中华皮肤科杂志
中華皮膚科雜誌
중화피부과잡지
Chinese Journal of Dermatology
2012年
3期
205-207
,共3页
王竞%刘斌%栾琪%王延婷%李承新
王競%劉斌%欒琪%王延婷%李承新
왕경%류빈%란기%왕연정%리승신
目的 回顾性分析比较强脉冲光与红光治疗糖皮质激素(简称激素)依赖性皮炎的临床疗效及不良反应.方法 应用强脉冲光治疗以面部毛细血管扩张为主要表现的激素依赖性皮炎患者70例,能量密度20～23 J/cm2,其中脉宽为2.6～5.0 ms,延迟时间为15 ～ 20 ms,间隔4周治疗1次,平均3.49次.使用波长(633±3)nm红光治疗以面部皮肤敏感为主要表现的激素依赖性皮炎患者197例,能量密度128J/cm2,每次照射20 min,每周治疗2次,平均4.23次.对每次治疗的疗效及不良反应进行评价.结果 强脉冲光治疗激素依赖性皮炎的总有效率为88.57％；红光治疗的总有效率为83.76％.强脉冲光3脉冲治疗组和2脉冲治疗组的疗效差异有统计学意义(x2=8.14,P＜0.05).所有患者均未出现严重不良反应.结论 强脉冲光和红光治疗激素依赖性皮炎均有较好疗效.
目的 迴顧性分析比較彊脈遲光與紅光治療糖皮質激素(簡稱激素)依賴性皮炎的臨床療效及不良反應.方法 應用彊脈遲光治療以麵部毛細血管擴張為主要錶現的激素依賴性皮炎患者70例,能量密度20～23 J/cm2,其中脈寬為2.6～5.0 ms,延遲時間為15 ～ 20 ms,間隔4週治療1次,平均3.49次.使用波長(633±3)nm紅光治療以麵部皮膚敏感為主要錶現的激素依賴性皮炎患者197例,能量密度128J/cm2,每次照射20 min,每週治療2次,平均4.23次.對每次治療的療效及不良反應進行評價.結果 彊脈遲光治療激素依賴性皮炎的總有效率為88.57％；紅光治療的總有效率為83.76％.彊脈遲光3脈遲治療組和2脈遲治療組的療效差異有統計學意義(x2=8.14,P＜0.05).所有患者均未齣現嚴重不良反應.結論 彊脈遲光和紅光治療激素依賴性皮炎均有較好療效.
목적 회고성분석비교강맥충광여홍광치료당피질격소(간칭격소)의뢰성피염적림상료효급불량반응.방법 응용강맥충광치료이면부모세혈관확장위주요표현적격소의뢰성피염환자70례,능량밀도20～23 J/cm2,기중맥관위2.6～5.0 ms,연지시간위15 ～ 20 ms,간격4주치료1차,평균3.49차.사용파장(633±3)nm홍광치료이면부피부민감위주요표현적격소의뢰성피염환자197례,능량밀도128J/cm2,매차조사20 min,매주치료2차,평균4.23차.대매차치료적료효급불량반응진행평개.결과 강맥충광치료격소의뢰성피염적총유효솔위88.57％；홍광치료적총유효솔위83.76％.강맥충광3맥충치료조화2맥충치료조적료효차이유통계학의의(x2=8.14,P＜0.05).소유환자균미출현엄중불량반응.결론 강맥충광화홍광치료격소의뢰성피염균유교호료효.
Objective To retrospectively review the efficacy and side effects of intense pulsed light (IPL) and red light emitting diode (LED) in the treatment of steroid-dependent dermatitis.Methods Seventy patients with steroid-dependent dermatitis mainly manifesting as facial telangiectasis were treated with IPL for an average of 3.49 sessions with a 4-week interval.The energy density of IPL varied from 20 to 23 J/cm2,pulse width from 2.6 to 5.0 ms,and delay from 15 to 20 ms.Meantime,197 patients with steroid-dependent dermatitis,who mainly presented with facial skin sensitivity,were treated with red LED (633 ± 3 nm wave length) twice a week for an average of 4.23 sessions.The energy density of red LED was 128 J/cm2,and the irradiation lasted 20 minutes at each treatment.The efficacy and adverse reactions were assessed and recorded for each treatment.Results The total response rate was 88.57％ for IPL,and 83.76％ for red LED.There was a significant difference in the clinical efficacy between triple-pulse and double-pulse IPL (x2 =8.14,P ＜ 0.05).No severe adverse reaction was observed in any of the patients.Conclusion IPL and red LED are both effective in treating steroid-dependent dermatitis.
