微针联合Q开关1064nm激光治疗黄褐斑疗效观察

目的:观察微针联合Q开关1 064nm激光治疗黄褐斑的临床疗效。方法:将122例患者随机分为联合组、激光组、微针组、对照组。联合组31例,采用微针联合激光的方式治疗;激光组39例,采用单一激光治疗;微针组23例,采用单一微针治疗;对照组29例,口服维生素C治疗,观察患者面部皮损的消退情况。有效率以基本治愈和显效两项统计。结果:联合组:31例患者经过治疗后,临床治愈5例,显效10例,好转14例,无效2例,总有效率48.39%;激光组:39例,临床治愈2例,显效12例,好转17例,无效8例,总有效率35.9%;微针组:23例,临床治愈2例,显效7例,好转11例,无效3例,总有效率39.13%;对照组:29例,临床治愈0例,显效1例,好转17例,无效11例,总有效率3.45%;与激光组、微针组、对照组比较,联合组总有效率显著增高(P0.01)。结论:微针联合Q开关1 064nm激光治疗黄褐斑,较传统单一方法治疗有效率高,值得临床推广。

Curative observation of the treatment for chloasma by microacupuncture needle and Q-switched 1 064nm laser

Objective To observe and compare the therapeutic effect of the chloasma treated by microacupuncture needle and Q-switched 1064nm laser.Methods 122 Chloasma cases were divided into four group.Combined group contains 31 cases and all of them were treatded by microacupuncture needle and Q-switched 1064nm laser.Laser group contains 39 cases and all of them were treatded by Q-switched 1064nm laser.Microacupuncture needle Group contains 23 cases and all of them were treatded by microacupuncture needle.Control group contains 29 cases and all of them were treatded by Vitamin C.The valid cases include the completely cured cases and cases who showed good effect.Results In combined Group,5 cases were completely cured,10 cases showed good effect,14 cases were moderately improved and 2 cases was invalid.The total effect rate was 48.39％.In laser group,2 cases were completely cured,12 cases showed good effect,17 cases were moderately improved and 8 cases was invalid.The total effect rate was 35.90％.In microacupuncture needle Group,2 cases were completely cured,7 cases showed good effect,11 cases were moderately improved and 3 cases was invalid.The total effect rate was 39.13％.In control group,no cases were completely cured,1 cases showed good effect,17 cases were moderately improved and 11 cases was invalid.The total effect rate was 3.45％.There was statistic difference in the total effect rate among the four groups（P＜0.01）.Conclusion Compared with traditional treatment with microacupuncture needle or Q-switched 1064nm laser,treatment for Chloasma by combining microacupuncture needle with Qswitched 1064nm laser are more effective.The method deserves further clinical applicat.