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CO2点阵激光联合富血小板血浆治疗寻常痤疮后凹陷性瘢痕的安全性、有效性及其修复效果的影响因素:一项回顾性分析

Safety and efficacy of CO dot matrix laser combined with platelet-rich plasma on depressed scar after acne vulgaris and influencing factors of its repair effect: A retrospective analysis.

作者信息

Guo Rong, Xuan Wenxia, He Xiao, Xu Kai

机构信息

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

出版信息

J Cosmet Dermatol. 2023 Mar;22(3):850-861. doi: 10.1111/jocd.15501. Epub 2023 Jan 6.

Abstract

BACKGROUND

Acne vulgaris (AV) is the most pervasive inflammatory disease of hair follicle and sebaceous gland in the dermatology department, and depressed scar (DS) is the most common and serious sequela of AV.

AIMS

To explore the clinical value of CO dot matrix laser combined with platelet-rich plasma (PRP)-treated AV.

METHODS

Total 81 patients with DS at the rear of AV from December 2018 to October 2019 were selected, randomly divided into observation group (OG, n = 39) and control group (CG, n = 42). Patients in the OG group were treated with CO dot matrix laser combined with PRP, and those in the CG group were treated with CO dot matrix laser. To observe clinical outcomes in both groups.

RESULTS

According to experimental analysis, compared with the CG group, CO dot matrix laser combined with PRP can more strongly improve the clinical efficacy on patients, shorten the scar scabbing time and decrustation time, more effectively contributed to their scar repair, comfort, skin condition, psychological state and satisfaction, and reduced their pain. The subsequent follow-up results also showed that patients in the OG group experienced better quality of life. Moreover, according to the logistic regression analysis, the course of disease, scar degree, and staying up late were independent risk factors for the repair effect, and the repair method of CO dot matrix laser combined with PRP was an independent protection factor.

CONCLUSION

To sum up, CO dot matrix laser combined with PRP can strongly enhance the scar repair effect, psychological state, and life quality of patients with DS after AV, so it is worth popularizing in clinical practice.

摘要

背景

寻常痤疮(AV)是皮肤科最常见的毛囊皮脂腺炎症性疾病,凹陷性瘢痕(DS)是AV最常见且严重的后遗症。

目的

探讨CO2点阵激光联合富血小板血浆(PRP)治疗AV的临床价值。

方法

选取2018年12月至2019年10月81例AV后背部有DS的患者,随机分为观察组(OG,n = 39)和对照组(CG,n = 42)。OG组患者采用CO2点阵激光联合PRP治疗,CG组患者采用CO2点阵激光治疗。观察两组临床疗效。

结果

实验分析显示,与CG组相比,CO2点阵激光联合PRP能更显著提高患者临床疗效,缩短瘢痕结痂时间和脱痂时间,更有效地促进瘢痕修复、舒适度、皮肤状况、心理状态及满意度改善,并减轻疼痛。后续随访结果也显示OG组患者生活质量更佳。此外,逻辑回归分析表明,病程、瘢痕程度及熬夜是修复效果的独立危险因素,CO2点阵激光联合PRP的修复方法是独立保护因素。

结论

综上所述,CO2点阵激光联合PRP能显著提高AV后DS患者的瘢痕修复效果、心理状态及生活质量,值得临床推广应用。

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