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复方多黏菌素B软膏联合点阵激光治疗痤疮瘢痕的效果

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目的 分析复方多黏菌素B软膏联合点阵激光治疗痤疮瘢痕的效果及安全性。方法 以随机数字表法将晋江市医院晋南分院 2022 年 1-12 月收治的 70 例痤疮瘢痕患者分为 2 组,各 35 例。对照组采用点阵激光治疗,研究组采用复方多黏菌素B软膏联合点阵激光治疗。治疗 3 个月后,对比 2 组疗效、痤疮瘢痕权重评分(echelle d'evaluation clinique des cicatrices d'acne,ECCA)、皮肤状态变化、炎症因子、蠕形螨虫阳性率、不良反应及痤疮复发率。结果 研究组总有效率为 97。14%,高于对照组的 80。00%(P<0。05);研究组ECCA评分低于对照组,痂皮脱落时间、红肿及疼痛消失时间均短于对照组,蠕形螨虫阳性率、痤疮复发率低于对照组(P<0。05);研究组干扰素γ(interferon-γ,IFN-γ)高于对照组,白介素-4(interleukin-4,IL-4)、可溶性白介素-2 受体(soluble interleukin-2 receptor,SIL-2R)低于对照组(P<0。05);2组不良反应发生率比较,差异无统计学意义(P>0。05)。结论 点阵激光联合复方多黏菌素B软膏治疗痤疮瘢痕效果确切,能减轻炎症损伤,加快痂皮脱落,缓解红肿及疼痛,降低螨虫阳性率及痤疮复发率。
Effect of Compound Polymyxin B Ointment Combined With Dot Matrix Laser on Acne Scar
Objective To analyze the efficacy and safety of compound polymyxin B ointment combined with dot matrix laser in the treatment of acne scar.Methods A total of 70 patients with acne scar admitted to Jinnan Branch of Jinjiang City Hospital from January to December 2022 were divided into 2 groups with 35 cases each by random number table method.The control group was treated with dot matrix laser,and the study group was treated with compound polymyxin B ointment combined with dot matrix laser.After 3 months of treatment,the efficacy,echelle d'evaluation clinique des cicatrices d'acne(ECCA),skin status change,inflammatory factors,positive rate of mites,adverse reactions and acne recurrence rate were compared between the two groups.Results The total effective rate of the study group w a s 97.14%,higher than that of the control group(80.00%)(P<0.05).The ECCA score of the study group was lower than that of the control group,the time of scab shedding,redness and pain disappearing was shorter than that of the control group,the positive rate of mites and the recurrence rate of acne were lower than that of the control group(P<0.05).Interferon-γ(IFN-γ)of study group was higher than that of control group,interleukin-4(IL-4)and soluble interleukin-2 receptor(SIL-2R)were lower than that of control group(P<0.05).There was no significant difference in adverse reactions between the two groups(P>0.05).Conclusion Dot matrix laser combined with compound polymyxin B ointment is effective in the treatment of acne scar,which can reduce inflammation and injury,accelerate scab shedding,relieve redness and pain,reduce the positive rate of mites and acne recurrence.

compound polymyxin B ointmentlattice laseracne scarsvermicular shape miteinflammatory factoradverse reactionsrecurrence rate

林志源、卢明汉

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晋江市医院晋南分院皮肤科,福建 晋江 362241

复方多黏菌素B软膏 点阵激光 痤疮瘢痕 蠕形螨虫 炎症因子 不良反应 复发率

2024

中国卫生标准管理
《中国卫生标准管理》杂志社

中国卫生标准管理

影响因子:1.374
ISSN:1674-9316
年,卷(期):2024.15(6)
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