eMatrix水滴点阵激光联合透明质酸修护敷料治疗腹部妊娠纹

来源:用户上传      作者:崔艾丽 金哲虎

　　[摘要]目的：观察eMatrix水滴点阵激光联合透明质酸修护敷料治疗腹部妊娠纹临床疗效。方法：30例腹部妊娠纹就医者随机分为治疗组和对照组，每组各15例。治疗组采用eMatrix水滴点阵激光后外用透明质酸修护敷料，2次/d，共使用7d;对照组使用eMatrix水滴点陣激光治疗。治疗结束后观察创面愈合时间，炎症后色沉的恢复情况。3个月后进行第2次治疗，共治疗3个疗程。结果：最后一次治疗结束后3个月观察评估就医者妊娠纹恢复情况。其中治疗组中9例显效，3例有效，3例无效，只有2例出现色素沉着，总有效率为80%;对照组5例显效，4例有效，6例无效，有8例出现了色素沉着，总有效率为60%，治疗组有效率显著高于对照组（P<0.05）。两组就医者均未见瘢痕、皮肤感染等并发症。结论：eMatrix水滴点阵激光联合透明质酸敷料能更好治疗妊娠纹并减少色素沉着的发生。
　　[关键词]eMatrix水滴点阵激光;妊娠纹;透明质酸修护敷料;联合治疗;疗效
　　[中图分类号]R454.2    [文献标志码]A    [文章编号]1008-6455（2019）03-0064-03
　　Abstract： Objective  To investigate the efficacy of eMatrix fractional laser combined with hyaluronic acid dressing in treatment of pregnancy stria. Methods  The treatment group and the control group was constituted by 15 patients respectively divided randomly. The treatment group was treated by eMatrix fractional laser combined with hyaluronic acid dressing， twice a day， 7 days. The control group was only treated by eMatrix fractional laser.The wound healing time and occurrence of complications of the two groups after the treatment were observed.And the patients were treated again 3 months after the treatment.Each course of treatment was 3 months and the patients were treated for three courses of treatment. Results  The effect was observed after 3 months of the last treatment，9 patients of 15 patients in the treatment group，were remarkably effective， 3 patients were effective and 3 patients were ineffective，the total effective rate was 80%. In the control group， 5 patients were remarkably effective， 4 patients were effective and 6 patients were ineffective，with the total effective rate of 60%.The treatment group was significantly higher than the control group in the total effective rate（P<0.05）.No complications such as skin burn， skin necrosis or scar formation was observed in either group. Conclusion  eMatrix fractional laser combined with hyaluronic acid dressing in treatment of pregnancy stria is an effective method and with low risk in pigmentation.
　　Key words： eMatrix fractional laser; pregnancy stria; hyaluronic acid dressing; combined treatment; effect
　　妊娠纹又称膨胀纹，常发生于妊娠妇女，表现为胸部、腹部、臀部和大腿的萎缩性条索状皮肤改变[1]。由于产妇腹部皮肤受妊娠子宫增大或孕期激素变化的影响，抑制了成纤维细胞的功能，使皮肤弹性纤维蛋白分解、变形，最后发生断裂而产生[2-4]。早期表现为境界清楚，微凸，暗红色或紫红色的条纹，随后色素脱失、萎缩、微凹，稳定后会呈现出一种白色或银色的皮肤损害[5]，一般不会自行消失，就医者无自觉症状。妊娠纹严重破坏了女性的审美需求，成为一种主要的美学问题，对个人的自尊和生活质量产生负面影响[6-7]，因而被广泛关注。最新的治疗方法包括表层化学脱皮术、皮肤磨削术和激光治疗等。笔者科室自2017年8月-2018年8月，应用eMatrix水滴点阵激光联合透明质酸修护敷料治疗腹部妊娠纹，取得了较满意疗效且治疗过程安全，现报道如下。 　　[3]Kasielska-Trojan A，Sobczak M，Antoszewski B.Risk factors of striae gravidarum[J].Int J Cosmet Sci，2015，37（2）：236-240.
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　　[收稿日期]2018-08-11
　　本文引用格式：崔艾丽，金哲虎.eMatrix水滴点阵激光联合透明质酸修护敷料治疗腹部妊娠纹[J].中国美容医学，2019，28（3）：64-66.
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