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577nm 高功率光泵浦半导体激光治疗炎症性痤疮安全有效:一项前瞻性、单中心、自身对照研究。

577-nm high-power optically pumped semiconductor laser is safe and effective in the treatment of inflammatory acne: a prospective, single-center, split-face comparative study.

机构信息

Department of Dermatology, Al-Azhar University, Assiut, Egypt.

Department of Radiation Oncology, Medical Faculty, Heinrich Heine University of Duesseldorf, Duesseldorf, Germany.

出版信息

Eur J Med Res. 2021 Sep 9;26(1):103. doi: 10.1186/s40001-021-00573-z.

Abstract

OBJECTIVE

This study aimed to appraise the efficacy of a 577-nm high-power optically pumped semiconductor laser (HOPSL) for the treatment of inflammatory acne.

METHODS

The study included 50 patients with acne vulgaris (inflammatory type), 14 men, and 36 women; patient ages ranged from 16 to 35 years. The left side of the face was treated with a single pass of a 577-nm high-power optically pumped semiconductor laser (HOPSL) every 2 weeks for 3 sessions. The severity of acne examined prior to the first session and 4 weeks after the last session (Investigator's Global Assessment of acne severity, IGA; single lesion count).

RESULTS

At baseline, no statistically significant difference in the severity of inflammatory acne lesions between both sides was observed. One month after the final session, a significant improvement (IGA reduction of > 50%) of the overall severity of acne was observed in 49 patients (98%) on the laser-treated side versus 41 (82%) the control side of the face (P < .05). Hence, we found a significant reduction in the mean percentage of inflammatory papules, pustules, and nodules on the laser-treated versus the control side (79.33 vs 56.92, 78.04 vs 43.33, 64.85 vs 21.93%, respectively) (P < 0.05). Side effects in the form of erythema and irritation during sessions were transient and tolerated by the patients.

CONCLUSION

The 577-nm high-power optically pumped semiconductor laser is effective and safe for the treatment of inflammatory lesions (papules, pustules, and nodules) in acne patients.

摘要

目的

本研究旨在评价 577nm 高功率光泵半导体激光(HOPSL)治疗炎症性痤疮的疗效。

方法

该研究纳入了 50 例痤疮患者(炎症型),其中男性 14 例,女性 36 例;患者年龄在 16 岁至 35 岁之间。左侧面部每 2 周接受 1 次 577nm 高功率光泵半导体激光(HOPSL)单次照射,共进行 3 次。在第 1 次治疗前和最后 1 次治疗后 4 周,评估痤疮的严重程度(研究者全球评估痤疮严重程度,IGA;单发性皮损计数)。

结果

在基线时,两侧炎症性痤疮皮损的严重程度无统计学差异。末次治疗后 1 个月,激光治疗侧 49 例(98%)患者的痤疮总体严重程度显著改善(IGA 改善>50%),而对照组 41 例(82%)患者改善(P<.05)。因此,我们发现激光治疗侧与对照组相比,炎性丘疹、脓疱和结节的平均百分比显著减少(79.33% vs 56.92%,78.04% vs 43.33%,64.85% vs 21.93%)(P<.05)。治疗过程中出现的红斑和刺激等副作用为一过性,患者可耐受。

结论

577nm 高功率光泵半导体激光治疗痤疮患者的炎性皮损(丘疹、脓疱和结节)安全有效。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd6a/8427851/2f214794e6e3/40001_2021_573_Fig1_HTML.jpg

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