[1]刘 凯,孙亚利,王长华.柴芍龙牡汤加减联合红蓝光治疗肝郁血热型玫瑰痤疮的美学效果及皮肤镜下变化分析[J].中国美容医学,2023,(7):159-163.[doi:10.15909/j.cnki.cn61-1347/r.005797]
　LIU Kai,SUN Yali,WANG Changhua.Aesthetic Effects and Dermoscopic Changes in the Treatment of Liver Depression and Blood Heat Type Acne Rosacea by Combining Modifi ed Chaishao Longmu Decoction with Red and Blue Light[J].Medical Aesthetics and Beauty,2023,(7):159-163.[doi:10.15909/j.cnki.cn61-1347/r.005797]
点击复制

柴芍龙牡汤加减联合红蓝光治疗肝郁血热型玫瑰痤疮的美学效果及皮肤镜下变化分析()
分享到：

《中国美容医学》[ISSN:1008-6445/CN:61-1347/R]

卷:
期数:
2023年7期
页码:
159-163
栏目:
出版日期:
2023-07-10

文章信息/Info

Title:
Aesthetic Effects and Dermoscopic Changes in the Treatment of Liver Depression and Blood Heat Type Acne Rosacea by Combining Modifi ed Chaishao Longmu Decoction with Red and Blue Light
文章编号:
1008-6455（2023）07-0159-04
作者:
刘 凯; 孙亚利; 王长华
(北京核工业医院皮肤科 北京 102413 )
Author(s):
LIU Kai; SUN Yali; WANG Changhua
(Department of Dermatology,Beijing Nuclear Industry Hospital,Beijing 102413,China)
关键词:
柴芍龙牡汤; 红蓝光; 玫瑰痤疮; 肝郁血热型; 美学效果; 皮肤镜下特征
Keywords:
Chaishao Longmu Decoction;  red and blue light;  acne rosacea;  liver depression and blood heat type;  cosmetic result;  characteristic under dermatoscopy
分类号:
R758.73+ 4
DOI:
10.15909/j.cnki.cn61-1347/r.005797
文献标志码:
A
摘要:
目的：探讨柴芍龙牡汤加减联合红蓝光治疗肝郁血热型玫瑰痤疮的美学效果及皮肤镜下改变。方法：选取2019年2 月-2022年3月在笔者医院接受治疗的120例肝郁血热型玫瑰痤疮患者，按照随机数字表法分成研究组与对照组，各60例。对 照组单纯接受红蓝光治疗，研究组在对照组的基础上给予柴芍龙牡汤治疗。治疗4周后，比较两组临床疗效、治疗前后中医 证候积分、治疗后美学效果[温哥华瘢痕量表（Vancouver scar scale，VSS）、面部纹理值、面部毛孔值及皮肤镜下特 征]。结果：治疗前，两组中医证候积分、VSS评分、面部纹理值、面部毛孔值差异无统计学意义（P＞0.05）；治疗后， 研究组治疗总有效率高于对照组，中医证候积分、VSS评分、面部纹理值、面部毛孔值及总分均低于对照组，差异有统计 学意义（P＜0.05）。两组皮肤镜下背景颜色、血管排列方式及血管形状差异有统计学意义（P＜0.05）。结论：柴芍龙牡 汤加减联合红蓝光治疗肝郁血热型玫瑰痤疮具有较好临床疗效，有效恢复面部皮肤美观，可改善皮肤镜下特征，值得临床推 广应用。
Abstract:
Objective This study aimed to investigate the cosmetic outcomes of modifi ed Chaishao Longmu Decoction combined with red and blue light therapy in the treatment of acne rosacea associated with liver depression and blood heat, as well as the observed changes under dermatoscopy. Methods A total of 120 patients with acne rosacea associated with liver depression and blood heat type were selected from February 2019 to March 2022. The patients were randomly divided into a study group and a control group, with 60 cases in each group. The control group received treatment with red and blue light therapy alone, while the study group received treatment with modifi ed Chaishao Longmu Decoction combined with red and blue light therapy.After 4 weeks of treatment,the clinical eff ects, Traditional Chinese Medicine (TCM) symptom scores before and after treatment, and cosmetic outcomes [assessed by Vancouver Scar Scale (VSS), facial texture value, and facial pore value] after treatment were compared between the two groups. Furthermore, the characteristics observed under dermatoscopy were evaluated. Results No signifi cant diff erence in TCM symptom scores, VSS scores, facial texture value, and facial pore value between the two groups was observed before treatment (P ＞0.05). However, after treatment, the study group showed a higher total treatment response rate compared to the control group. The TCM symptom scores,VSS score,facial texture value, and facial pore value were lower in the study group than in the control group (P ＜0.05). The background color,arrangement, and shape of blood vessels observed under dermatoscopy were signifi cantly diff erent between the two groups (P ＜0.05). Conclusion Modifi ed Chaishao Longmu Decoction combined with red and blue light therapy is effective in the treatment of liver-depression-blood-heat type acne rosacea. The combined treatment can eff ectively improve the appearance of facial skin and modify the observed characteristics under dermatoscopy, which is worthy of clinical application.

