果酸换肤联合强脉冲光治疗黄褐斑的效果及对皮损评分的影响
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黄艳(1987.4-),女,广东广州人,本科,主治医师,主要从事色素障碍性皮肤病相关研究

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R758.42

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Effect of Glycolic Acid Peels Combined with Intensive Pulsed Light in the Treatment of Chloasma and its Effect on Skin Lesion Score
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    摘要:

    探讨果酸换肤联合强脉冲光治疗黄褐斑的效果及对皮损评分的影响。方法 选取广州医疗美 容诊所有限公司2022年3月-2023年3月收治的76例黄褐斑患者为研究对象,随机分为参照组与治疗组,各 38例。参照组给予强脉冲光,治疗组在此基础上给予果酸换肤干预,比较两组治疗效果、氧化应激指标、 VISIA皮肤特征及皮损情况。结果 治疗组治疗总有效率为97.37%,高于参照组的84.21%(P <0.05);治疗 组MDA、SOD及GSP-Px指标改善情况优于参照组(P<0.05);治疗组色素斑、皱纹、纹理、毛孔评分低 于参照组(P <0.05);治疗组皮损评分、经表皮水分流失量低于参照组,皮肤角质层含水量高于参照组 (P<0.05)。结论 临床应用果酸换肤联合强脉冲光治疗黄褐斑的疗效确切,可改善皮损程度及氧化应激 指标,提高皮肤屏障功能。

    Abstract:

    To explore the effect ofglycolic acid peels combined with intensive pulsed light in the treatment of chloasma and its effect on skin lesion score. Methods Seventy-six patients with chloasma admitted to Guangzhou Medical Beauty Clinic Co., Ltd. from March 2022 to March 2023 were selected as study subjects, and were randomly divided into the reference group and treatment group, with 38 patients in each group. The reference group was given intensive pulsed light, and the treatment group was given glycolic acid peels intervention on this basis. The therapeutic effects, oxidative stress indexes, VISIA skin characteristics and skin lesions were compared between the two groups. Results The total effective rate of the treatment group after intervention was 97.37%, which was higher than 84.21% of the reference group (P <0.05). The improvement of MDA, SOD and GSP-Px in the treatment group was better than that in the reference group (P <0.05). The scores of pigment spots, wrinkles, textures and pores in the treatment group were lower than those in the reference group (P <0.05). The skin lesion score and transepidermal water loss in the treatment group were lower than those in the reference group, and the skin stratum corneum water content was higher than that in the reference group (P <0.05). Conclusion Glycolic acid peels combined with intensive pulsed light is effective in the treatment of chloasma, which can improve the degree of skin lesions and oxidative stress indicators, and improve the skin barrier function.

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黄艳.果酸换肤联合强脉冲光治疗黄褐斑的效果及对皮损评分的影响[J].医学美学美容,2024,33(1):78-81.

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  • 在线发布日期: 2024-01-24
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