中华医学美学美容杂志
中華醫學美學美容雜誌
중화의학미학미용잡지
CHINESE JOURNAL OF MEDICAL AESTHETICS AND COSMETOLOGY
2012年
5期
353-356
,共4页
果酸%痤疮%治疗
果痠%痤瘡%治療
과산%좌창%치료
Glycolic acid%Chemical peel%Treatment
目的 观察评价果酸[甘醇酸(glycolic acid,GA)]治疗痤疮及痤疮瘢痕的临床疗效,探讨果酸治疗的适应证、方法及安全性.方法 34例痤疮患者,应用浓度为20％、35％、50％、70％的羟基乙酸,进行化学性剥脱治疗,每3周1次,共治疗5次,通过比较治疗前后皮损计数进行疗效观察,观察项目包括:治疗前后毛孔大小、油脂分泌情况、皮肤光滑度、白皙度、瘢痕大小及深浅度,GA治疗对工作生活的影响及疗效满意程度等,并做出疗效评价.结果 34例患者均按计划完成治疗.痊愈4例,显效15例,有效12例,无效3例,总有效率91.18％.治疗后73.53％(25/34)患者毛孔 改善,55.88％(19/34)患者油脂分泌减少,82.35％(28/34)患者皮肤光滑度提高,61.77％(21/34)患者肤色均匀白皙,67.65％(23/34)瘢痕改善.结论 GA适合用于治疗轻、中度痤疮,并能改善毛孔粗大,减少油脂分泌,提高皮肤光滑度,使肤色均匀白皙,减轻痤疮瘢痕,安全且无严重不良反应,患者易于接受,并得较好的评价.
目的 觀察評價果痠[甘醇痠(glycolic acid,GA)]治療痤瘡及痤瘡瘢痕的臨床療效,探討果痠治療的適應證、方法及安全性.方法 34例痤瘡患者,應用濃度為20％、35％、50％、70％的羥基乙痠,進行化學性剝脫治療,每3週1次,共治療5次,通過比較治療前後皮損計數進行療效觀察,觀察項目包括:治療前後毛孔大小、油脂分泌情況、皮膚光滑度、白皙度、瘢痕大小及深淺度,GA治療對工作生活的影響及療效滿意程度等,併做齣療效評價.結果 34例患者均按計劃完成治療.痊愈4例,顯效15例,有效12例,無效3例,總有效率91.18％.治療後73.53％(25/34)患者毛孔 改善,55.88％(19/34)患者油脂分泌減少,82.35％(28/34)患者皮膚光滑度提高,61.77％(21/34)患者膚色均勻白皙,67.65％(23/34)瘢痕改善.結論 GA適閤用于治療輕、中度痤瘡,併能改善毛孔粗大,減少油脂分泌,提高皮膚光滑度,使膚色均勻白皙,減輕痤瘡瘢痕,安全且無嚴重不良反應,患者易于接受,併得較好的評價.
목적 관찰평개과산[감순산(glycolic acid,GA)]치료좌창급좌창반흔적림상료효,탐토과산치료적괄응증、방법급안전성.방법 34례좌창환자,응용농도위20％、35％、50％、70％적간기을산,진행화학성박탈치료,매3주1차,공치료5차,통과비교치료전후피손계수진행료효관찰,관찰항목포괄:치료전후모공대소、유지분비정황、피부광활도、백석도、반흔대소급심천도,GA치료대공작생활적영향급료효만의정도등,병주출료효평개.결과 34례환자균안계화완성치료.전유4례,현효15례,유효12례,무효3례,총유효솔91.18％.치료후73.53％(25/34)환자모공 개선,55.88％(19/34)환자유지분비감소,82.35％(28/34)환자피부광활도제고,61.77％(21/34)환자부색균균백석,67.65％(23/34)반흔개선.결론 GA괄합용우치료경、중도좌창,병능개선모공조대,감소유지분비,제고피부광활도,사부색균균백석,감경좌창반흔,안전차무엄중불량반응,환자역우접수,병득교호적평개.
Objective To observe and evaluate the effect of glycolic acid peels in the treatment of acne and scars,and to approach the indications,process and security.Methods 34 patients with acne were chosen.Glycolic acid of 20 ％,35 ％,50 ％,and 70 ％ concentration was used for chemical peeling therapy for 5 times.The concentration of glycolic acid was increased every three weeks.The efficacy was evaluated by comparison of the lesion counts before and after the course.Patients were assigned to fulfil the questionnaire to assess the follicular orifice,secretion of sebaceous glands,smooths,whiteness,scar,influence to living and satisfaction.Results 34 patients completed the course.4 patients were cured,15 patients were greatly improved,12 patients were improved,and 3 patients had no effectiveness.The efficacy rate was 91.18 ％.After treatment,73.53 ％ of the patients showed improvement in follicular orifice,55.88 ％ of the patients showed that secretion of sebaceous glands was decreased,82.35 ％ of the patients had improvement in smoothness,61.77 ％ of the patients had improvement in whiteness,and 67.65 ％ of the patients had decrease in scar formation.Conclusions Glycolic acid peeling is proved an effective,well accepted,and safe treatment for mild to moderate acne.The follicular orifice,secretion of sebaceous glands,skin smoothness,whiteness and scars could be also improved after treatment.
