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1、强脉冲光联合点阵餌激光治疗座疮瘢痕的临床效果分析［摘要］目的:联合运用强脉冲光和点阵御激光治疗痙疮瘢痕，研究分析其临床疗效及对患者生活质量的影响。方法:采用简单化随机分组方法将我院2011年1月到2013年6月期间收治的126例痙疮瘢痕患者随机分为强脉冲组、点阵组、联合治疗组，每组各42例。接受相应治疗后评价其ECCA权重评分、有效率、不良反应及生活质量。结果：联合治疗组治疗前后ECCA权重评分下降较强脉冲组和点阵组多(P<0.05)；联合治疗组总有效率95.24%,强脉冲组总有效率76.19%,点阵组总有效率80.9%,联合治疗组高于其
2、他两组(P<0.05)；联合治疗组不良反应发生率14.29%,强脉冲组为40.48%,点阵组为35.71%,联合治疗组不良反应低于具他两组(P<0.05)；治疗后联合治疗组在自我感知、社会功能、情感功能、煙疮症状等评分均高于强脉冲组和点阵组(P<0.05)o结论：联合运用强脉冲光和点阵餌激光治疗座疮瘢痕能提高疗效，减少不良反应的发生，同时能提高患者的生活质量，值得推广。［关键词］强脉冲光；点阵钳激光；瘁疮瘢痕［中图分类号］R619+.6［文献标识码］A［文章编号］1008-6455(2014)07-558-04Analysisofthec
3、linicaleffectofintensepulsed1ightanderbiumfractionallaserintreatingacnescarGAOYu-jie,HEJuan,DUANTian-xiang,WUTing-ting(SuzhouAISTPlasticSurgeryHospital,Suzhou215000,Jiangsu,China)Abstract:ObjectiveToanalysistheclinicaleffectofthetreatmentofacnescarswithcombineduseofintens
4、epulsedlightandlat.ticeerbiumlaser,fortheclinicaltreatmentofacnescarprovidingvaluablereference.MethodsJanuary2011toJune2013,126casesofacnescarswererandomlydividedintostrongpulsegroups,latticegroup,combinedtreatmentgroupbyusingthesimplerandomgroupingmethodtreatedinourhospi
5、tal,42patientsineachgroup.ScoreoftheweightsofECCA,efficiency,adversereactionsandthequalityoflifewereassessedafterreceivingthecorrespondingtreatment・ResultsCombinedtreatmentgroupbeforeandaftertreatment,ECCAscoredecreasedthantheothertwogroupsofstrongpulsegroup(P<0.05)；theto
6、talefficiencyofthecombinedtreatmentgroupwas95.24%whichwashigherthanthestrongpulsegroupthatwas76.19%andthelatticegroupthatwas80.9%(P<0.05);theincidenceofadversereactionsofcombinationtreatmentgroupwas14.29%whichwassignificantlylowerthanthestrongpulsegroupthatwas40.48%andthe
7、latticegroupthatwas35.71%(P<0.05);aftertreatmentself-perception,socialfunction,emotionalfunction,andacnesymptomsscoresinthecombinedtreatmentgroupwerehigherthanacneintensepulsedgroupandlatticegroup(P<0.05)•ConclusionJointuseofintensepulsedlightanderbiumfractionallasertreat
8、mentsforacnescarscanimproveefficacy,reducetheincidenceofadversereactions,whileimprovingthequalit
