短波理疗联合强脉冲光治疗面部糖皮质激素依赖性皮炎临床观察

Clinical Observation of Desensitization Apparatus Combined with Intense Pulsed Light in the Treatment of Facial Glucocorticosteroid-dependent Dermatitis

目的:观察短波理疗联合强脉冲光治疗面部糖皮质激素依赖性皮炎的临床疗效及安全性。方法:将120例患者随机分为三组。短波理疗联合强脉冲光治疗组:40例;对照1组(短波理疗组):40例;对照2组(强脉冲光组):40例。治疗3个月后比较三组临床疗效,并随访1月后复发情况。结果:治疗3个月后,治疗组、对照1组及对照2组有效率分别为87.20%、60.0%、66.70%,治疗组有效率显著高于对照1组与对照2组,差异有统计学意义(P<0.05),对照1组与对照2组有效率比较,差异无统计学意义(P>0.05)。1个月后治疗组、对照1组、对照2组复发率分别为3.33%、6.67%、13.33%,治疗过程中均未出现严重不良反应。结论:短波理疗联合强脉冲光治疗面部糖皮质激素依赖性皮炎疗效确切,值得推广。

Objective To observe the clinical efficacy of Desensitization apparatus Combined with Intense pulsed light in the treatment of facial glucocorticosteroid-dependent dermatitis. Methods One hundred and twenty patients with facial glucocorticosteroid-dependent dermatitis were randomly divided into three groups. Treatment group （40 cases） treated with Desensitization apparatus combined with Intense pulsed light, the control group one （40 cases） treated only with Desensitization apparatus and the control group two （40 cases） treated only with Intense pulsed light. The clinical effcacy and safety were assessed 3 months after treatment. Meanwhile, recurrences were assessed one month later. Results The effective rate of treatment group was 87.20%, which was higher than those in the control group one and the control group two（60.00% and 66.70%）. The recurrence rate in the treatment group,the control group one and the control group two was respectively 3.33%, 6.67% and 13.33%. No serious adverse reactions were found in the three groups. Conclusion The desensitization apparatus combined with Intense pulsed light is effective and less recurrence in the treatment of facial glucocorticosteroid-dependent dermatitis. Moreover,it is worthy of wide application in clinical.