强脉冲光联合超声波导药治疗激素依赖性皮炎疗效观察.docVIP

强脉冲光联合超声波治疗激素依赖性皮炎疗效观察 王燕，孙素姣，段静娴，马琼，陈丽华 （大理学院附属医院美容科 云南 671000） [摘要] 目的：观察强脉冲光联合超声波导入药物对激素依赖性皮炎的治疗效果。方法：将68例激素依赖性皮炎患者随机分为两组，治疗组先用超声波导入10%葡萄糖酸钙及自制导入液，1次/周，每3周行强脉冲光治疗1次，5次为1疗程；对照组仅使用IPL治疗，每3周1次，5次1疗程。1疗程结束后评价疗效。结果：治疗组主观症状及皮肤潮红肿胀、干燥脱屑及痤疮样皮损及皮肤老化治疗效果优于对照组，差异有统计学意义，而对多毛及毛细血管扩张两组差异无显著性。结论：强脉冲光联合超声波导入药物治疗激素依赖性皮炎具有疗效好、不良反应轻等优点。 [关键词] 激素依赖性皮炎 强脉冲光 超声波 Clinical Observation of Combination with the IPL and the Ultrasonic Wave Guide in Treatment Of Corticosteroid-Dependent Dermatitis. WANG Yan,SUN Su-jiao,DUAN Jing-xian,MA Qiong,CHEN Li-hua (Depatrment of cosmetology, Affliated Hospital of Da Li University,Yun Nan671000 ,China) [Abstracte] Object To investigate the therapeutic effect in combination with the IPL(intense pulsed light) and the ultrasonic wave guide in treatment of corticosteroid dependent dermatitis(CDD).Methods 68 patients of CDD were radomized into two groups:the treatment group : guiding the 10% calcium glaconate injection and self-made nutrient solution by phonophoresis 1~2 times every week,then IPL was applied 1 times every 3 weeks,5 times of IPL as a treatment course; the control group: IPL was applied once every 3 weeks only, period of treatment 5 times.Result The therapeutic effect of the subject symptoms , face diffused erythema and tumid,drying and desquamation,acneform lesion and skin aging in treatment group was significantly better than that of control group. But the treatment effect of polytrichia and angiotelectasis between two groups was samely.Conclusion: It was safe with less complications and good prognosis that combinated with the IPL and the ultrasonic wave guide in treatment of CDD. 近年来由于激素及劣质美白祛斑化妆品的滥用，激素依赖性皮炎的发病率逐年升高，该病主要发生于面部，表现为面部潮红、敏感、干燥、痤疮样疹、多毛及皮肤萎缩等，严重影响患者的容貌及生活。其治疗较为棘手，多数治疗主要针对急性期损害，我科于2008年3月~2011年3月采用强脉冲光结合超声波导入药物治疗该病，对急、慢性损害均有较好疗效，现将结果报道如下。 1 临床资料与方法 1.1 临床资料 68例患者为我科门诊就诊患者，均为女性，年龄28岁~52岁。均为外用美白祛斑类化妆品所致，使用时间最短半年，最长6年。所有患者诊断均符合糖皮质激素依赖性皮炎的诊断标准[1] 。 1.2方法 1.2.1 治疗方法：将68例患者随机分为两组，治疗组36例，超声波（北京凯尔斯KES-105）导入自制导入液（含10%葡萄糖酸钙、替硝