强脉冲光脱毛的临床疗效观察.docVIP

强脉冲光脱毛的临床疗效观察 　　[摘要] 目的 评价强脉冲光祛除多余体毛的临床疗效，并观察其治疗的安全性。 方法 采用强脉冲光治疗仪对265例患者387个部位进行脱毛治疗，治疗波长为700～1200 nm，能量密度为26～45 J/cm2，脉冲宽度30～40 ms，治疗间隔4～8周，每次治疗前和末次治疗后6个月评价患者的临床效果。 结果 经3～10次光子脱毛治疗后，总有效率为98.71%，总治愈率为95.35%。腋窝、发际、四肢、胸腹部、比基尼部位的有效率达100.00%，治疗次数少；唇部、眉间有效率分别为95.40%和75.00%，治疗次数相对较多。治疗期间仅1例出现局部水疱，经对症处理后消失，其余未出现水疱、瘢痕、色素沉着、色素脱失等其他不良反应。 结论 强脉冲光脱毛效果好，与治疗次数呈正相关，不同部位的脱毛效果不一致，腋部、四肢等处效果较好，采用个体化治疗参数安全，不良反应少，不影响生活工作，患者易接受。 　　[关键词] 脱毛；疗效；强脉冲光 　　[中图分类号] R730.57 [文献标识码] B [文章编号] 1674-4721（2014）09（b）-0174-03 　　Clinical observation of curative effect of intense pulsed light on hair removal 　　WANG Huai-xiang LI Jian-ming 　　Lishi Road Outpatient Department of Second Artillery of PLA，Beijing 100045，China 　　[Abstract] Objective To evaluate the curative effect of intense pulsed light （IPL） on excess body hair removal and observe its therapeutic safety. Methods The human 387 different areas of 265 cases were depilated by IPL at 4 to 8 weeks interval.The energy density was delivered in the range of 26-45 J/cm2 by multiple pulse illumination with duration of 30-40 ms and wavelength of 700-1200 nm.The assessment for curative effect of hair reduction was conducted prior to each treatment and 6 months after the last treatment. Results The total effective rate and cure rate after 3-10 treatments was 98.71% and 95.35% respectively.The effective rate of axillary，hairline，limb，chest and abdomen，perineum groups were 100.00% and the times were fewer than those in the rest of groups，the effective rate of lip and glabella groups were 94.50% and 75.00%.During treatment，only 1 case appeared local blister which then were cured after symptomatic treatment.No adverse effects such as blister，scarring and pigmentation or hypopigmentation were observed on the rest of cases. Conclusion Intense pulsed light is better effective on hair removal and its curative effect is positively related to the frequency of the treatments.Due to different areas of the body，the curative efficiency of permanent hair remov