强脉冲光联合中药内服治疗黄褐斑疗效剖析.docVIP

强脉冲光联合中药内服治疗黄褐斑疗效剖析 　　[摘要]目的：探讨采用强脉冲光联合中药内服治疗黄褐斑的疗效和安全性。方法：将300例黄褐斑患者，随机分为3组，每组100例。其中对照1组仅采用强脉冲光治疗；对照2组单纯采用口服中药治疗；治疗组予以强脉冲光与中药内服联合治疗。结果：治疗后对照1组有效率为46.0%，对照2组有效率为68.0%，治疗组有效率为84.0%。结论：强脉冲光联合中药内服治疗黄褐斑疗效显著，作用安全，是可靠且有效的治疗黄褐斑手段，比单独使用强脉冲光或中药内服疗效好。 　　[关键词]黄褐斑；强脉冲光；中药内服；疗效 　　[中图分类号]R758.4+2 [文献标志码]B [文章编号]1008-6455（2017）09-0102-02 　　Clinical Analysis of Intense Pulse Light Combined with Traditional Chinese Medicine in the Treatment of Chloasma 　　ZHAO Jing 　　（Suzhou Mylike Cosmetic Hospital，Suzhou 215000，Jiangsu，China） 　　Abstract： Objective In order to study the efficacy and safety of the combination of intense pulsed light and traditional Chinese medicine in the treatment of chloasma. Methods 300 cases of chloasma patients， in which way were randomly divided into 3 groups， each group of 100 cases. In the control group， only 1 were treated with intense pulsed light， and the control group was treated with oral traditional Chinese medicine for 2， and the treatment group was treated with the combination of intense pulsed light and traditional Chinese medicine for treating 3 years. Results After treatment， the effective rate of the control group 1 was 46%， and the effective rate of the control group 2 was 68%， and the effective rate of the treatment group was 84%. Conclusion Intense pulsed light combined with Chinese medicine oral administration is effective and safe in the treatment of chloasma. It is a reliable and effective method for the treatment of melasma. It is better than the use of high intensity pulsed light or traditional Chinese medicine. 　　Key words： chloasma；intense pulsed light； oral administration of traditional Chinese Medicine； therapy 　　近年来，笔者尝试采用强脉冲激光联合中药内服治疗面部黄褐斑患者，取得了良好疗效，现报道如下。 　　1 资料和方法 　　1.1 临床资料：女性黄褐斑患者300例，年龄21～54岁，病程1～6年，平均病程3年。皮损多对称分布于面部的眼睑、颧部、颖部、颊部、前额部及鼻部等处，其中双侧278例，单侧22例。面积0.5cm×2.5cm～6.5cm×8.0cm，病变颜色主要呈黄褐色或深褐色。纳入标准：①符合诊断标准[1]；②之前未采取过其他任何形式的治疗；③病患处无色素减退现象发生；④术后可以做到避光；⑤防止褐色痣或扁平藓等其他情况对病情的判断。根据据黄褐斑的特征将患者按中医辨证大致分为以下两种类型：①肝郁气滞型：黄褐斑大多为不规则形状