观察点阵CO2激光术后联合重组贻贝粘蛋白水凝胶敷料疗效及安全性。方法 选取2022 年9月—2023年9月来我院皮肤科室治疗痤疮凹陷性瘢痕的患者60例,采用双盲数字法将其平均分为研究组30例和对照组30例,其中对照组患者使用点阵CO2激光治疗...观察点阵CO2激光术后联合重组贻贝粘蛋白水凝胶敷料疗效及安全性。方法 选取2022 年9月—2023年9月来我院皮肤科室治疗痤疮凹陷性瘢痕的患者60例,采用双盲数字法将其平均分为研究组30例和对照组30例,其中对照组患者使用点阵CO2激光治疗,研究组患者在采用点阵CO2激光的基础上联合重组贻贝粘蛋白水凝胶敷料治疗。治疗28d后对两组患者临床疗效、瘢痕皮损、面部红斑量、经表皮水分流失量、临床痤疮瘢痕情况(ECCA评分量表)、面部整体美学效果改善情况(GAIS评分量表)和治疗期间的安全性进行对比。结果 治疗28d后研究组患者的临床总治疗有效率明显高于对照组(93.33% vs 63.33%),差异有统计学意义(P<0.05);治疗后,研究组患者的急性炎症反应半定量评分明显低于对照组(1.53±0.37 vs 2.16±0.28),而平均脱痂时间明显短于对照组(6.34±1.36d vs 8.27±1.86d),差异有统计学意义(P<0.05);治疗后两组患者的ECCA权重评分较治疗前均显著降低,而两组患者的GAIS评分较治疗前显著升高,差异均具有统计学意义(P<0.05),其中研究组患者相较于对照组患者而言ECCA降低更多(15.78±5.28 vs 23.62±6.29),而GAIS升高更多(2.57±0.61 vs 2.13±0.56) ,差异具有统计学意义(P<0.05);两组不良反应发生率差异无统计学意义(P>0.05)。结论 重组贻贝粘蛋白水凝胶敷料联合点阵CO2激光治疗痤疮凹陷性瘢痕疗效确切,可减少点阵CO2激光术不良反应,缩短恢复期,提高皮肤屏障功能与美观度。展开更多
This study determines if there is a correlation between rising carbon dioxide levels and global warming. Historical data were reviewed from three different time periods spanning 500 million years. It showed that the c...This study determines if there is a correlation between rising carbon dioxide levels and global warming. Historical data were reviewed from three different time periods spanning 500 million years. It showed that the curves and trends were too dissimilar to establish a connection. Observations from CO<sub>2</sub>/temp ratios showed that the CO<sub>2</sub> and the temperature moved in opposite directions 42% of the time. Many ratios displayed zero or near zero values, reflecting a lack of response. As much as 87% of the ratios revealed negative or near zero values, which strongly negate a correlation. The infrared spectra showed the Greenhouse Gases had an exceptionally low absorption band between 11.67 μm to 9.1 μm, which is a zone called the infrared atmospheric window. Most of the Greenhouse Gases absorb little infrared inside that zone. And that zone is where the Earth’s surface emits almost all infrared radiation. Even with minimal absorbance, water vapor captures the most infrared radiation. It absorbs 84 times more than CO<sub>2</sub>, 407 thousand times more than methane, 452 thousand times more than ozone and 2.3 million times more than nitrous oxide. The Intergovernmental Panel on Climate Change (IPCC) and the United States EPA excluded water vapor because it was not associated with man-made activities. They reported that water vapor and clouds were simply feedback mechanisms from CO<sub>2</sub>. Clouds reflect radiation from the sun. The Northern Hemisphere is 2.7°F warmer than the Southern Hemisphere because of clouds. The world cloud cover has gone down 4.1% from 1982 to 2018. Calculations show that this could be responsible for 2.4°F of the 2.7°F. The research shows that most of the recent increase in temperature (89.9%) is because of fewer clouds.展开更多
文摘观察点阵CO2激光术后联合重组贻贝粘蛋白水凝胶敷料疗效及安全性。方法 选取2022 年9月—2023年9月来我院皮肤科室治疗痤疮凹陷性瘢痕的患者60例,采用双盲数字法将其平均分为研究组30例和对照组30例,其中对照组患者使用点阵CO2激光治疗,研究组患者在采用点阵CO2激光的基础上联合重组贻贝粘蛋白水凝胶敷料治疗。治疗28d后对两组患者临床疗效、瘢痕皮损、面部红斑量、经表皮水分流失量、临床痤疮瘢痕情况(ECCA评分量表)、面部整体美学效果改善情况(GAIS评分量表)和治疗期间的安全性进行对比。结果 治疗28d后研究组患者的临床总治疗有效率明显高于对照组(93.33% vs 63.33%),差异有统计学意义(P<0.05);治疗后,研究组患者的急性炎症反应半定量评分明显低于对照组(1.53±0.37 vs 2.16±0.28),而平均脱痂时间明显短于对照组(6.34±1.36d vs 8.27±1.86d),差异有统计学意义(P<0.05);治疗后两组患者的ECCA权重评分较治疗前均显著降低,而两组患者的GAIS评分较治疗前显著升高,差异均具有统计学意义(P<0.05),其中研究组患者相较于对照组患者而言ECCA降低更多(15.78±5.28 vs 23.62±6.29),而GAIS升高更多(2.57±0.61 vs 2.13±0.56) ,差异具有统计学意义(P<0.05);两组不良反应发生率差异无统计学意义(P>0.05)。结论 重组贻贝粘蛋白水凝胶敷料联合点阵CO2激光治疗痤疮凹陷性瘢痕疗效确切,可减少点阵CO2激光术不良反应,缩短恢复期,提高皮肤屏障功能与美观度。
文摘This study determines if there is a correlation between rising carbon dioxide levels and global warming. Historical data were reviewed from three different time periods spanning 500 million years. It showed that the curves and trends were too dissimilar to establish a connection. Observations from CO<sub>2</sub>/temp ratios showed that the CO<sub>2</sub> and the temperature moved in opposite directions 42% of the time. Many ratios displayed zero or near zero values, reflecting a lack of response. As much as 87% of the ratios revealed negative or near zero values, which strongly negate a correlation. The infrared spectra showed the Greenhouse Gases had an exceptionally low absorption band between 11.67 μm to 9.1 μm, which is a zone called the infrared atmospheric window. Most of the Greenhouse Gases absorb little infrared inside that zone. And that zone is where the Earth’s surface emits almost all infrared radiation. Even with minimal absorbance, water vapor captures the most infrared radiation. It absorbs 84 times more than CO<sub>2</sub>, 407 thousand times more than methane, 452 thousand times more than ozone and 2.3 million times more than nitrous oxide. The Intergovernmental Panel on Climate Change (IPCC) and the United States EPA excluded water vapor because it was not associated with man-made activities. They reported that water vapor and clouds were simply feedback mechanisms from CO<sub>2</sub>. Clouds reflect radiation from the sun. The Northern Hemisphere is 2.7°F warmer than the Southern Hemisphere because of clouds. The world cloud cover has gone down 4.1% from 1982 to 2018. Calculations show that this could be responsible for 2.4°F of the 2.7°F. The research shows that most of the recent increase in temperature (89.9%) is because of fewer clouds.
