强脉冲光治疗寻常性痤疮疗效评价

Efficacy of intense pulsed light for the treatment of acne vulgaris

目的:评价强脉冲光治疗寻常性痤疮的疗效及安全性。方法:120例寻常性痤疮患者随机分为两组:治疗组60例,采用YK-IPL560光子治疗仪治疗,每2周1次,5次为1个疗程;对照组60例,外用他扎罗汀乳膏,每晚用药1次,8周为1个疗程。分别记录两组患者治疗前、后粉刺、丘疹、脓疮、结节的皮损数量,观察皮损消退的情况及不良反应。结果:治疗组痊愈11例,显效27例,有效18例,无效4例,总有效率为93.3%。对照组痊愈9例,显效18例,有效16例,无效17例,总有效率为71.7%。治疗组疗效优于对照组(P<0.01)。结论:YK-IPL560光子治疗仪治疗轻中度炎性痤疮对痤疮疤痕、色素沉着、毛孔粗大等皮肤改善的效果较好,舒适安全,易于操作,患者耐受性好。

Objective：To evaluate the safety and efficacy of intense pulsed light for the treatment of acne vulgaris.Methods：A total of 120 patients with acne vulgaris were randomly divided into treatment group（60 cases）and control group（60 cases）.The treatment group was treated with YK-IPL560 therapy apparatus,once every two weeks,5 times as a course.The control group was treated with topical application of tazarotene cream,once per night,8 weeks as a course.Skin lesions including number of acne,pimples,boils,nodules and its progression were observed and compared before and after the treatment.Results：Eleven cases in the treatment groups were cured,27 cases showed obvious therapeutic effects,18 cases showed effects while 4 cases showed no response to the treatment;in the control group,the corresponding number was 9,18,16 and 17 cases.The total effective rate of the treatment group was 90.1%,significant higher than the 71.1% of the control group（P0.01）,indicating the effects of the treatment group was better.Conclusions：Being easy to be operated,and well tolerated to patients,YK-IPL560 therapy apparatus shows good effects for treating mild to moderate inflammatory acne,acne scars,pigmentation,and enlarged pores.