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二氧化碳点阵激光联合他克莫司软膏治疗白癜风的效果OA

Effect of Carbon Dioxide dot-matrix Laser combined with Tacrolimus Ointment in the Treatment of Vitiligo

中文摘要英文摘要

目的 探讨二氧化碳点阵激光联合他克莫司软膏治疗白癜风的效果.方法 选取濮阳市安阳地区医院于 2020年 1 月至 2022 年 10 月期间收治的白癜风患者 84 例,按照随机数字表法分为对照组(n=42)和观察组(n=42).对照组予以他克莫司软膏进行治疗,观察组在对照组治疗基础上联合二氧化碳点阵激光进行治疗.比较两组患者疗效、白斑复色时间、心理状态及满意度.结果 两组疗效相比,观察组疗效优于对照组,差异具有统计学意义(P<0.05);两组白斑复色时间相比,观察组复色时间更短,差异具有统计学意义(P<0.05);治疗前,两组患者抑郁自评量表(SDS)评分及焦虑自评量表(SAS)评分相比,差异无统计学意义(P>0.05);治疗后,两组SDS评分及SAS评分均降低,差异具有统计学意义(P<0.05);治疗后,观察组SDS评分及SAS评分低于对照组,心理状态更好,差异具有统计学意义(P<0.05).观察组满意度高于对照组,差异具有统计学意义(P<0.05).结论 二氧化碳点阵激光联合他克莫司软膏治疗白癜风,可提高患者的临床疗效,缩短白斑复色时间,且能缓解患者负面情绪,提高患者满意度.

Objective To explore the effect of carbon dioxide dot-matrix laser combined with tacrolimus ointment in the treatment of vitiligo.Methods A total of 84 vitiligo patients admitted to Anyang District Hospital in Puyang City from January 2020 to October 2022 were randomly divided into control group(n=42)and observation group(n=42)using a random number table method.The control group was treated with tacrolimus ointment,while the observation group was treated with a combination of carbon dioxide dot-matrix laser on the basis of the control group's treatment.The therapeutic effect,white spot recovery time,psychological status,and satisfaction degree were compared between the two groups.Results The therapeutic effect of the observation group was better than that of the control group,and the difference was statistically significant(P<0.05);Compared with the two groups,the observation group had a shorter time for white spot discoloration,and the difference was statistically significant(P<0.05);Before treatment,there was no statistically significant difference in the Self Rating Depression Scale(SDS)and Self Rating Anxiety Scale(SAS)scores between the two groups of patients(P>0.05);After treatment,the SDS score and SAS score of both groups decreased,and the difference was statistically significant(P<0.05);After treatment,the SDS and SAS scores of the observation group were lower than those of the control group,indicating a better psychological state,and the difference was statistically significant(P<0.05).The satisfaction level of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusion The combination of carbon dioxide dot-matrix laser and tacrolimus ointment can improve the clinical efficacy of vitiligo patients,shorten the time for white spot discoloration,alleviate negative emotions,and improve patient satisfaction.

樊雪;索静飞;岳路;张大雷

濮阳市安阳地区医院 皮肤科,河南 安阳 455000

临床医学

白癜风二氧化碳点阵激光他克莫司白斑复色时间

vitiligocarbon dioxide dot-matrix lasertacrolimuswhite spot discoloration time

《临床研究》 2024 (002)

30-32 / 3

10.12385/j.issn.2096-1278(2024)02-0030-03

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