本文選題：低能量1064m的Q開關(guān)Nd:YAG激光　切入點(diǎn)：激光術(shù)后色素沉著　出處：《安徽醫(yī)科大學(xué)》2015年碩士論文　論文類型：學(xué)位論文

【摘要】：目的：探討低能量1064nm的Q開關(guān)Nd：YAG激光對(duì)于532nm激光術(shù)后產(chǎn)生的炎癥后色素沉著的治療作用及其安全性方法：在中國臺(tái)灣北部地區(qū)的兩間皮膚醫(yī)學(xué)美容診所,收集一年內(nèi)治療因532nm波長(zhǎng)的Q開關(guān)Nd:YAG激光術(shù)后產(chǎn)生的炎癥后色素沉著病息治療組與對(duì)照組各200例。治療組中炎癥后色素沈著病患單獨(dú)應(yīng)用低能量設(shè)置1064nm波長(zhǎng)的Q開關(guān)Nd:YAG激光治療；對(duì)照組則使用三合一美白藥膏治療,分別于治療結(jié)束第一個(gè)月、第二個(gè)月、第三個(gè)月后評(píng)估臨床療效及患者的滿意度。結(jié)果：治療組患者中治療結(jié)束第一個(gè)月的統(tǒng)計(jì)顯示,4.00%的患者是顯效、24.00%的患者被評(píng)為好轉(zhuǎn)、72.00%的患者是無效；第二個(gè)月的統(tǒng)計(jì)顯示,9.00%的患者被評(píng)為痊愈、32.00%的患者是顯效、30.00%的患者有好轉(zhuǎn)、29.00%患者是無效；第三個(gè)月的統(tǒng)計(jì)顯示,18.00%的患者被評(píng)為痊愈、58.00%的患者為顯效、24%的患者有好轉(zhuǎn)。而對(duì)照組患者中治療結(jié)束第一個(gè)月的統(tǒng)計(jì)顯示,2.00%的患者是顯效、19.00%的患者被評(píng)為好轉(zhuǎn)、79.00%的患者是無效；第二個(gè)月的統(tǒng)計(jì)顯示,3.00%的患者被評(píng)為痊愈、17.00%的患者是顯效、23.00%的患者有好轉(zhuǎn)、57.00%患者是無娩第三個(gè)月的統(tǒng)計(jì)顯示,6.00%的患者被評(píng)為痊愈、29.00%的患者為顯效、50.00%的患者有好轉(zhuǎn)、無效的患者有15.00%。治療組患者的痊愈率和有效率分別為18%和76%,而對(duì)照組的痊愈率和有效率分別為6%和35%�；颊叩臐M意度調(diào)查顯示,治療組患者中治療結(jié)束第一個(gè)月,不滿意占74%、滿意占22.5%、非常滿意占3.5%；治療結(jié)束第二個(gè)月時(shí),不滿意占46%、滿意占44%、非常滿意占10%；治療結(jié)束第三個(gè)月時(shí),不滿意占6%、滿意占65.5%、非常滿意占28.5%。對(duì)照組患者中治療結(jié)束第一個(gè)月,非常不滿意占8.5%,不滿意占72.5%、滿意占19%治療結(jié)束第二個(gè)月時(shí),非常不滿意占4.5%不滿意占59%、滿意占31.5%、非常滿意占5%；治療結(jié)束第三個(gè)月時(shí),非常不滿意占10%,不滿意占48%、滿意占34%、非常滿意占8%。結(jié)論：使用低能量設(shè)置1064nm波長(zhǎng)的Q開關(guān)Nd：YAG激光治療的炎癥后色素沉著患者,在治療結(jié)束第一個(gè)月、第二個(gè)月、第三個(gè)月時(shí)臨床療效呈現(xiàn)有效。在治療第三個(gè)月后治療組有76%的人有明顯效果,對(duì)照組有35%的人有明顯效果,而且激光治療優(yōu)于擦藥。對(duì)于炎癥后色素沉著患者,治療上不論激光或是藥物治療都有療效,臨床上可以優(yōu)先選擇激光治療,藥物治療次之。但建議不論激光或是藥物治療,都必須接受三個(gè)月以上的療程。Efficacy of low fluence 1064-nm Q-switched Nd:YAG laser in the treatment of 532-nm laser induced postinflammatory
[Abstract]:Objective: to investigate the therapeutic effect and safety of low-energy 1064nm Q-switched Nd:YAG laser on postinflammatory pigmentation after 532 nm laser: two skin medical beauty clinics in the northern part of Taiwan, China. Two hundred cases of post-inflammatory pigmentation caused by 532 nm Q-switched Nd:YAG laser were collected in each group and 200 cases in control group. In the treatment group, patients with post-inflammatory pigmentation were treated with low-energy Q of 1064nm wavelength alone. Switch Nd:YAG laser therapy; The control group was treated with tri-in-one whitening ointment at the end of the first month and the second month, respectively. Results: in the first month after treatment, 4.00% of the patients were significantly effective and 24.00% of the patients were evaluated for improvement and 72.00% of the patients were not effective. The statistics of the second month showed that 9.00% of the patients were assessed as cured 32.00% of the patients were significantly effective 30.00% of the patients had improved and 29.00% of the patients were ineffective; The statistics of the third month showed that 18.00% of the patients were evaluated as cured and 58.00% of the patients were significantly improved, while in the control group, the first month of treatment showed that 2.00% of the patients were significantly effective and 19.00% of the patients were rated as improved 79.00% of the patients were ineffective. Statistics for the second month showed that 3.00% of the patients were rated as cured 17.00% of the patients were significantly improved, 57.00% of the patients had improved and 57.00% of the patients had no delivery. Statistics for the third month showed that 6.00% of the patients were rated as cured 29.00% of the patients were marked effective and 50.00% of the patients had improved. The cure rate and effective rate of the treatment group were 18% and 76, respectively, while the cure rate and the effective rate of the control group were 6% and 35, respectively. The survey of patients' satisfaction showed that the first month of treatment ended in the treatment group. Discontentment accounted for 74, satisfaction accounted for 22.5, and very satisfactory was 3.5. At the end of the second month of treatment, dissatisfied accounted for 46 percent, satisfaction for 44, and satisfaction for 10; and at the end of the third month of treatment, In the control group, the first month of treatment was completed, the first month of treatment was very unsatisfactory, the proportion of very dissatisfied was 8.5, dissatisfied accounted for 72.5 percent, and satisfaction accounted for 19% at the end of the second month of treatment. Very dissatisfied (4.5%) dissatisfied (59x), satisfied (31.5), very satisfied (55.00); at the end of the third month of treatment, Very unsatisfactory accounts for 10%, dissatisfied for 48%, satisfaction for 34%, satisfaction for 8%. Conclusion: patients with post-inflammatory pigmentation treated with low-energy Q-switched Nd:YAG laser at 1064nm wavelength, in the first month, the second month after the end of the treatment, After the third month of treatment, 76% of the patients in the treatment group and 35% in the control group had obvious effects, and laser treatment was better than rubbed medicine. For patients with postinflammatory pigmentation, Both laser and drug therapy are effective in treatment. Laser therapy is the first choice in clinical practice, followed by drug therapy. However, it is recommended that no matter laser or drug therapy, Must undergo more than three months of treatment. Laser of low fluence 1064-nm Q-switched Nd:YAG laser in the treatment of 532-nm laser induced postinflammatory
【學(xué)位授予單位】：安徽醫(yī)科大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2015
【分類號(hào)】：R62

