Kim Ki Yeon, Song Seon Young, Jung You Jin, Jue Mihn Sook, Hong Ji Yeon, Kim Beom Joon, Ko Joo Yeon
Department of Dermatology, Hanyang University College of Medicine, Seoul, Korea.
Department of Dermatology, Chungnam National University Sejong Hospital, Sejong, Korea.
Ann Dermatol. 2024 Oct;36(5):266-274. doi: 10.5021/ad.23.083.
Radiofrequency (RF) and intense pulsed light (IPL) have been reported as efficient adjuvant treatment modalities for acne vulgaris.
We sought to evaluate the clinical efficacy and safety of a combined needle RF and vacuum IPL device for acne treatment without the use of other conventional topical or oral agents.
This randomized, split-faced study was designed to include patients with moderate to severe acne vulgaris. Comedone extraction was performed on both parts of the face prior to laser treatment. One side of the face was treated with RF and IPL in 2-week intervals, while the other side was left untreated as a control. Two independent blinded investigators evaluated the patients for improvement using clinical photographs. We also assessed for possible adverse effects.
The study included 44 patients with acne vulgaris (27 men and 17 women). Their ages ranged from 19-39 years (average, 23 years). At the final 12-week follow-up visit, the acne reduction rate was 34.80% (±33.45%; range, 30.92%-19.03%) on the treated side and 13.76% (±37.58%; range, 28.26%-23.27%) in the control group compared to baseline, constituting a significant difference. The difference in reduction rate between the treated and control sides was 21.03% (±25.09%), with the treated side experiencing more significant improvement (<0.05). In the assessment of adverse events, one patient experienced mild surrounding erythema that spontaneously improved.
Combined treatment of needle RF and IPL could improve acne lesions.
射频(RF)和强脉冲光(IPL)已被报道为寻常痤疮的有效辅助治疗方式。
我们旨在评估一种联合针状射频和真空IPL设备在不使用其他传统外用或口服药物的情况下治疗痤疮的临床疗效和安全性。
这项随机、半脸对照研究纳入了中度至重度寻常痤疮患者。在激光治疗前,对脸部两侧均进行了粉刺挤压。脸部一侧每隔2周接受一次射频和IPL治疗,而另一侧作为对照不进行治疗。两名独立的盲法研究者通过临床照片评估患者的改善情况。我们还评估了可能的不良反应。
该研究纳入了44例寻常痤疮患者(27例男性和17例女性)。他们的年龄在19至39岁之间(平均23岁)。在最后的12周随访中,与基线相比,治疗侧的痤疮减少率为34.80%(±33.45%;范围为30.92% - 19.03%),对照组为13.76%(±37.58%;范围为28.26% - 23.27%),差异显著。治疗侧与对照侧的减少率差异为21.03%(±25.09%),治疗侧改善更显著(<0.05)。在不良事件评估中,一名患者出现轻度周围红斑,自行改善。
针状射频和IPL联合治疗可改善痤疮皮损。