595nm染料激光联合强脉冲光治疗面部毛细血管扩张的疗效观察

Efficacy of 595 nm Dye Laser combined with Intense Pulsed Light in the treatment of Facial Telangiectasia

目的:探讨595nm染料激光(PDL)联合强脉冲光(IPL)对面部毛细血管扩张的疗效。方法:选取2017年1月至2018年12月我院收治的面部毛细血管患者144例,采用随机数字表法进行简单随机分组,分为A、B、C三组,每组各48例。A组患者采取595nmPDL+IPL治疗,B组患者采用595nmPDL治疗,C组患者采用IPL治疗。比较三组患者临床疗效、不良反应发生率、复发率、治疗后疼痛程度[视觉模拟评分法(VAS)]以及自我满意度等指标的差异性。结果:三组患者治疗总有效率和自我满意度比较:A组>B组>C组(P<0.05);三组患者不良反应发生率、复发率和VAS评分比较,差异无统计学意义(P>0.05)。结论:595nmPDL治疗面部毛细血管扩张的疗效好于IPL,两者联合治疗可显著提高单一治疗的疗效,且并未增加不良反应发生率和复发例数,安全性较高。

Objective:To explore the efficacy of 595nm pulseddye laser(PDL)combined with intense pulsed light(IPL)on facial telangiectasia.Methods:A total of 144 patients with facial telangiectasia treated in our hospital from January 2017 to December 2018 were selected and given simple random grouping by random number table method and divided into groups A,Band C,with 48 cases in each group.Group A was given 595 nm PDL+IPL,and group B was given 595 nm PDL,and group C was treated with IPL.The clinical efficacy,incidence rate of adverse reactions,recurrence rate,pain degree after treatment[visual analogue scale(VAS)]and self-satisfaction were compared among the three groups.Results:The total effective rate of treatment and self-satisfaction in the three groups showed group A>group B>group C(P<0.05).There were no significant differences in the incidence rate of adverse reactions,recurrence rate and VAS score among the three groups(P>0.05).Conclusion:595nm PDL has better efficacy than IPL in the treatment of facial telangiectasia.The combination therapy can significantly improve the efficacy of single treatment,and does not increase the incidence rate of adverse reactions and the number of recurrence,and it has higher safety.