首页|强脉冲光配合异维A酸红霉素凝胶治疗寻常型痤疮对患者皮损症状、色素沉着情况的影响

强脉冲光配合异维A酸红霉素凝胶治疗寻常型痤疮对患者皮损症状、色素沉着情况的影响

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目的 探讨强脉冲光配合异维A酸红霉素凝胶治疗寻常型痤疮对患者皮损症状、色素沉着情况的影响.方法 回顾性分析 2022 年 5 月至 2023 年 3 月聊城市人民医院皮肤科收治的 116 例寻常型痤疮患者,按照治疗方式的不同分为对照组和研究组,各 58 例.对照组采用异维A酸红霉素凝胶治疗,研究组在此基础上联合强脉冲光治疗.对比两组临床疗效、色素沉着情况、红斑程度、痤疮病情、皮肤屏障功能、不良反应.结果 观察组治疗总有效率(96.43%),高于对照组治疗总有效率(71.43%),差异有统计学意义(P<0.05).治疗后,观察组色素沉着情况、红斑程度分值比对照组明显降低,差异有统计学意义(P<0.05);两组卡迪夫痤疮伤残指数(CADI)评分以及痤疮综合分级系统(GAGS)评分显著降低,且观察组分值比对照组降低明显,差异有统计学意义(P<0.05);两组经皮水分丢失量(TEWL)、油脂含量值显著降低,且观察组比对照组显著降低,两组皮肤含水量显著提升,且观察组比对照组提升明显,差异有统计学意义(P<0.05);两组面部皮肤干燥、面部皮肤潮红、面部局部脱皮、面部红斑烧灼感比较,差异无统计学意义(P>0.05).结论 采用强脉冲光联合异维A酸红霉素凝胶治疗寻常型痤疮,可有效缓解痤疮病情,增强其疗效,减少色素沉着以及红斑情况,提升皮肤屏障功能,且安全性较好.
Effects of intense pulsed light combined with erythromycin isotretinoin gel in the treatment of acne vulgaris on skin lesion symptoms and pigmentation
Objective To investigate the effect of intense pulsed light combined with erythromycin isotretinoin gel in the treatment of acne vulgaris on skin lesion symptoms and pigmentation.Method A retrospective analysis was conducted on 116 patients with acne vulgaris admitted to the Dermatology Department of Liaocheng People's Hospital from May 2022 to March 2023.According to different treatment methods,they were divided into a control group and a study group,with 58 cases in each group.The control group was treated with erythromycin isotretinoin gel,and the study group was treated with intense pulsed light on this basis.Compare the clinical efficacy,pigmentation,degree of erythema,acne condition,skin barrier function,and adverse reactions between two groups.The total effective rate of the observation group(96.43%)was higher than that of the control group(71.43%),and the difference was statistically significant(P<0.05).After treatment,the pigmentation and erythema degree scores of the observation group were significantly lower than those of the control group,and the difference was statistically significant(P<0.05);The Cardiff Acne Disability Index(CADI)score and the Comprehensive Acne Grading System(GAGS)score of the two groups were significantly reduced,and the observed group score was significantly lower than the control group,with a statistically significant difference(P<0.05);The transcutaneous water loss(TEWL)and oil content values of the two groups were significantly reduced,and the observation group was significantly lower than the control group.The skin water content of the two groups was significantly increased,and the observation group was significantly higher than the control group,with a statistically significant difference(P<0.05);There was no statistically significant difference(P>0.05)between the two groups in terms of dry facial skin,flushing facial skin,local facial peeling,and burning sensation of facial erythema.Conclusion The treatment of acne vulgaris with intense pulsed light combined with erythromycin isotretinoin gel can effectively alleviate the condition of acne vulgaris,enhance its efficacy,reduce pigmentation and erythema,and improve the skin barrier function with good safety.

Acne vulgarisIntense pulsed lightErythromycin isotretinoate gelSkin lesion symptomsPigmentation

郭玲、张克进、戴景欣

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聊城市人民医院皮肤科,山东聊城,252000

寻常型痤疮 强脉冲光 异维A酸红霉素凝胶 皮损症状 色素沉着

2024

中国医疗美容
中国整形美容协会

中国医疗美容

影响因子:0.454
ISSN:2095-0721
年,卷(期):2024.14(3)
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