摘要
目的:观察点阵射频治疗面部痤疮瘢痕的疗效及不良反应。方法:2018年5月至2020年1月,中国医学科学院皮肤病医院理疗科就诊的面部痤疮瘢痕患者57例,男37例、女20例,年龄17~30岁(23.3±3.6)岁。采用点阵射频治疗,治疗头按照矩阵排列,治疗面积1.2 cm×1.2 cm,能量密度80~100 mJ/pin,间隔5~7周治疗1次,治疗后随访观察末次治疗后6个月临床疗效及不良反应,根据痤疮瘢痕权重评分表进行评分,并按完全改善、显著改善、中度改善、轻度改善进行疗效判定。结果:57例患者经3次治疗后有效率为77.2%(44/57),治疗前后痤疮瘢痕权重评分值分别为65.9±25.0和47.7±20.2,差异有统计学意义(t=13.92,P<0.001);瘢痕改善的同时,32例患者的肤色、毛孔细腻程度、皮肤弹性均有不同程度的改善,患者满意度较高。不良反应主要是轻度灼痛感、红斑水肿,少许患者有淡黄色渗出液,5~7 d缓解。结论:点阵射频治疗面部痤疮瘢痕安全有效,恢复期短、不良反应少,患者满意度较高。
Objective To observe the efficacy and adverse reactions of fractional radiofrequency(FRF)in the treatment of facial acne scars.Methods Fifty-seven patients with facial acne depressed scars were enrolled with the nature of Dreno scars as the diagnostic criteria.They were treated with lattice radiofrequency.The treatment heads were arranged in a matrix with a treatment area of 1.2 cm×1.2 cm,an energy density of 80-100 mJ/pin,and an interval of five-seven once a week.And they were followed up and evaluated for the clinical efficacy and adverse reactions 6 months after the last treatment.Scoring was carried out according to the ECCA weight scores,and the efficacy judged according to complete improvement,significant improvement,moderate improvement,and mild improvement.Results After 3 times of fractional radiofrequency treatment of 57 patients,the effective rate was 44 cases,accounting for 77.2%;the ECCA weight scores before and after treatment were 65.9±25.0 and 47.7±20.2,respectively;the difference was statistically significant(t=13.92,P<0.001);At the same time of improvement,32 cases of patients'complexion,fineness of pores,and skin elasticity had been improved to varying degrees,and patient satisfaction was high.Adverse reactions were mainly mild burning sensation,erythema and edema,and some patients had pale yellow exudate,etc,which could be relieved in 5-7 days.Conclusions Fractional radiofrequency treatment of facial acne scars is safe and effective,with short recovery period,few adverse reactions and high patient satisfaction.
作者
田盼盼
黄丹
张小华
朱艳
庄晨
栾超
张家安
鞠梅
陈崑
Tian Panpan;Huang Dan;Zhang Xiaohua;Zhu Yan;Zhuang Chen;Luan Chao;Zhang Jiaan;Ju Mei;Chen Kun(Department of Physical Therapy,Chinese Academy of Medical Sciences&Peking Union Medical College Hospital of Skin Diseases and Institute of Dermatology,Nanjing 210042,China)
出处
《中华医学美学美容杂志》
2023年第1期50-53,共4页
Chinese Journal of Medical Aesthetics and Cosmetology
关键词
痤疮
瘢痕
激光
点阵射频
疗效
Acne
Scar
Lasers
Fractional radiofrequency
Curative effects
