周丽华　王春艳　陆维

[摘要]目的：觀察强脉冲光联合果酸治疗女性痤疮痘印的疗效及对患者治疗满意度的影响。方法：选取笔者医院医学美容科2017年10月-2018年10月收治的120例痤疮痘印女性患者为研究对象，抽签随机分为观察组和对照组，每组60例。对照组采用果酸治疗，观察组采用强脉冲光联合果酸治疗，连续治疗6个月后来院复查，比较两组治疗后的临床疗效、满意度及不良反应。结果：观察组临床总有效率86.67%，显著高于对照组的70.00%，差异有统计学意义（P<0.05）。观察组治疗后满意患者占比70.00%，显著高于对照组的50.00%，差异有统计学意义（P<0.05）。观察组治疗后不良反应总发生率为18.33%，对照组为15.00%，两组比较差异无统计学意义（P>0.05）。结论：强脉冲光联合果酸治疗女性痤疮痘印疗效显著，对患者造成的损伤较小，见效快，且不良反应发生率低，患者治疗后满意度高，值得临床推广应用。

[关键词]强脉冲光;果酸;痤疮痘印;疗效;满意度

[中图分类号]R758.73+3    [文献标志码]A    [文章编号]1008-6455（2020）08-0056-03

Observation on Clinical Efficacy after Treatment of Female Acne Scar By Intense Pulsed Light Combined with Fruit Acid

ZHOU Li-hua， WANG Chun-yan，LU Wei

（Department Medical Cosmetology，Shanghai Dermatology Hospital，Shanghai 200071，China）

Abstract：Objective To study the effect of intense pulsed light combined with fruit acid on the treatment of female acne scar and the effect on the satisfaction of patients. Methods 120 female patients with acne acne were enrolled into the study from October 2017 to October 2018 in the medical cosmetology department of our hospital. They were randomly divided into the observation group and the control group by lot， with 60 cases each. The patients in the control group were treated with fruit acid， while those in the observation group were treated with intense pulsed light combined with fruit acid. After 6 months of continuous treatment， the patients were reexamined in hospital.The clinical efficacy， satisfaction and adverse reactions after treatment were compared between the two groups. Results The total effective rate of the observation group was 86.67%， which was significantly higher than that of the control group （70.00%， P<0.05）.The percentage of satisfied patients in the observation group after treatment was 70.00% significantly higher than that in the control group （50.00%）， the difference was statistically significant （P<0.05）.The total incidence of adverse reactions was 18.33% in the observation group and 15.00% in the control group. There was no significant difference between the two groups （P>0.05）. Conclusion  Intensive pulsed light combined with fruit acid has a significant effect on female acne scar imprint. It has less damage to patients， quick effect，low incidence of adverse reactions and high satisfaction after treatment.It is worthy of clinical application.

Key words：intense pulsed light; fruit acid; acne scar; curative effect; satisfaction degree

痤疮是一种具有多种临床表现的多因素皮肤疾病，属于慢性炎症性毛囊皮脂腺疾病，其临床症状有粉刺、丘疹、脓疱、结节和囊肿[1]。面部痤疮多发于年轻人，重度痤疮在愈合后往往导致凹陷性痤疮，外观较差，严重影响患者的心理、生理及社会交往[2]。目前治疗痤疮痘印的常用方式为果酸及强脉冲光。果酸治疗虽能对患者面部痤疮起到一定的效果[3]，但由于作用周期长、见效慢、副作用大，甚至还有耐药性等特点，让患者难以接受[4];强脉冲光治疗具有不存在耐药性、损伤较小、见效快等特点[5-6]，易于被患者接受。本文选取120例女性痤疮痘印患者为研究对象，比较强脉冲光联合果酸与果酸单独治疗的临床疗效及患者满意度，现将结果报道如下。……