皮肤针刺疗法治疗痤疮瘢痕：文献综述
Skin needling as a treatment for acne scarring: An up-to-date review of the literature.
作者信息
Harris Adam G, Naidoo Catherine, Murrell Dedee F
机构信息
Department of Dermatology, St George Hospital, Sydney, Australia.
出版信息
Int J Womens Dermatol. 2015 Apr 10;1(2):77-81. doi: 10.1016/j.ijwd.2015.03.004. eCollection 2015 Jun.
BACKGROUND
Skin needling is a technique used to improve the appearance of acne scarring.
OBJECTIVE
To comprehensively review the medical literature regarding skin needling as a treatment for acne scarring.
METHODS
A literature search was performed using the PubMed, Medline, and Embase databases, in addition to reviewing the bibliographies of relevant articles.
RESULTS
Ten studies presented patients treated with skin needling alone, while eight studies discussed skin needling in combination with other treatments for acne scarring. All studies showed improvements in scarring after needling, with 12 reporting statistical significance. The median number of treatments when needling was used alone was three, the median duration between treatments was 4 weeks, and the median needle length used was 1.5 mm. Reported adverse events were infrequent and included post-inflammatory hyperpigmentation, "tram track" scarring, acne, and milia. There were no reports of bacterial infections.
LIMITATIONS
The studies reviewed were heterogeneous in design and of variable validity, with some not reporting statistical significance.
CONCLUSION
There is moderate evidence to suggest that skin needling is beneficial and safe for the treatment of acne scarring. However, double-blinded, randomized controlled trials are required to make more definitive conclusions.
背景
皮肤针刺是一种用于改善痤疮瘢痕外观的技术。
目的
全面综述有关皮肤针刺治疗痤疮瘢痕的医学文献。
方法
除了查阅相关文章的参考文献外，还使用PubMed、Medline和Embase数据库进行文献检索。
结果
10项研究介绍了单独使用皮肤针刺治疗的患者，8项研究讨论了皮肤针刺与其他治疗痤疮瘢痕方法的联合应用。所有研究均显示针刺后瘢痕有所改善，12项报告具有统计学意义。单独使用针刺时的治疗次数中位数为3次，治疗间隔时间中位数为4周，使用的针长中位数为1.5毫米。报告的不良事件较少，包括炎症后色素沉着、“铁轨样”瘢痕、痤疮和粟丘疹。没有细菌感染的报告。
局限性
所综述的研究设计各异，有效性也各不相同，有些未报告统计学意义。
结论
有中等证据表明皮肤针刺治疗痤疮瘢痕有益且安全。然而，需要进行双盲、随机对照试验才能得出更明确的结论。
Zotero 插件