755nm皮秒激光治疗黄褐斑临床观察

Application of the Pico-second Laser for the Treatment of Melasma

目的:观察755nm皮秒激光治疗黄褐斑的临床疗效及不良反应。方法:随机选取2015年12月-2016年12月笔者科室门诊黄褐斑患者52例,使用755nm皮秒激光治疗,7周治疗1次,1个疗程治疗3~4次,疗程结束后进行黄褐斑平均面积和严重程度指数评分,同时患者接受满意度调查,记录不良反应,并进行相关统计学分析。结果:52例黄褐斑患者经2~4次治疗后,所有患者均获得不同程度的改善,其中12例的改善率达到60%以上,32例达到50%以上改善,无1例出现严重副反应,同时还有改善皮肤质地的作用,90%以上的患者表示满意。结论:755nm皮秒激光治疗黄褐斑具有肯定的临床疗效,并且副作用小,在临床上有良好的应用价值。

Objective To observe the clinical efficacy and adverse effects of the755nm picosecond laser to treat melasma.Methods Total52outpatients with melasma in our hospital during December2015to December2016were randomly selected for treatment with755nm picosecond laser.These patients were treated once every7weeks,3-4times as a course.The average area of melasma and severity index scores were calculated respectively before and after treatment.The adverse effects and patient satisfaction survey were recorded at the same time.Then statistical analysis was performed.Results52cases of chloasma patients after2-4treatment,chloasma patients had different degrees of improvement,12cases improvement rate reached more than60%and more than50%of the32cases improved.No serious adverse reactions occurred in the patients,and the effect of improving the texture of the skin,more than90%of patients expressed satisfaction.Conclusion The application effect of the picosecond laser treatment is better,and it has the value of popularization and popularization in clinic.