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光气动技术与灌注疗法联合用于治疗痤疮。

Photopneumatic technology used in combination with profusion therapy for the treatment of acne.

作者信息

Narurkar Vic A, Gold Michael, Shamban Ava T

机构信息

Bay Area Laser Institute, San Francisco, California.

出版信息

J Clin Aesthet Dermatol. 2013 Sep;6(9):36-40.

Abstract

BACKGROUND

Topical and oral medications, such as retinoids, benzoyl peroxide, antibiotics, and isotretinoin, have been the standard of care for the treatment of mild-to-moderate acne for the last several decades. More recently, a number of pubHshed studies on optical treatments, such as ultraviolet light, visible (blue) light, and intense pulsed Hght systems, have also shown clinical improvement in the appearance of acne. Specifically, photopneumatic technology, which utilizes gentle pneumatic energy (vacuum) to draw the target tissue into the treatment tip and then deHver broadband pulsed Hght to the dermal targets, has demonstrated marked improvement in the appearance of acne lesions and side effects associated with acne.

OBJECTIVE

To demonstrate the safety and efficacy of using a combination treatment of the photopneumatic system and profusion therapy using three currently marketed topical agents for the treatment of mild-to-moderate acne on the face and/or body, including neck, chest, or back.

METHODS

A prospective, multicenter, dinical trial of 41 individuals with mild-to-moderate acne was performed. Patients received up to four treatments at 1- to 2-week intervals with the photopneumatic system and profusion therapy with three separate topical agents. Study investigators and subjects evaluated dinical efficacy at 1-month and 3-month follow-up visits.

RESULTS

At three months, a 69-percent reduction was noted in inflamed acne lesions and a 41-percent reduction in noninflamed acne lesions was noted by physician assessment. Additionally, at this same time point, subjects reported moderate-to-marked (26-75%) improvement in acne lesions. Eighty-one percent of subjects (22/27) were either satisfied or very satisfied with treatment outcome. There were no adverse events caused by malfunction of the device, and no serious adverse events or deaths.

CONCLUSION

The results, as well as the reported patient satisfaction and safety, suggest that the treatment of acne with the photopneumatic system in combination with profusion using currently available topical acne agents demonstrated significant treatment results.

摘要

背景

在过去几十年中,局部和口服药物,如维甲酸、过氧化苯甲酰、抗生素和异维甲酸,一直是治疗轻至中度痤疮的标准治疗方法。最近,一些关于光学治疗的已发表研究,如紫外线、可见光(蓝光)和强脉冲光系统,也显示出痤疮外观的临床改善。具体而言,光气动技术利用温和的气动能量(真空)将目标组织吸入治疗头,然后将宽带脉冲光传递到真皮靶点,已证明痤疮皮损外观及与痤疮相关的副作用有显著改善。

目的

证明使用光气动系统联合三种目前市场上销售的局部用药进行灌注疗法治疗面部和/或身体(包括颈部、胸部或背部)轻至中度痤疮的安全性和有效性。

方法

对41例轻至中度痤疮患者进行了一项前瞻性、多中心临床试验。患者每隔1至2周接受一次光气动系统治疗和三种不同局部用药的灌注疗法,共接受多达四次治疗。研究人员和受试者在1个月和3个月的随访中评估临床疗效。

结果

三个月时,经医生评估,炎症性痤疮皮损减少69%,非炎症性痤疮皮损减少41%。此外,在同一时间点,受试者报告痤疮皮损有中度至显著(26%-75%)改善。81%的受试者(22/27)对治疗结果感到满意或非常满意。没有因设备故障导致的不良事件,也没有严重不良事件或死亡。

结论

结果以及报告的患者满意度和安全性表明,光气动系统联合使用目前可用的局部痤疮药物进行灌注疗法治疗痤疮显示出显著的治疗效果。

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