hospital of Zhengzhou between February 2021 and February 2022 were enrolled as research subjects,and divided into DPL group(n=20)and OPT-IPL group(n=20)based on the different treatments they received.Patients in the DPL group were treated with DPL,whereas patients in the OPT-IPL group were treated with OPT-IPL.The water content of skin,trans-epidermal water loss,erythema,clinical efficacy,and occurrence of adverse reactions were compared between the two groups.Results After 4 weeks of treatment,there were no significant differences in the water content of skin or trans-epidermal water loss between the DPL group and the OPT-IPL group(t=0.283 and 0.581,P=0.779 and 0.565),and the clinical erythema assessment(CEA)score was significantly lower in the DPL group compared with the OPT-IPL group(t=2.566,P=0.014).After 4 weeks of treatment,the clinical efficacy was evaluated as markedly effective in 11 cases,effective in 8 cases and ineffective in 1 case in the DPL group,which showed no statistically significant difference compared with the OPT-IPL group(Z=-1.337,P=0.181)-6 cases markedly effective,11 cases effective and 3 cases ineffective.During the course of treatment,the incidence of adverse reactions in the DPL group was 15.00%,which was significantly lower than the corresponding 45.00%in the OPT-IPL group(χ2=4.286,P=0.038).Conclusion Both DPL and OPT-IPL can effectively improve the water content of skin,reduce trans-epidermal water loss,and repair the skin barrier function of patients with rosacea.However,DPL does better in improving erythema and fewer adverse reactions,presenting much higher value of clinical application.

关键词

精准强脉冲光/宽谱强脉冲光/玫瑰痤疮/红斑/毛细血管扩张

Key words

Delicate pulsed light/Optimal pulse technology-intense pulsed light/Rosacea/Erythema/Telangiectasia

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出版年

2024
中国烧伤创疡杂志
中国医师协会

中国烧伤创疡杂志

影响因子:0.514
ISSN:1001-0726
参考文献量15
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