果酸换肤联合强脉冲光对黄褐斑患者皮损情况与氧化应激水平的影响
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周文文(1985.11-),女,江苏宿迁人,本科,主治医师,主要从事美容皮肤科诊治工作

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R783.3

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Effect of Glycolic Acid Peels Combined with Intensive Pulsed Light on Skin Lesions and Oxidative Stress Level in Patients with Chloasma
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    摘要:

    目的 探讨黄褐斑患者采用果酸换肤联合强脉冲光治疗的效果。方法 选择2020年2月-2024年1月 张家港喜悦智美医疗美容诊所收治的66例黄褐斑患者,均为女性,按随机数字表法分为对照组和观察组, 各33例。对照组予以强脉冲光治疗,观察组在对照组治疗基础上联合果酸换肤治疗,比较两组临床疗 效、皮损改善情况(皮损评分、皮肤角质层含水量与经表皮水分流失量)、氧化应激水平[超氧化物歧 化酶(SOD)、谷胱甘肽过氧化物酶(GSH-PX)、丙二醛(MDA)]。结果 观察组治疗总有效率为 96.97%,高于对照组的78.79%(P <0.05);观察组治疗后皮损评分、经表皮水分流失量低于对照组,皮 肤角质层含水量高于对照组(P<0.05);观察组治疗后MDA水平低于对照组,SOD、GSP-Px水平高于对 照组(P<0.05)。结论 果酸换肤联合强脉冲光可提升黄褐斑患者治疗效果,改善皮损状况、氧化应激水 平,值得临床应用。

    Abstract:

    Objective To investigate the effect of glycolic acid peels combined with intensive pulsed light in the treatment of chloasma. Methods From February 2020 to January 2024, 66 female patients with chloasma admitted to Zhangjiagang Joy Chi Mei Medical Cosmetic Clinic were selected and divided into control group and observation group according to random number table method, with 33 patients in each group. The control group was treated with intensive pulsed light, and the observation group was treated with glycolic acid peels on the basis of the control group. The clinical efficacy, skin lesion improvement (skin lesion score, skin stratum corneum water content and transepidermal water loss), oxidative stress level [superoxide dismutase (SOD), glutathione peroxidase (GSH-PX), malondialdehyde (MDA)] were compared between the two groups. Results The total effective rate of treatment in the observation group was 96.97%, which was higher than 78.79% in the control group (P <0.05). After treatment, the skin lesion score and transepidermal water loss in the observation group were lower than those in the control group, and the skin stratum corneum water content was higher than that in the control group (P <0.05). After treatment, the level of MDA in the observation group was lower than that in the control group, and the levels of SOD and GSP-Px were higher than those in the control group (P <0.05). Conclusion Glycolic acid peels combined with intensive pulsed light can improve the therapeutic effect of chloasma patients, improve their skin lesion status and oxidative stress level, which is worthy of clinical application.

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周文文.果酸换肤联合强脉冲光对黄褐斑患者皮损情况与氧化应激水平的影响[J].医学美学美容,2024,33(18):65-68.

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  • 在线发布日期: 2024-10-22
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