Sadick Neil
Weill Cornell Medical College, New York, NY, USA.
J Cosmet Laser Ther. 2009 Jun;11(2):125-8. doi: 10.1080/14764170902777349.
Acne vulgaris remains a major problem in dermatological practice. Phototherapy for acne with blue (415 nm) and red (633 nm) light-emitting diode (LED) arrays has recently attracted attention. This pilot study assessed the efficacy of the combination of 415 nm and near-infrared (IR) LED therapy for moderate acne.
Seventeen individuals were recruited: 13 females and four males. Skin types ranged from type II to type VI, and the acne grades at baseline ranged from Burton grade 1 to 5. Patients underwent twice-weekly 20-minute sessions of LED therapy for 4 weeks, alternating between the blue (415 nm) and near-IR (830 nm) heads. No other treatment was allowed. Results were assessed and compared with the baseline values at 1, 4 and 8 weeks post-treatment.
Six individuals failed to complete the study. Eleven individuals showed improvement ranging from 0% to 83.3%. A downward shift in the Burton grade was seen overall. Non-inflammatory lesion counts increased in four patients, but improved in the other seven by an average of 48.8%. No adverse effects were reported.
The combination therapy for acne produced results which were less effective in the reduction of inflammatory lesions than those achieved with the previously reported blue/red combination. Further study with a much larger patient population is warranted.
寻常痤疮仍是皮肤科临床中的一个主要问题。近来,采用蓝色(415纳米)和红色(633纳米)发光二极管(LED)阵列进行痤疮光疗受到了关注。这项初步研究评估了415纳米与近红外(IR)LED联合治疗中度痤疮的疗效。
招募了17名个体,其中13名女性,4名男性。皮肤类型从II型到VI型,基线时痤疮分级从伯顿分级1级到5级。患者每周接受两次20分钟的LED治疗,共4周,在蓝色(415纳米)和近红外(830纳米)灯头之间交替使用。不允许进行其他治疗。在治疗后1周、4周和8周评估结果并与基线值进行比较。
6名个体未完成研究。11名个体显示出0%至83.3%的改善。总体上伯顿分级呈下降趋势。4名患者的非炎性皮损计数增加,但其他7名患者的非炎性皮损计数平均改善了48.8%。未报告不良反应。
痤疮联合治疗在减少炎性皮损方面的效果不如先前报道的蓝/红联合治疗。有必要对更多患者进行进一步研究。