红-蓝光治疗仪联合治疗寻常痤疮疗效观察

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1、红-蓝光治疗仪联合治疗寻常瘗疮疗效观察红-蓝光治疗仪联合治疗寻常座疮疗效观察［摘要］目的：观察红-蓝光联合治疗痙疮患者的临床疗效。方法:将64例痊疮患者随机分成2个治疗组:①单纯蓝光照射组(n=36)；②红蓝光混合照射组(n二28)。采取连续4周，每周2次发光二极管为基础的痊疮治疗仪照射。轻度患者治疗一个疗程，中、重度痊疮患者连续治疗1〜3个疗程。结果：经过系统治疗后，座疮皮损均有所减轻。两组总有效率无显著差別(分别为80.5%及89.3%,P=0.514)o显效率比较，红蓝光混合照射可达35.7%,远远高于单纯蓝光照射组(8.3%)(P二0.

2、008)。重度座疮较中度座疮有更为明显的反应,且副作用很小，使用蓝光对炎症反应可产生效果，配合红光疗效优于单独使用，无明显的副作用。结论：红-蓝光联合治疗痊疮可获得理想疗效，适合治疗轻、重度痙疮患者。［关键词］蓝光；红光；座疮［中图分类号1R622［文献标识码］A［文章编号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座疮是一种多发生于青春期常见的皮肤疾病，好发于面颊、鼻前端及两侧、额、下额，胸背部等处，表现为粟粒及绿豆大小的隆起皮疹，加之炎症反应及微生物作用，可演变为丘疹、脓疱及瘢痕，不仅有碍美观而R给患者造成心

8、理负担［1］。近年來，使用以发光二极管(light-emittingdiode,LED)治疗系统为基础的光了痙疮治疗仪为座疮的治疗提供了一个全新的方法