面颈部毛囊红斑黑变病行不同波段强脉冲光治疗的临床观察

Clinical observation of different wave bands of intense pulsed light in treatment of facial and cervical hair follicle erythema melanosis

目的 探究面颈部毛囊红斑黑变(erythromelanosis follicularis faciei et colli, EFFC)病选择不同波段强脉冲光治疗的效果差异。方法 选择菏泽市立医院收治的84例EFFC患者开展研究,2020年4月研究开始,并于2021年4月完成。依据随机摸红蓝球法将所有患者划分成(42例)的常规组以及(42例)的实验组,其中摸红球为常规组,摸蓝球为实验组。予以常规组患者强脉冲光治疗,予以实验组患者双波段强脉冲光治疗。对比每组患者治疗前后毛囊性丘疹、血管扩张以及色斑评分、治疗效果、总满意度、不良反应总出现率。结果 治疗后实验组患者毛囊性丘疹、血管扩张以及色斑评分均低于常规组(P<0.05)。实验组与常规组患者治疗总有效率依次是80.95%、57.18%(P<0.05)。实验组与常规组患者总满意度依次是92.86%、64.29%(P<0.05)。实验组与常规组患者不良反应总出现率依次是7.14%、2.38%(P>0.05)。结论 EFFC实施双波段强脉冲光干预,能够改善临床症状,提升治疗效果以及满意度,并且不良反应少,安全性良好。

Objective To explore the effect of different wave bands of intense pulsed light in the treatment of facial and cervical hair follicle erythema melanosis.Methods Totally 84 patients with facial and neck hair follicle erythema melanosis treated in our hospital were selected as the main body of the study.The study began in April 2020 and completed in April 2021.All patients were randomly divided into routine group(42 cases) and experimental group(42 cases) according to the method of touching red and blue balls.Touching red balls was the routine group and touching blue balls was the experimental group.Patients in the routine group were treated with intense pulsed light, and patients in the experimental group were treated with dual band intense pulsed light.The scores of follicular papules, vasodilation and stain, treatment effect, total satisfaction and total incidence of adverse reactions were compared before and after treatment.Results After treatment, the scores of follicular papules, vasodilation and stain in the experimental group were lower than those in the routine group(P<0.05).The total effective rates of the experimental group and the routine group were 80.95% and 57.18% respectively(P<0.05).The total satisfaction of patients in the experimental group and the routine group was 92.86% and 64.29%(P<0.05).The total incidence of adverse reactions in experimental group and routine group was 7.14% and 2.38%(P>0.05).Conclusion The implementation of dual band intense pulsed light treatment for facial and cervical hair follicle erythema melanosis can improve clinical symptoms, improve treatment effect and satisfaction, with less adverse reactions and good safety.