光子嫩肤联合芦荟凝胶治疗雀斑的疗效及患者术后自我认同评价分析

李康东 陈滨

[摘要]目的：探讨光子嫩肤联合芦荟凝胶治疗雀斑的疗效及对患者审美评价、生活质量的影响。方法：选取笔者医院2018年5月-2019年5月收治的80例雀斑患者，随机分为观察组和对照组，每组40例。两组均采用光子嫩肤治疗3～5次，每次治疗间隔3周。治疗后，观察组采用芦荟凝胶涂抹皮肤，对照组用毛巾冷敷处理。随访6个月，对比两组患者的疗效、恢复过程、审美及生活质量评分的差异性。结果：治疗后，观察组有效率95.00%，高于对照组的77.75%，差异有统计学意义（P<0.05）。治疗后，观察组结痂时间（6.65±0.77）d、痂落時间（9.45±1.08）d、恢复常态时间（14.51±1.37）d，均低于对照组的结痂时间（7.21±0.89）d、痂落时间（10.15±1.50）d、恢复常态时间（15.65±1.65）d，差异均具有统计学意义（P<0.05）。治疗后，两组患者皮肤健康、心理健康、情感职能及社会活动各项评分均高于治疗前，且观察组各项评分均高于对照组，差异具有统计学意义（P<0.05）。结论：光子嫩肤联合芦荟凝胶治疗雀斑具有一定疗效，能够有效促进皮肤恢复，缩短治疗时间，对提高患者的审美及生活质量产生积极影响。

[关键词]雀斑;光子嫩肤;芦荟凝胶;审美评价;生活质量评价

[中图分类号]R758.4+3    [文献标志码]A    [文章编号]1008-6455（2021）03-0034-03

Effect of Photonrejuvenation Combined with Aloe Vera Gel on Freckles and Evaluation of Self-identity of Patients after Surgery

LI Kang-dong1，CHEN Bin2

（1.Department of Dermatology and Venereology，Lujiang Hospital of Traditional Chinese Medicine，Hefei 231500，Anhui，China; 2.Department of Dermatology and Venereology，Lujiang County People's Hospital， Hefei  231500，Anhui，China）

Abstract：Objective To explore the efficacy of photorejuvenation combined with aloe gel on freckles and its effect on aesthetic evaluation and quality of life.  Methods  80 patients with freckles were selected in our hospital from May 2018 to May 2019. 80 freckles patients divided into the observation group （n=40） and the control group （n=40） randomly. The two groups patients were both treated with photorejuvenation for 3 to 5 times，3 weeks apart.After the treatment， the observation group was treated with aloe gel， and the control group was treated with cold towel. After 6 months follow-up，the difference of freckle efficacy，recovery process， aesthetic and quality of life scores  between the two groups were compared.  Results  After treatment， the effective rate of the observation group 95.00% was  higher than the control group 77.75%，the difference was statistically significant（P<0.05）.After treatment，the scab forming time （6.65±0.77）d，scab falling time （9.45±1.08）d and normal recovery time （14.51±1.37）d in the observation group were lower than those in the control group （7.21±0.89）d， scab falling time （10.15±1.50） d and normal recovery time （15.65±1.65）d，the difference were all statistically significant（P<0.05）.After treatment，the scores of skin health， mental health， emotional function and social activity in the two group were all higher than those before treatment， and the scores in the observation group were all higher than those in the control group， the difference were all statistically significant（P<0.05）.  Conclusion  Photorejuvenation combined with aloe gel has certain effect on freckles， which can effectively promote skin recovery， shorten treatment time， and has positive effect on improving the aesthetic and quality of life of patients.

Key words： freckles;photorejuvenation; aloe gel; aesthetic assessment; quality of life assessment

雀斑是一类多发于面部的色素增加性皮肤病，主要表现为皮肤上的褐色点状色素沉着斑，多发于女性患者，属于遗传性疾病。紫外线刺激下，遗传因子使基底层酶活动增强，皮肤中褐色素沉淀于皮肤表面，形成大小不一的雀斑，以分布于鼻与两颊周围居多。目前，治疗雀斑的方法主要包括激光治疗和光子嫩肤[1-2]。光子嫩肤技术采用连续波长的强脉冲光直接作用于病变皮肤表面，使其产生选择性光热效应，渗透至深层皮肤，有效分解色斑和疏通闭合异常的毛细血管，对皮肤进行非剥脱性皮肤美容，刺激皮下胶原蛋白的增生[3-4]。芦荟凝胶是一种从芦荟中萃取而成的凝胶敷料，可用于缓解皮肤因日晒引起的红肿痛痒，主要用于轻微烫伤，术后瘢痕修复等[5]。本研究采用光子嫩肤联合芦荟凝胶治疗雀斑，探讨其疗效及其对患者审美评价、生活质量的影响，现报道如下。……