摘要
目的:探究火针、点刺放血联合强脉冲光治疗玫瑰痤疮的美学效果观察。方法:按照随机数字表法将2021年3月-2023年3月空军军医大学西京医院皮肤科收治的110例患有玫瑰痤疮的患者分为单一组和联合组,单一组采用强脉冲光治疗,联合组在单一组的基础上联合火针、点刺放血治疗,每组55例。比较两组患者治疗总有效率、皮肤屏障功能、生活质量评分和不良反应发生情况。结果:两组患者治疗前症状积分相近,治疗后,两组症状积分均下降,且联合组低于单一组,联合组治疗总有效率为90.91%(50/55),高于单一组的76.36%(42/55)(P<0.05)。治疗前,两组患者角质层含水量以及经皮失水量相近(P>0.05),相较于单一组,联合组治疗后角质层含水量较高,经皮失水量较低(P<0.05)。治疗前,两组患者面部痤疮特异性生活质量调查问卷(Qol-acne)各维度得分相近(P>0.05),相较于单一组,联合组治疗后Qol-acne问卷各维度得分较高(P<0.05)。两组患者总不良反应发生率差异无统计学意义(P>0.05)。结论:火针、点刺放血联合强脉冲光能够有效缓解玫瑰痤疮患者临床症状,改善患者皮肤屏障,提高患者生活质量,且具有安全性。
Objective To explore the cosmetic effect of fire needle,pricking bloodletting combined with intense pulsed light in the treatment of rosacea.Methods According to the random number table method,110 patients with rosacea in Xijing Hospital,Fourth Military Medical University from March 2021 to March 2023 were divided into single group and combined group.The single group was treated with intense pulsed light,while the combined group was combined with fire needle and pricking bloodletting on the basis of the single group,with 55 cases in each group.The total effective rate of treatment,skin barrier function,quality of life scores and occurrence of adverse reactions were compared between groups.Results The symptom score was similar between groups before treatment,and after treatment,symptom score in both groups was decreased,and the score in combined group was lower than that in single group,and the total effective rate of treatment in combined group with 90.91%(50/55)was higher than 76.36%(42/55)in single group(P<0.05).Before treatment,the water content of stratum corneum and transepidermal water loss were similar between groups(P>0.05).Compared with single group,the water content of stratum corneum was higher while the transepidermal water loss was lower in combined group after treatment(P<0.05).The scores of dimensions of acne-specific quality of life questionnaire(Qol-acne)were similar between the two groups before treatment(P>0.05),and the scores of dimensions of Qol-acne questionnaire after treatment in combined group were higher than those in single group(P<0.05).The total incidence rate of adverse reactions was similar between groups(P>0.05).Conclusion Fire needle,pricking bloodletting combined with intense pulsed light can effectively alleviate the clinical symptoms of patients with rosacea,improve the skin barrier,and enhance the quality of life of patients,and it has safety.
作者
张悄
宋婷
宋璞
ZHANG Qiao;SONG Ting;SONG Pu(Department of Dermatology,Xijing Hospital,Air Force Medical University,Xi'an 710032,Shaanxi,China)
出处
《中国美容医学》
2025年第10期104-107,共4页
Chinese Journal of Aesthetic Medicine
基金
国家自然科学基金资助项目(编号:82373480)。
关键词
火针
点刺放血
生活质量
强脉冲光
玫瑰痤疮
皮肤屏障
fire needle
pricking bloodletting
quality of life
intense pulsed light
rosacea
skin barrier
