|
|
Effects of YAG Laser on Antioxidant Function Cosmetic Result and Skin Barrier Function in Patients with Chloasma |
YAN Xiaoxue, WANG Huanhuan |
Plastic Surgery Department, Xijing Hospital, Shaanxi Xi'an710032, China |
|
|
Abstract Objective: To study the effect and safety of large spot and low-energy Nd:YAG laser in the treatment of chloasma. Methods: Totally 125 patients with chloasma admitted to the hospital were selected between January 2018 and January 2021, and randomly divide into observation group (63 cases) and control group (62 cases) using random number table method. Patients in the control group were treated with hydroquinone cream, and patients in the observation group were treated with large spot low-energy Nd:YAG laser based on the treatment of control group. Therapeutic effects, antioxidant capacity, cosmetic results and skin barrier function in the two groups were compared. Results: After treatment, the total response rate in the observation group was significantly higher than that in the control group (P<0.05). The levels of malondialdehyde (MDA), superoxide dismutase (SOD) and catalase (CAT) in the two groups showed no statistically significant difference before and after treatment, and there was no statistically significant difference in the difference value of each indicator before and after treatment (P>0.05). After treatment, MDA was significantly reduced (P<0.05), while SOD and CAT were significantly increased in the two groups (P<0.05). After treatment, skin melanin index (MI) and erythema index (EI) were significantly reduced in the two groups (P<0.05). The difference values of MI and EI before and after treatment in observation group were significantly higher than those in the control group (P<0.05). After treatment, the sebum content and water content of stratum corneum were significantly reduced (P<0.05), while transepidermal water loss (TEWL) was significantly increased in the two groups (P<0.05). There was no significant difference between the two groups in the difference values of sebum content, water content of stratum corneum and TEWL before and after treatment (P>0.05). Conclusion: The large spot low energy Nd:YAG laser combined with hydroquinone cream has better therapeutic and cosmetic skin results than hydroquinone cream only treatment for melasma, and it is safer and does not damage the patient's antioxidant capacity and skin barrier function.
|
|
|
|
|
[1] Passeron T,Picardo M.Melasma,a photoaging disorder[J].Pigment Cell Melanoma Res,2018,31(4):461~465. [2] Plensdorf S,Livieratos M,Dada N.Pigmentation disorders:diagnosis and management[J].Am Fam Physician,2017,96(12):797~804. [3] 刘建盟,和晓琳,段祉屹,等.长脉宽1064nm Nd∶YAG激光治疗女性黄褐斑的Split-face模式观察[J].中国皮肤性病学杂志,2020,34(3):343~350. [4] Trivedi MK,Yang FC,Cho BK.A review of laser and light therapy in melasma[J].Int Womens Dermatol.2017,3(1):11~20. [5] 中国中西医结合学会皮肤性病专业委员会色素病学组,中华医学会皮肤性病学分会白癜风研究中心,中国医师协会皮肤科医师分会色素病工作组.中国黄褐斑诊疗专家共识(2021版)[J].中华皮肤科杂志,2021,54(2):110~115. [6] Huerth KA,Hassan S,Callender VD.Therapeutic insights in melasma and hyperpigmentation management[J].Drugs Dermatol,2019,18(8):718~729. [7] Garg S,Vashisht KR,Makadia S.A prospective randomized comparative study on 60 Indian patients of melasma,comparing pixel Q-switched NdYAG (1064 nm),super skin rejuvenation (540 nm) and ablative pixel erbium YAG (2940 nm) lasers,with a review of the literature[J].Cosmet Laser Ther,2019,21(5):297~307. [8] McKesey J,Tovar-Garza A,Pandya AG.Melasma treatment:an evidence-based review[J].Am Clin Dermatol,2020,21(2):173~225. [9] Lee MC,Lin YF,Hu S,et al.A split-face study:comparison of picosecond alexandrite laser and Q-switched Nd:YAG laser in the treatment of melasma in Asians[J].Lasers Med Sci,2018,33(8):1733~1738. [10] Babbush KM,Babbush RA,Khachemoune A.Treatment of melasma:a review of less commonly used antioxidants[J].Int Dermatol,2021,60(2):166~173. [11] 梁伟,李怀军,阎新佳,等.七白颗粒对女性黄褐斑气滞血瘀证患者抗氧化作用及性激素水平的影响[J].中国实验方剂学杂志,2017,23(20):163~168. [12] 陈永庆,陈永平.氨甲环酸巴布剂联合大光斑低能量Q开关Nd∶YAG激光治疗黄褐斑的疗效观察[J].应用激光,2019,39(5):900~904. |
|
|
|