Department of Plastic and Cosmetic Surgery, Affiliated Hangzhou First People's Hospital, Zhejiang University School of Medicine, Hangzhou 310006, Zhejiang, China.
Department of Plastic and Cosmetic Surgery, Zhuji Hospital of Traditional Chinese Medicine, Shaoxing 311800, Zhejiang, China.
J Healthc Eng. 2022 Jan 25;2022:6803988. doi: 10.1155/2022/6803988. eCollection 2022.
To investigate the effect and safety of PRP and Yifu combined with ultrapulsed CO lattice laser in patients with sunken acne scar.
700 subjects were selected from the group of patients with sunken acne scar treated in our hospital from November 2010 to December 2020. They were divided into control group ( = 350) and study group ( = 350). The grouping was mainly based on the random number table method. Patients in the control group were treated with ultrapulse CO lattice laser, while those in the study group were treated with ultrapulse CO lattice laser combined with PRP and Yifu. The clinical effect, scar improvement and quality of life before and after treatment, and adverse events during treatment were compared between the two groups. The clinical effect was categorized into cure after treatment, significant effect, effective, and ineffective. The total effective rate = 1 - ineffective rate.
After treatment, the total effective rate of the study group (81.43%) was higher than that of the control group (70.00%). After treatment, ECCA, VSS scores, daily activities, symptoms and feelings, work and study, leisure and entertainment, interpersonal relationship, treatment status, and total scores were all lower in both groups than before treatment, and the study group was lower than the control group. During the treatment, the incidence of adverse events in the study group (17.33%) was lower than that in the control group (28.57%), < 0.05.
PRP and Yifu combined with ultrapulse CO lattice laser in the treatment of sunken acne scar can effectively improve the scar, reduce the incidence of adverse events, and the treatment effect is obvious, which can improve the quality of life of the patients.
观察富血小板血浆(PRP)联合益肤治疗凹陷性痤疮瘢痕的效果及安全性。
选取 2010 年 11 月至 2020 年 12 月我院收治的凹陷性痤疮瘢痕患者 700 例,按随机数字表法分为对照组(n=350)和观察组(n=350)。对照组给予超脉冲 CO2 点阵激光治疗,观察组给予超脉冲 CO2 点阵激光联合 PRP 联合益肤治疗。比较两组患者的临床疗效、瘢痕改善情况、治疗前后生活质量及治疗期间不良反应。临床疗效分为痊愈、显效、有效和无效,总有效率=痊愈率+显效率+有效率。
观察组总有效率(81.43%)高于对照组(70.00%)。治疗后,两组患者的 ECCA、VSS 评分、日常生活、症状和感受、工作和学习、休闲娱乐、人际关系、治疗状况及总分均低于治疗前,且观察组低于对照组,差异均有统计学意义(P<0.05)。治疗期间,观察组不良反应发生率(17.33%)低于对照组(28.57%),差异有统计学意义(P<0.05)。
PRP 联合益肤联合超脉冲 CO2 点阵激光治疗凹陷性痤疮瘢痕可有效改善瘢痕,降低不良反应发生率,疗效显著,可提高患者生活质量。