脉冲CO2点阵激光结合E光治疗痤疮瘢痕疗效分析

胡尧 李凯 钱运

[摘要]目的：探究脉冲CO2点阵激光结合E光治疗痤疮瘢痕的疗效。方法：选取2012年3月-2016年9月笔者医院进行面部瘢痕整复患者104例，将所有患者随机分为研究组和对照组，其中对照组使用脉冲激光对面部瘢痕进行修复，研究组使用脉冲CO2点阵激光结合E光的方法进行治疗。对两组患者治疗后临床效果、结痂时间、疼痛持续时间、不良反应发生率、视觉模拟评分（VAS评分）及满意度进行比较。结果：研究组治疗有效率显著优于对照组，差异有统计学意义（P<0.05）;研究组结痂时间、疼痛持续时间、视觉模拟评分（VAS评分）及不良反应发生率均低于对照组，差异有统计学意义（P<0.05）;研究组患者治疗满意度显著高于对照组（P<0.05）。结论：脉冲CO2点阵激光结合E光治疗面部瘢痕效果显著，能有效提高治疗满意度，明显降低患者疼痛率与不良反应发生率，值得在临床中推广使用。

[关键词]脉冲CO2点阵激光;E光;痤疮瘢痕;治疗;视觉模拟评分法

[中图分类号]R619+.6    [文献标志码]A    [文章编号]1008-6455（2019）07-0041-03

Therapeutic Effect of Pulsed CO2 Lattice Laser Combined with E-ray on Acne Scar

HU Yao，LI Kai，QIAN Yun，ZHOU Ming，QIN Wei

（Department of Plastic Surgery，Jingzhou Third People's Hospital，Jingzhou 434100，Hubei，China）

Abstract： Objective  To explore the effect of pulsed CO2 lattice laser combined with E-ray on acne scar. Methods  104 patients who underwent facial scar repair in our hospital from March 2012 to September 2016 were selected. All patients were randomly divided into study group and control group. The control group used pulsed laser to repair facial scar， while the study group used pulsed CO2  lattice laser combined with E-ray to treat facial scar. The clinical effect， scab formation time， pain duration， incidence of adverse reactions， visual analogue scale （VAS） and satisfaction were compared between the two groups. Results  The treatment efficiency of the study group patients was significantly better than that of the control group （P<0.05）. The team with scab oer time， pain duration， visual analogue scale （VAS score） and the incidence of adverse reactions were significantly lower than control group （P<0.05）， the satisfaction of patients in study group was significantly higher than that in control group （P<0.05）. Conclusion  In the clinical treatment of patients with facial scar repair， pulsed CO2  lattice laser combined with E light has a significant effect， and the pain rate and the incidence of adverse reactions of patients are significantly reduced， so the effective improvement of patients' satisfaction should be promoted in clinical treatment.

Key words： pulse CO2  lattice laser; E-ray; acne scar; treatment; VAS

痤瘡恢复后遗留的瘢痕即为痤疮瘢痕，青春期患者因内分泌失调，其毛囊、皮脂腺会出现阻塞、发炎等问题，从而导致痤疮或痤疮瘢痕的发生。有研究指出，80%～90%的青少年在发育过程中皮肤会出现囊肿、脓包等，待皮肤问题消失后可留下瘢痕[1]。随着生活水平的提高，人们对外貌的要求也逐渐增加，因此临床治疗时选择手术方法修复痤疮瘢痕的患者日益增多。以往常采用激光磨削术治疗痤疮瘢痕，但该类方法不适用于肤色较深者，近年来，点阵激光由于具有穿透深、效能高等优点，在临床中广泛使用。……