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1、新型强脉冲光脱毛的疗效观察[摘要]目的:观察具有完美脉冲技术(optimalpulsetechnology,OPT)的新型强脉冲光(intensepulsedlight,IPL)脱毛的临床疗效及安全性。方法:应用具有OPT的新型IPL对195例患者共计376个部位进行脱毛。4~6周治疗1次,4次为1疗程。分别于每次治疗前及第4次治疗后2个月记录治疗部位毛发密度(根/cm2),以治疗前后毛发密度计算毛发减少百分率来评价治疗效果;并随访6个月观察不良反应;同时评定医生和患者的主观满意程度。结果:每次治疗后,有效率分别为28.99%、76.33%、87.77%、9
2、5.48%;治疗结束时,各脱毛部位疗效相当。随访6个月,有150个(39.89%)脱毛部位毛发再生;所有再生毛发面积不超过原有脱毛面积的10%,且再生毛发较治疗前变细变黄,生长延迟。治疗结束时,有12(3.19%)个治疗部位发生轻微炎症后色素沉着,随访6个月色素沉着消失,所有患者均未发生色素脱失。对脱毛疗效综合评价,医生满意率95.74%,患者满意率92.82%,二者差异无统计学意义(χ2=2.98,P>0.05)。结论:应用具有OPT的新型IPL进行脱毛疗效显著、副作用小。[关键词]完美脉冲技术;强脉冲光;脱毛EfficacyofaNewIntensePu
3、lsedLightDeviceonHairRemoval(DepartmentofDermatologyofNO.1Hospital,KeyLaboratoryofImmunodermatologyofMinistryofHealth,ChinaMedicalUniversity,Shenyang110001,China)[Abstract]Objective:Toobservetheefficacyandsafetyofintensepulsedlight(IPL)incorporatedwithoptimalpulsetechnology(OPT)onH
4、airRemoval.Methods:Atotalof195patientsweretreatedwithIPL-OPTon238sites.Foursessionswereperformedatanintervalof4-6weeks.Percenthairreductionwasevaluatedaftereachsessionbycomparingtheterminalhaircounttothebaselinevalues.Follow-upwasdone6monthsafterthelastsession.Inaddition,subjective
5、satisfactionwasgivenbyphysiciansandpatients,accordingtoafour-gradescaleandsatisfactionrateswerecalculated.Results:Morethan40%improvementofhairremovalwas28.99%,76.33%,87.77%and95.48%infoursessions,respectively.Afterthefourthsession,differentsitesofhairremovalallgotgoodresults(P>0.05
6、).结论:Atthe6-monthfollow-upvisit,theregeneratedhairswerefoundon150(39.89%)sitesofhairremoval.Theareasoftheregeneratedhairhadnotexceeded10%areasofhairremoval.Theregeneratedhairsbecamethinnerandpalewithgrowthdelay.Hyperpigmentationwasobservedon12(3.19%)sites,disappearingafter6monthsfo
7、llow-up.Nohypopigmentationwasobserved.Thesatisfactionratesofthephysiciansandthepatientswere95.74%and92.82%respectively,showingnostatisticallydifference(χ2=2.98,P>0.05).Conclusions:ThisstudydemonstratesthatIPL-OPTisasafeandeffectivetreatmentoptionforhairremoval,withrelativelyfewside
8、effects.[KeyWords]Optimalp