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高功率 675nm 激光:临床评估中的安全性和疗效,以及不同皮肤疾病的体外证据。

High-powered 675-nm laser: Safety and efficacy in clinical evaluation and in vitro evidence for different skin disorders.

机构信息

Polyclinic of San Domenico, Private Practice, Bologna, Italy.

El.En. Group, Calenzano, Italy.

出版信息

Skin Res Technol. 2024 Sep;30(9):e70019. doi: 10.1111/srt.70019.

Abstract

BACKGROUND

Laser technology is a viable therapeutic option for treating a number of skin pathologic conditions, including pigmented lesions, vascular lesions and acne scars.

AIM

In this work, through in vitro and clinical investigations we test the efficacy, the safety and the speed of treatment of high-powered laser system emitting a 675-nm in the management of various skin condition.

MATERIALS AND METHODS

In vitro experiments were performed irradiating adult human dermal fibroblasts cells (HDFa) with 675-nm laser for 24, 48 and 72 h with different fluences and Ki-67 cells were counted. The confocal microscopy images of control and treated samples were acquired. Clinical skin rejuvenation/diseases treatments with 675 nm laser device were performed with different laser parameters in 11 patients with pigmented lesions, 5 patients with acne scars and 23 patients for skin rejuvenation. Data were evaluated with the validated global score using 5-point scales (GAIS) and patient's satisfaction scale.

RESULTS

The application of the high-power 675 nm laser has proven effective in stimulating cell proliferation in in vitro experiments and it led to good results for all skin pathologies. GAIS showed values between 3 and 4 points for all treated pathologies, all scores between '75%-good improvements' and '100%-excellent improvements'. The treatment time was reduced by 50% compared to the old parameters setting, resulting in a faster and good patient's satisfying technique. No serious adverse effects were recorded.

CONCLUSION

the preclinical and clinical data confirm the efficacy and safety of this high-powered 675 nm laser for several skin condition.

摘要

背景

激光技术是治疗多种皮肤病理状况的可行治疗选择,包括色素病变、血管病变和痤疮疤痕。

目的

在这项工作中,我们通过体外和临床研究测试了高功率激光系统在治疗各种皮肤状况时的疗效、安全性和治疗速度,该系统发射 675nm 波长激光。

材料和方法

我们将成人真皮成纤维细胞(HDFa)暴露于 675nm 激光下 24、48 和 72 小时,以不同的能量密度进行体外实验,并对 Ki-67 细胞进行计数。获取对照和处理样本的共聚焦显微镜图像。对 11 例色素病变、5 例痤疮疤痕和 23 例皮肤年轻化患者使用 675nm 激光设备进行临床皮肤年轻化/疾病治疗,采用不同的激光参数。使用 5 分制(GAIS)和患者满意度量表评估数据。

结果

在体外实验中,应用高功率 675nm 激光已被证明可有效刺激细胞增殖,并且对所有皮肤病变都有很好的效果。GAIS 显示所有治疗病变的评分在 3 到 4 分之间,所有评分在“75%-良好改善”和“100%-极好改善”之间。与旧的参数设置相比,治疗时间缩短了 50%,从而实现了更快、更令患者满意的技术。未记录到严重的不良反应。

结论

临床前和临床数据证实了这种高功率 675nm 激光治疗多种皮肤状况的疗效和安全性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4821/11359081/de53b5d6513c/SRT-30-e70019-g011.jpg

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