超脉冲二氧化碳点阵激光联合果酸交替治疗痤疮瘢痕的效果

Effect of Ultra-pulse Carbon Dioxide dot-matrix Laser combined with alternating treatment with Alpha Hydroxyl Acid on Acne Scars

目的观察痤疮瘢痕患者采用超脉冲二氧化碳点阵激光联合果酸交替进行治疗的效果。方法选取濮阳市第二人民医院医疗美容科2018年8月至2022年12月期间接受治疗的的痤疮瘢痕患者共计94例,以随机数字表法均分为参照组与研究组,各47例。分别予以二氧化碳点阵激光治疗及二氧化碳点阵激光联合果酸交替治疗,比较两组瘢痕面积、痤疮瘢痕权重评分、生活质量评分、治疗有效率及不良反应发生率。结果研究组治疗有效率高于参照组,不良反应发生率低于参照组,差异均有统计学意义(P<0.05);治疗1疗程及治疗2个月后研究组瘢痕总面积与瘢痕数量均少于参照组,差异均有统计学意义(P<0.05);研究组冰锥型、厢车型、碾压型痤疮瘢痕患者疗程完成后2个月痤疮瘢痕权重评分均低于参照组,差异均有统计学意义(P<0.05);研究组精神、心理及社会状态评分均高于参照组,差异均有统计学意义(P<0.05)。结论超脉冲二氧化碳点阵激光联合果酸交替治疗痤疮瘢痕兼具有效性及安全性,同时对改善痤疮瘢痕患者预后水平及提升生活质量均有积极影响意义。

Objective To observe the effect of using ultra-pulsed carbon dioxide dot-matrix laser combined with alternating alpha hydroxyl acid treatment on acne scar patients.Methods A total of 94 patients with acne scars who received treatment in the Medical Aesthetics Department of the Second People's Hospital of Puyang City from August 2018 to December 2022 were selected.They were randomly divided into control group and study group using a random number table method,with 47 patients in each group.The patients were treated with carbon dioxide dot-matrix laser or carbon dioxide dot-matrix laser combined with alternating alpha hydroxyl acid.The scar area,acne scar weight score,quality of life score,treatment effectiveness rate,and incidence of adverse reactions between the two groups were compared.Results The effective rate of treatment in the study group was higher than that in the control group,and the incidence of adverse reactions was lower than that in the control group,with statistical significance(P<0.05);After one course of treatment and two months of treatment,the total area and number of scars in the study group were lower than those in the control group,and the differences were statistically significant(P<0.05);The weight scores of acne scars in patients with ice cone,sedan,and rolling acne scars in the study group were lower than those in the control group after 2 months of treatment,and the differences were statistically significant(P<0.05);The mental,psychological,and social status scores of the study group were higher than those of the control group,and the differences were statistically significant(P<0.05).Conclusion The combination of ultra-pulsed carbon dioxide dot-matrix laser and alternating treatment with alpha hydroxyl acid is effective and safe in treating acne scars,and has a positive impact on improving the prognosis and quality of life of acne scar patients.