CAJ | 학술논문

目的：评价用完美强脉冲光(OPT)治疗伴有黄褐斑的面部雀斑患者临床疗效及安全性。方法：82例伴有黄褐斑的雀斑患者，全部采用 OPT 治疗5次，间隔3~4周治疗1次，完成5次治疗随访1月后留取治疗前后照片观察疗效，所有患者都要求严格防晒，勿过度劳累。结果：经过5次 OPT 治疗后，雀斑治愈70例(85.36％)；显效9例(10.98％)；雀斑总有效率96.34％(79/82)。黄褐斑治愈0例(0％)；显效51例(62.20％)；黄褐斑总有效率51例62.20％(51/82)。不良反应：有7例(8.54％)出现色素沉着，经过3~6个月后色素明显减淡；有2例(2.44％)出现色素减退，未出现瘢痕。结论：OPT 治疗伴有黄褐斑的雀斑患者安全、高效，大部分雀斑患者治愈，黄褐斑得到明显改善，但黄褐斑治愈率不高仍是一个现实问题，有待我们进一步研究和探讨。
목적：평개용완미강맥충광(OPT)치료반유황갈반적면부작반환자림상료효급안전성。방법：82례반유황갈반적작반환자，전부채용 OPT 치료5차，간격3~4주치료1차，완성5차치료수방1월후류취치료전후조편관찰료효，소유환자도요구엄격방쇄，물과도로루。결과：경과5차 OPT 치료후，작반치유70례(85.36％)；현효9례(10.98％)；작반총유효솔96.34％(79/82)。황갈반치유0례(0％)；현효51례(62.20％)；황갈반총유효솔51례62.20％(51/82)。불량반응：유7례(8.54％)출현색소침착，경과3~6개월후색소명현감담；유2례(2.44％)출현색소감퇴，미출현반흔。결론：OPT 치료반유황갈반적작반환자안전、고효，대부분작반환자치유，황갈반득도명현개선，단황갈반치유솔불고잉시일개현실문제，유대아문진일보연구화탐토。
Objective:To evaluate the effectiveness and safty of intense pulsed light with Optimal Pulse Technology(OPT) in the treatment of patients accompanied with facial freckles and melasma. Methods: A Study was performed in 82 patients accompanied with facial freckles and melasma who visited the Plastic Laser Center of the Second Affiliated Hospital of GuangZhou Medical Uni versity. 82 patients have received with 5 times consecutive OPT treatments interval 3 ~ 4weeks. Follow up a month and take photos of patients befoe and after treatments. It used to judge the clinical effectiveness. All of patients were strict with sun-proof . Results: The cure rate of the freckles was 85.36 per cent. The melasma was 0 per cent. The total effective rate of the freckles was 96.34 per cent. The melasma was 62.20 per cent. The side-effects were also observed. Hyperpigmentation was 8.54per cent .Hypopigmentation is 2.44per cent. Hypertrophic scar was not founded. Conclusions: Intense pulsed light with Optimal Pulse Technology(OPT) were effective and safe in treatment of patients accompanied with facial freckles and melasma.