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二氧化碳分次激光换肤术治疗亚洲患者痤疮瘢痕和皱纹:其对皮肤生物物理特征的影响

Treatment of acne scars and wrinkles in asian patients using carbon-dioxide fractional laser resurfacing: its effects on skin biophysical profiles.

作者信息

Hwang Young Ji, Lee Yu Na, Lee Yang Won, Choe Yong Beom, Ahn Kyu Joong

机构信息

Department of Dermatology, Konkuk University School of Medicine, Seoul, Korea.

出版信息

Ann Dermatol. 2013 Nov;25(4):445-53. doi: 10.5021/ad.2013.25.4.445. Epub 2013 Nov 30.

Abstract

BACKGROUND

Although ablative fractional resurfacing is known to be effective against photoaging and acne scars, studies on its efficacy, safety and changes in the skin characteristics of Asians are limited.

OBJECTIVE

The aim of this study is to assess the efficacy and safety of carbon dioxide fractional laser (CO2FL) in Koreans treated for wrinkles and acne scars, and to define the changes in skin characteristics during recovery period.

METHODS

We administered one session of CO2FL on 10 acne scar patients and 14 wrinkles patients with skin types IV and V. The surveillance of efficacy and side effects along with the measurement of biophysical properties was carried out before 1 day, 1 week, 1 month and 3 months after treatment.

RESULTS

Using a non-invasive method, skin barrier damage, erythema and bronzing of skin during the recovery period were assessed, and all of the items eventually returned to the pre-treatment level. Skin elasticity was measured in the wrinkle group, and the statistically significant effect was sustained throughout the next three months. The outcome of treatment was found to be better than 'moderate improvement' in both the acne scar and wrinkle groups. Further, there were no serious side effects three months post-procedure.

CONCLUSION

CO2 FL is thought to be an effective and safe method for treating moderate to severe acne scars and wrinkles in Asians.

摘要

背景

尽管剥脱性点阵激光治疗光老化和痤疮瘢痕的效果已为人所知,但关于其对亚洲人疗效、安全性及皮肤特性变化的研究却很有限。

目的

本研究旨在评估二氧化碳点阵激光(CO2FL)对韩国皱纹和痤疮瘢痕患者的疗效及安全性,并明确恢复期皮肤特性的变化。

方法

我们对10例痤疮瘢痕患者和14例IV型及V型皮肤的皱纹患者进行了一次CO2FL治疗。在治疗前1天、治疗后1周、1个月和3个月进行疗效和副作用监测以及生物物理特性测量。

结果

采用非侵入性方法评估了恢复期的皮肤屏障损伤、皮肤红斑和皮肤青铜化,所有指标最终均恢复到治疗前水平。在皱纹组测量了皮肤弹性,在接下来的三个月中,该指标的统计学显著效果持续存在。痤疮瘢痕组和皱纹组的治疗效果均优于“中度改善”。此外,治疗后三个月未出现严重副作用。

结论

CO2FL被认为是治疗亚洲人中度至重度痤疮瘢痕和皱纹的一种有效且安全的方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/49ac/3870213/76dc9f842c38/ad-25-445-g001.jpg

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