论文--新型强脉冲光脱毛的疗效观察.docVIP

新型强脉冲光脱毛的疗效观察 ［摘要］ 目的：观察具有完美脉冲技术（optimal pulse technology, OPT）的新型强脉冲光（intense pulsed light, IPL）脱毛的临床疗效及安全性。方法：应用具有OPT的新型IPL对195例患者共计376个部位进行脱毛。4～6周治疗1次，4次为1疗程。分别于每次治疗前及第4次治疗后2个月记录治疗部位毛发密度（根/cm2），以治疗前后毛发密度计算毛发减少百分率来评价治疗效果；并随访6个月观察不良反应；同时评定医生和患者的主观满意程度。结果：每次治疗后，有效率分别为28.99%、76.33%、87.77%、95.48%；治疗结束时，各脱毛部位疗效相当。随访6个月，有150个（39.89%）脱毛部位毛发再生；所有再生毛发面积不超过原有脱毛面积的10%，且再生毛发较治疗前变细变黄，生长延迟。治疗结束时，有12（3.19%）个治疗部位发生轻微炎症后色素沉着，随访6个月色素沉着消失，所有患者均未发生色素脱失。对脱毛疗效综合评价，医生满意率95.74％，患者满意率92.82%，二者差异无统计学意义（χ2=2.98， P＞0.05）。结论：应用具有OPT的新型IPL进行脱毛疗效显著、副作用小。 ［关键词］完美脉冲技术；强脉冲光；脱毛 Efficacy of a New Intense Pulsed Light Device on Hair Removal (Department of Dermatology of NO.1 Hospital，Key Laboratory of Immunodermatology of Ministry of Health, China Medical University, Shenyang 110001, China) [Abstract] Objective: To observe the efficacy and safety of intense pulsed light (IPL) incorporated with optimal pulse technology (OPT) on Hair Removal. Methods: A total of 195 patients were treated with IPL-OPT on 238 sites. Four sessions were performed at an interval of 4-6 weeks. Percent hair reduction was evaluated after each session by comparing the terminal hair count to the baseline values. Follow-up was done 6 months after the last session. In addition, subjective satisfaction was given by physicians and patients, according to a four-grade scale and satisfaction rates were calculated. Results: More than 40% improvement of hair removal was 28.99%, 76.33%, 87.77% and 95.48% in four sessions, respectively. After the fourth session, different sites of hair removal all got good results (P＞0.05).结论：At the 6-month follow-up visit, the regenerated hairs were found on 150 （39.89%）sites of hair removal. The areas of the regenerated hair had not exceeded 10% areas of hair removal. The regenerated hairs became thinner and pale with growth delay. Hyperpigmentation was observed on 12（3.19%）sites, disappearing after 6 months follow-up. No hypopigmentation was observed. The satisfaction rates of the physicians and the