文献简介

出版社:Indian Journal of Dermatology

作  者:Balakrishnan Nirmal, Sathish B. Pai, Handattu Sripathi, Raghavendra Rao, Smitha Prabhu, Mohan H. Kudur, Sudhir U. K. Nayak

编  号:

关键字:Acne scars, fractional laser, photographs

年  份:2013   点击量:1338

提  供:http://web.ebscohost.com/ehost/pdfviewer/pdfviewer?vid=3&sid=0dc62955-00dd-40e5-8612-a0884aefe576%40

文献摘要

Background:

Treatment of acne scars with ablative fractional laser resurfacing has given good improvement. But, data on Indian skin are limited. A study comparing qualitative, quantitative, and subjective assessments is also lacking.
研究背景:

应用剥脱性点阵式激光换肤术对痤疮瘢痕的治疗已经得到很好地改进,但是有关印度患者的相应数据却很有限,而且,缺乏一项对定性,定量和主观评估进行比较的研究。
Aim:

Our aim was to assess the improvement of facial acne scars with Erbium-doped Yttrium Aluminium Garnet (Er:YAG) 2940 nm fractional laser resurfacing and its adverse effects in 25 patients at a tertiary care teaching hospital.
研究目的:

我们旨在评估25名来自三级医疗教学医院的患者,在应用掺铒钇铝石榴石(ErYAG2940nm点阵激光换肤术后,面部痤疮瘢痕的改善情况及其不良反应。
Methods:

All 25 patients received four treatment sessions with Er:YAG fractional laser at 1-month interval. The laser parameters were kept constant for each of the four sittings in all patients. Qualitative and quantitative assessments were done using Goodman and Barron grading. Subjective assessment in percentage of improvement was also documented 1 month after each session. Photographs were taken before each treatment session and 1 month after the final session. Two unbiased dermatologists performed independent clinical assessments by comparing the photographs. The kappa statistics was used to monitor the agreement between the dermatologists and patients.
研究方法:

应用ErYAG点阵激光对25名患者进行了4次治疗,每次间隔1个月。所有患者每次治疗的激光参数保持不变。使用古德曼和巴伦(Goodman and Barron)分级进行定性和定量评估。每次治疗后1个月,按照改善百分比记录主观评估。每次治疗前以及最后1次治疗后1个月进行拍照。由两名公正的皮肤科医生通过对比照片,进行独立的临床评估。采用Kappa统计分析皮肤科医生评估结果和病人的评估结果。
Results:
Most patients (96%) showed at least fair improvement. Rolling and superficial box scars showed higher significant improvement when compared with ice pick and deep box scars. Patients satisfaction of improvement was higher when compared to physicians observations. No serious adverse effects were noted with exacerbation of acne lesions forming the majority.
研究结果:

大多数患者(96%)都得到了明显的改善。与冰锥状瘢痕和凹陷性瘢痕相比萎缩性浅疤痕改善较明显。与医生的观测数据相比,病人对改善后的满意度较高。没有观察到大面积痤疮皮损加剧的严重不良反应。
Conclusion:

Ablative fractional photothermolysis is both effective and safe treatment for atrophic acne scars in Indian skin. Precise evaluation of acne scar treatment can be done by taking consistent digital photographs.
研究结论:

剥脱性点阵式光热作用治疗印度患者皮肤的萎缩性痤疮瘢痕,既有效又安全。通过拍取一致的数码照片可以对痤疮瘢痕的治疗进行准确的评估。