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痤疮后增生性瘢痕应用脉冲染料激光联合平阳霉素的临床疗效及安全性。

Clinical Efficacy and Safety of Pulsed Dye Laser Combined with Pingyangmycin on Hyperplastic Scar after Acne.

机构信息

Dermatology, Shanxi Bethune Hospital, Shanxi Academy of Medical Sciences, Tongji Shanxi Hospital, Third Hospital of Shanxi Medical University, Taiyuan, 030032 Shanxi, China.

出版信息

Mediators Inflamm. 2022 Aug 28;2022:3305107. doi: 10.1155/2022/3305107. eCollection 2022.

Abstract

BACKGROUND

Acne is the most common chronic inflammatory disease of hair follicles and sebaceous glands in dermatology. Hyperplastic scar (HS), a very common sequelae of acne, is also the most common scar type in clinical practice.

OBJECTIVE

This research analyzed the clinical effectiveness and safety of pulsed dye laser (PDL) combined with pingyangmycin (PI) in the treatment of post-acne HS.

METHODS

One hundred and nine patients with post-acne HS admitted in June 2020 were selected and divided into a research group ( = 52) and a control group ( = 57) according to the difference in treatment methods. The efficacy, incidence of adverse reactions, skin repair, treatment comfort, and satisfaction were compared between groups.

RESULTS

The total effective rate was higher in the research group compared with the control group. No statistical difference was observed between groups in the incidence of adverse reactions. The research group showed better scar repair, skin improvement, and granulation tissue maturity than the control group. And compared with the control group, the growth factor of the research group was lower, while the treatment comfort and satisfaction, psychological state, and prognosis quality of life were higher. The two groups showed no notable difference in the recurrence rate.

CONCLUSIONS

PDL combined with PI can effectively improve the clinical efficacy, scar repair effect, overall skin status, and treatment experience of patients and boost the psychological state and prognostic quality of life of patients, which has great clinical application prospect for the treatment of HS.

摘要

背景

痤疮是皮肤科中毛囊和皮脂腺的一种常见慢性炎症性疾病。增生性瘢痕(HS)是痤疮的一种常见后遗症,也是临床上最常见的瘢痕类型。

目的

本研究分析了强脉冲光(PDL)联合平阳霉素(PI)治疗痤疮后 HS 的临床疗效和安全性。

方法

选择 2020 年 6 月收治的 109 例痤疮后 HS 患者,按治疗方法的不同分为研究组(n=52)和对照组(n=57)。比较两组的疗效、不良反应发生率、皮肤修复、治疗舒适度和满意度。

结果

研究组总有效率高于对照组。两组不良反应发生率比较,差异无统计学意义。研究组瘢痕修复、皮肤改善、肉芽组织成熟度均优于对照组。与对照组相比,研究组生长因子水平较低,治疗舒适度和满意度、心理状态和预后生活质量较高。两组复发率比较,差异无统计学意义。

结论

PDL 联合 PI 能有效提高患者的临床疗效,改善瘢痕修复效果、整体皮肤状况和治疗体验,提高患者的心理状态和预后生活质量,对 HS 的治疗具有广阔的临床应用前景。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9fbb/9441375/0d7d425c2985/MI2022-3305107.001.jpg

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