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一种用于轻至中度痤疮自我治疗的新型蓝光设备的安全性和有效性

Safety and Effectiveness of a New Blue Light Device for the Self-treatment of Mild-to-moderate Acne.

作者信息

Wheeland Ronald G, Koreck Andrea

出版信息

J Clin Aesthet Dermatol. 2012 May;5(5):25-31.

Abstract

OBJECTIVE

To assess the safety and effectiveness of treating acne for eight weeks using a new blue light device at a dose of ˜2J/cm(2)/day (representing typical full-face treatment) or ˜29J/cm(2)/day (representing the typical dose after localized spot treatment of acne).

DESIGN

Prospective, single-center, open-label study evaluating two levels of blue light in each subject.

SETTING

Subjects were recruited from the local community for self-treatment at home.

PARTICIPANTS

Thirty-two subjects with mild or moderate facial acne vulgaris.

MEASUREMENTS

Inflammatory lesion count; number, severity, and redness of flares; improvement in skin characteristics (overall appearance, clarity, radiance, tone, texture, and smoothness); tolerability; subject satisfaction.

RESULTS

The blue light treatment was associated with significant reductions from baseline in inflammatory lesion count as early as Week 1 with ˜29J/cm(2)/day and Week 3 with ˜2J/cm(2)/day (P≤ 0.01). It was also associated with significant reductions in the number, severity, and redness of flares and with improvements in the skin's appearance, clarity, radiance, tone, texture, and smoothness. Overall, 53 percent of subjects considered the treatment much gentler than traditional acne treatments and 61 percent were satisfied. Three adverse events were probably related to treatment-minimal transient skin dryness (2) and minimal transient hyperpigmentation (1).

CONCLUSION

The blue light treatment is effective and well tolerated, offering rapid, gentle, and convenient treatment of inflammatory acne. The blue light device offers a valuable alternative to antibiotics and potentially irritating topical treatments and can also be used adjunctively to complement other therapies.

摘要

目的

评估使用一种新型蓝光设备,以约2J/cm²/天(代表典型的全脸治疗剂量)或约29J/cm²/天(代表痤疮局部点治疗后的典型剂量)治疗痤疮8周的安全性和有效性。

设计

前瞻性、单中心、开放标签研究,评估每个受试者的两个蓝光水平。

设置

从当地社区招募受试者进行在家自我治疗。

参与者

32名轻度或中度寻常性面部痤疮患者。

测量指标

炎性皮损计数;皮疹的数量、严重程度和发红情况;皮肤特征(整体外观、清晰度、光泽度、色调、质地和平滑度)的改善;耐受性;受试者满意度。

结果

蓝光治疗与炎性皮损计数从基线显著减少相关,在约29J/cm²/天的剂量下,早在第1周就有减少,在约2J/cm²/天的剂量下,第3周出现减少(P≤0.01)。它还与皮疹的数量、严重程度和发红情况显著减少以及皮肤外观、清晰度、光泽度、色调、质地和平滑度的改善相关。总体而言,53%的受试者认为该治疗比传统痤疮治疗温和得多,61%的受试者感到满意。有3例不良事件可能与治疗有关——轻微短暂性皮肤干燥(2例)和轻微短暂性色素沉着过度(1例)。

结论

蓝光治疗有效且耐受性良好,为炎性痤疮提供了快速、温和且方便的治疗方法。蓝光设备为抗生素和可能有刺激性的局部治疗提供了有价值的替代方案,也可作为辅助手段补充其他疗法。

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