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新型滤光片的强脉冲光治疗寻常性炎性痤疮的疗效与安全性

Efficacy and safety of intense pulsed light in the treatment of inflammatory acne vulgaris with a novel filter.

作者信息

Chen Sunyi, Wang Yan, Ren Jie, Yue Baishuang, Lai Guanyin, Du Juan

机构信息

Department of Dermatology, Huashan Hospital Fudan University , Shanghai , P. R. China.

出版信息

J Cosmet Laser Ther. 2019;21(6):323-327. doi: 10.1080/14764172.2019.1605450. Epub 2019 Apr 25.

Abstract

Acne vulgaris is one of the most common skin diseases affecting young people. Intense pulsed light (IPL) has become a well-recognized method in the treatment of acne vulgaris. We aim evaluate the clinical efficacy and safety of a novel IPL filter at wavelength of 400-600 nm and 800-1,200 nm in the treatment of inflammatory acne lesions. Twenty-one patients with Pillsbury I-III facial acne vulgaris between July 2017 and January 2018 were enrolled in this prospective clinical study. Five sessions of IPL treatment were administered to the subjects at 4-week interval. Final assessment was performed 1 month after the final treatment. One month posttreatment, over 75% subjects exhibited excellent or good response. Of the Pillsbury I-II patients, the effective rate reached 88.24%. The inflammatory lesions were dramatically decreased (25.23 ± 2.76 versus 14.01 ± 1.98) and statistically evident ( = .031). According to Hayashi assessment of acne severity, there was a significant improvement at follow-up visit ( = .022). Moreover, patients reported significant improvements in self-evaluation. The novel IPL filter at wavelength of 400-600 nm and 800-1,200 nm provides an effective option to treatment of inflammatory acne lesions, especially for Pillsbury I-II acne patients, with minimal reversible side effects, such as transient post-inflammatory pigmentation.

摘要

寻常痤疮是影响年轻人的最常见皮肤病之一。强脉冲光(IPL)已成为治疗寻常痤疮的一种公认方法。我们旨在评估一种波长为400 - 600nm和800 - 1200nm的新型IPL滤光片治疗炎性痤疮皮损的临床疗效和安全性。2017年7月至2018年1月期间,21例患有Pillsbury I - III级面部寻常痤疮的患者被纳入这项前瞻性临床研究。对受试者每隔4周进行5次IPL治疗。在最后一次治疗后1个月进行最终评估。治疗后1个月,超过75%的受试者表现出优或良的反应。在Pillsbury I - II级患者中,有效率达到88.24%。炎性皮损显著减少(25.23±2.76对14.01±1.98)且具有统计学意义(P = 0.031)。根据Hayashi痤疮严重程度评估,随访时有显著改善(P = 0.022)。此外,患者报告自我评估有显著改善。波长为400 - 600nm和800 - 1200nm的新型IPL滤光片为炎性痤疮皮损的治疗提供了一种有效的选择,尤其是对于Pillsbury I - II级痤疮患者,具有最小的可逆性副作用,如短暂的炎症后色素沉着。

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