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强脉冲光联合3%氨甲环酸治疗寻常痤疮和玫瑰痤疮相关面部红斑的效果

Effect of Intense Pulsed Light Combined With 3% Tranexamic Acid for Facial Erythema Associated With Acne Vulgaris and Rosacea.

作者信息

Liu Xueping, Qi Xiaoyi, He Yufeng, Xiang Linmei, Wang Aoxue

机构信息

Dalian Medical University, Dalian, Liaoning, China.

Department of Dermatology, The Affiliated Hospital of Southwest Medical University, Luzhou, Sichuan, China.

出版信息

Lasers Surg Med. 2025 Aug;57(6):490-495. doi: 10.1002/lsm.70029. Epub 2025 Jun 15.

Abstract

BACKGROUND

Current treatment options for facial erythema associated with acne and rosacea include oral and topical treatments. Physical modalities are also commonly used recently. Combination therapy usually works better than a single therapy. There are few studies on the therapeutic effect of IPL combined with TXA on facial erythema.

OBJECTIVE

To study the efficacy of intense pulsed light combined with 3% tranexamic acid in the treatment of facial erythema associated with acne and rosacea.

METHODS

A total of 56 patients were included in the study. They were randomly divided into the observation group and the control group, with 28 cases in each group. The observation group was treated with intense pulsed light combined with 3% tranexamic acid for external use, while the control group was treated with intense pulsed light only. The clinical efficacy, erythema degree, and skin disease quality of life index score before and after treatment were observed in the two groups, and the results were compared.

RESULTS

After treatment, both groups showed improvement; the observation group exhibited a significantly higher overall effective rate than the control group (p < 0.05). The scores of erythema index and skin quality of life index in the observation group were lower than those in the control group, and the differences were statistically significant (p < 0.05). There were no obvious adverse reactions in both groups.

CONCLUSION

Intense pulsed light combined with 3% tranexamic acid can effectively improve the degree of acne and rosacea erythema without serious adverse effects.

摘要

背景

目前治疗痤疮和玫瑰痤疮相关面部红斑的方法包括口服和外用治疗。物理治疗方法近来也普遍使用。联合治疗通常比单一治疗效果更好。关于强脉冲光(IPL)联合氨甲环酸(TXA)治疗面部红斑的疗效研究较少。

目的

研究强脉冲光联合3%氨甲环酸治疗痤疮和玫瑰痤疮相关面部红斑的疗效。

方法

本研究共纳入56例患者。他们被随机分为观察组和对照组,每组28例。观察组采用强脉冲光联合外用3%氨甲环酸治疗,而对照组仅采用强脉冲光治疗。观察两组治疗前后的临床疗效、红斑程度和皮肤病生活质量指数评分,并比较结果。

结果

治疗后,两组均有改善;观察组的总有效率显著高于对照组(p < 0.05)。观察组的红斑指数和皮肤生活质量指数评分低于对照组,差异有统计学意义(p < 0.05)。两组均未出现明显不良反应。

结论

强脉冲光联合3%氨甲环酸可有效改善痤疮和玫瑰痤疮红斑程度,且无严重不良反应。

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