强脉冲光治疗激素依赖性皮炎

Clinical efficacy of intensive pulse light on facial telangiectasis and dermal atrophy caused by corticosteroiddependent dermatitis

目的 探讨应用强脉冲光技术治疗面部激素依赖性皮炎的毛细血管扩张和皮肤萎缩症的疗效及安全性.方法 对13例皮肤类型为Ⅲ～Ⅴ型、连续使用激素15个月至13年的患有面部激素依赖性皮炎所致的明显毛细血管扩张和皮肤萎缩症者应用强脉冲光进行治疗,治疗3～8次,每次间隔3～4周.结果 面部毛细血管扩张临床显效3例,有效7例,进步1例,无效2例,有效率为76.92%;13例中有10例萎缩皮肤的厚度得到一定程度的改善.结论 强脉冲光技术能明显改善激素依赖性皮炎所致的面部毛细血管扩张和皮肤萎缩症,治疗后恢复时间短,不良反应少,是治疗素激依赖性皮炎所致的毛细血管扩张和皮肤萎缩症的有效手段之一.

Objevtive To evaluate the efficacy and safety of intensive pulse light （IPL） on treating the telangiectasis and dermal atrophy due to corticosteroid-dependent dermatitis.Methods We applied the IPL on 13 patients who had telangiectasis and dermal atrophy caused by corticosteroid-dependent dermatitis every three to four weeks.The treatment lasted three to eight times.The patients＇s skin types were Fitzpatrick Ⅲ-V and they had had corticosteroid therapy from 15 months to 13 years.Results To telangiectasis,3 patients had excellent effect afterwards;7 patients achieved fair good effect;Another patients also achieved improvement;2 cases had no positive effect;The total effective rate reached 76.92%.10 patients of dermal atrophy among the total 13 had improvement of the thickness of dermis.Conclusion Intensive pulse light can improve the telangiectasis and dermal atrophy of corticosteroid-dependent dermatitis.It needs less recovery time with fewer side effects and therefore IPL is an effective method for the Iesions.