红外线综合治疗囊肿结节型痤疮的研究

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1、红外线综合治疗囊肿结节型瘗疮的研究红外线综合治疗囊肿结节型座疮的研究［摘要］目的：囊肿结节型痊疮治疗较为困难，本组应用红外线综合治疗方法，观察评估其疗效，以期建立一种有效的治疗方法。方法：将284例囊肿结节型痊疮患者就诊于我科，按治疗方法不同随机分为单纯清创组、单纯面膜组和红外线综合治疗组。单纯清创组仅对软化并出现波动的痙疮进行清创处理，单纯面膜组仅采用中药面膜外敷治疗，红外线综合治疗组采用红外线照射30min后再行针刺清创加庆大霉索冲洗创面，敷用中药面膜后再照射红外线30min,最后外敷积雪昔。治疗4周后对疗效进行评估。随访3个月跟踪复发情况。结果：红外线综合治疗组的临床

2、治愈率和总有效率均明显高于单纯清创组和单纯血膜组(P<0.01),复发率则明显低于单纯清创组和单纯面膜组(P<0.01)。结论：红外线综合治疗囊肿结节型痊疮疗效显著。［关键词］座疮；红外线；清创；中药面膜；结节；囊肿［中图分类号］R758.73［文献标识码］A［文章编号］1008-6455(2009)02-0227-03ThestudyofcombinedtherapywithinfraredrayfornodulatedandcysticacneXUHong-xia,XUEYan-bin,YANXiao-hui,LIXue-ping,CAOChao-xia,ZHANGXi

3、-juan,ZHAOYu~cong(DepartmentofMedicalPlasticSurgery,NavygeneralHospitalofChinesePLA,Beijing100037,China)Abstract:0bjectiveThetreatmentofnodulatedandcysticacneistough・Weappliedcombinedtherapywithinfraredraytotreatthisacne,andevaluateditseffect・Wehopethataneffectivemethodcouldbeestablished.M

4、ethods284nodulatedandcysticacnepatientswereweredividedinto3groups:debridingtreatmentgroup,masktreatmentgroup,andcombinedtherapywithinfraredraygroup・Simpledebridementwasdoneforsoftenedandfluctuatedacnefordebridingtreatmentgroup・SimplemaskwithChinesetraditionalmedicinewasappliedformasktreatm

5、entgroup.Afterfacewashing,patientsofcombinedtherapygroupreceivedinfraredraytherapyfor30mins,thensterilizedpinheadwasusedtopuncturethenodulesorcysts.Thecentralcoreofthelesionwasextrudedout,andGentamycinwasinjectedintothelesiontowashoutthedebris・ThenfacialmaskwithChinesetraditionalmedicinewa

6、sapplied,infraredraytherapywasusedagain.TheTopicalointmentJixueganwasusedfinally.After4weeksoftherapy,effectwasevaluated・Patientswerefollowedupfor3months・ResultsTheclinicalrecoveryrateandtotaleffectiverateofcombinedtherapygroupwasmuchhigher,andtherecurrentratewasmuchlower,thanthatofdebridi

7、ngtreatmentgroupandmasktreatmentgroup(P<0.01).ConelusionCombinedtherapywithinfraredrayhadgoodeffectinthetreatmentofnodulatedandcysticacne・Keywords:acne;infraredray;debridement;Chinesetraditionalmedicinefacemask;nodules;cysts座疮是青春期常见的一种慢性毛囊皮脂腺炎症性皮肤病，而囊肿结节型座疮是较严