相似文献/References:

[1]万 焰,房 慧,姚 琴,等. IPL与红蓝光分别联合果酸治疗寻常性痤疮疗效对比[J].中国美容医学,2018,(11):63.
　WAN Yan,FANG Hui,YAO Qin,et al. Effect of Contrast Intense Pulsed Light and Red and Blue Ray Combined with Acid in Treatment of Acne Vulgaris[J].Medical Aesthetics and Beauty,2018,(7):63.
[2]杨利蓉. 红蓝光照射联合聚维酮碘湿敷治疗中重度痤疮临床研究[J].中国美容医学,2019,(04):52.
　YANG Li-rong. Clinical Study on Moderate and Severe Facial Acne Treated by Red-blue LightIrradiation Combined with Hydropathic Compress of Povidone Iodine[J].Medical Aesthetics and Beauty,2019,(7):52.
[3]何小亮,何 圆,董 东. 脉冲激光引流在囊肿型痤疮患者中的应用[J].中国美容医学,2020,(3):48.
　HE Xiao-liang,HE Yuan,DONG Dong.Application of Pulsed Laser Drainage in Patients with Cystic Acne[J].Medical Aesthetics and Beauty,2020,(7):48.
[4]石晓亮,唐清宁,李秀芳. 超分子水杨酸联合红蓝光治疗轻中度痤疮疗效分析[J].中国美容医学,2020,(3):56.
　SHI Xiao-liang,TANG Qing-ning,LI Xiu-fang. Effect Analysis of Supramolecular Salicylic Acid Combined with Red Blue Light inTreating Mild and Moderate Acne[J].Medical Aesthetics and Beauty,2020,(7):56.
[5] 谭竞宜,张照明. 青春期后痤疮的发病因素及红蓝光联合强脉冲光治疗的效果分析[J].中国美容医学,2021,(6):94.
　 TAN Jing-yi,ZHANG Zhao-ming. Pathogenic Factors of Post-adolescent Acne and Observation of the TherapeuticEffect of Red and Blue Light Combined with Intense Pulsed Light[J].Medical Aesthetics and Beauty,2021,(7):94.
[6]祝 嘉,彭 琛,王 静,等.清肺凉血消痤汤结合红蓝光治疗寻常痤疮的疗效观察[J].中国美容医学,2022,(8):116.
　ZHU Jia,PENG Chen,WANG Jing,et al.Effect of Qingfei Liangxue Xiaocuo Decoction Combined with Red and Blue Light in the Treatment of Acne[J].Medical Aesthetics and Beauty,2022,(7):116.
[7]周 博,章海涛.亚抗微生物剂量多西环素联合红蓝光治疗中重度痤疮的临床评价[J].中国美容医学,2022,(9):55.
　ZHOU Bo ZHANG Haitao.Clinical Evaluation of Subantimicrobial Dose of Doxycycline Combined with Red-blue Light in the Treatment of Moderate and Severe Acne[J].Medical Aesthetics and Beauty,2022,(7):55.
[8]高雪军,刘 佳,刘军兰.红蓝光联合复方黄柏液涂剂治疗中重度寻常痤疮效果观察[J].中国美容医学,2022,(9):63.
　GAO Xuejun,LIU Jia,LIU Junlan.Effect of Red-blue Light Combined with Compound Huangbai Liquid in the Treatment of Moderate-to-severe Acne Vulgaris[J].Medical Aesthetics and Beauty,2022,(7):63.
[9]余 乐,陈 佳,张 祎,等.果酸联合红蓝光治疗面部脂溢性皮炎疗效分析[J].中国美容医学,2023,(10):116.[doi:10.15909/j.cnki.cn61-1347/r.005964]
　YU Le,CHEN Jia,ZHANG Yi,et al.Analysis of the Effi cacy on Alpha-hydroxy Acid Combined with Red-blue Phototherapy in Treating Facial Seborrheic Dermatitis[J].Medical Aesthetics and Beauty,2023,(7):116.[doi:10.15909/j.cnki.cn61-1347/r.005964]

更新日期/Last Update: 2023-08-10