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1、紅-藍(lán)光治療儀聯(lián)合治療尋常瘞瘡療效觀察紅-藍(lán)光治療儀聯(lián)合治療尋常座瘡療效觀察[摘要]目的:觀察紅-藍(lán)光聯(lián)合治療痙瘡患者的臨床療效。方法:將64例痊瘡患者隨機(jī)分成2個(gè)治療組:①單純藍(lán)光照射組(n=36);②紅藍(lán)光混合照射組(n二28)。采取連續(xù)4周,每周2次發(fā)光二極管為基礎(chǔ)的痊瘡治療儀照射。輕度患者治療一個(gè)療程,中、重度痊瘡患者連續(xù)治療1?3個(gè)療程。結(jié)果:經(jīng)過系統(tǒng)治療后,座瘡皮損均有所減輕。兩組總有效率無顯著差別(分別為80.5%及89.3%,P=0.514)o顯效率比較,紅藍(lán)光混合照射可達(dá)35.7%,遠(yuǎn)遠(yuǎn)高于單純藍(lán)光照射組(8.3%)(P二0.
2、008)。重度座瘡較中度座瘡有更為明顯的反應(yīng),且副作用很小,使用藍(lán)光對(duì)炎癥反應(yīng)可產(chǎn)生效果,配合紅光療效優(yōu)于單獨(dú)使用,無明顯的副作用。結(jié)論:紅-藍(lán)光聯(lián)合治療痊瘡可獲得理想療效,適合治療輕、重度痙瘡患者。[關(guān)鍵詞]藍(lán)光;紅光;座瘡[中圖分類號(hào)1R622[文獻(xiàn)標(biāo)識(shí)碼]A[文章編號(hào)11008-6455(2008)07-1041-03ClinicalstudyofCombinationblueandredLEDphototherapyinthetreatmentofmildtosevereacnevulgarisCHENGBiao,LIQin,LIUHo
3、ng-wei,JIANGSa,CHENKui,CHENChun(DepartmentofPlasticSurgery,GuangzhouGeneralHospitalofGuangzhouMilitaryRegion,Guangzhou,510010,Guangdong,China)Abstract:ObjectiveToevaluatethetherapeuticeffectoftheblueandredlightcombinationphototherapyforacne.Methods64patientswithmildtoseverea
4、cnevulgariswererandomizeddividedintotwotreatmentgroups:bluelight(n=36),mixedblueandredlight(n二28)?Allsubjectsweretreatedovereightsessions,twoperweek3daysapart,alternatingbetweenbluelightor/andredlightfromalight-emittingdiode(LED)-basedtherapysystem?ResultsAmeanreductioninles
5、ioncountwasobservedatallfollow-uppoints?Nostatisticallydifferencesineffectivenessbetweenthetwodifferentlightsourceswerefound(80.5%vs.89.3%,P二0.514)?However,themeanlesioncountreductionwassignificantat8.3%withbluephototherapy,themeanlesioncountreductionwasalsosignificantat35.7
6、%(P二0.008)withcombinationphototherapy.Severeacneshowedamarginallybetterresponsethanmildacne?Sideeffectswereminimalandtransitory.Specificallybluelighthasamarkedeffectoninflammatoryacnelesionsandseemssufficientforthetreatmentofacne?Inaddition,thecombinationofblue-redlightradia
7、tionseemstobesuperiortobluelightalone?ConclusionCombinationblueandredLEDtherapyappearstohaveexcellentpotentialinthetreatmentofmildtosevereacne?Keywords:redlight;bluelight;acne座瘡是一種多發(fā)生于青春期常見的皮膚疾病,好發(fā)于面頰、鼻前端及兩側(cè)、額、下額,胸背部等處,表現(xiàn)為粟粒及綠豆大小的隆起皮疹,加之炎癥反應(yīng)及微生物作用,可演變?yōu)榍鹫睢⒛摪捈榜:?,不僅有礙美觀而R給患者造成心
8、理負(fù)擔(dān)[1]。近年來,使用以發(fā)光二極管(light-emittingdiode,LED)治療系統(tǒng)為基礎(chǔ)的光了痙瘡治療儀為座瘡的治療提供了一個(gè)全新的方法