【相似文獻(xiàn)】

相關(guān)期刊論文 前10條

1 王用楫;;用22nm乙型肝炎表面抗原顆粒制備的疫苗[J];國外醫(yī)學(xué).生物制品分冊(cè);1981年04期

2 龔莉;腫瘤轉(zhuǎn)移抑制基因nm_(23)研究現(xiàn)狀[J];國外醫(yī)學(xué).口腔醫(yī)學(xué)分冊(cè);1995年06期

3 李果;梁慧琴;;倍頻532 nm激光治療糖尿病視網(wǎng)膜病變的臨床觀察[J];中國醫(yī)藥指南;2014年16期

4 劉德順;腫瘤轉(zhuǎn)移抑制基因nm＿23及其在卵巢癌中的表達(dá)[J];實(shí)用婦產(chǎn)科雜志;1996年01期

5 賀海寧;吳棟;劉洋;;倍頻532 nm激光治療糖尿病視網(wǎng)膜病變療效評(píng)價(jià)[J];中國激光醫(yī)學(xué)雜志;2008年05期

6 吳文娟;李東;邢林莊;陳斌;王國祥;;1064nm激光照射下血管形態(tài)的動(dòng)態(tài)變化[J];中國激光;2014年03期

7 鐘貴玲;胡瑛;白莉;李素霞;朱蕾;顏玲;;調(diào)Q1064nm激光和點(diǎn)陣1064nm激光治療黃褐斑的臨床研究[J];中國美容醫(yī)學(xué);2012年05期

8 錢輝;嚴(yán)淑賢;丁蕙琳;竺聞?dòng)?盧忠;;長(zhǎng)脈沖1064nm釹:釔-鋁石榴子石激光治療蜘蛛痣臨床觀察[J];臨床皮膚科雜志;2008年08期

9 王永忠,曹友清,馮振卿;胃癌組織中nm~(23)蛋白表達(dá)與微血管密度及其轉(zhuǎn)移的關(guān)系研究[J];鎮(zhèn)江醫(yī)學(xué)院學(xué)報(bào);2001年01期

10 麥躍;周敏;彭雙發(fā);楊國泉;李娟;;Q-開關(guān)1064nm激光治療黃褐斑臨床療效觀察[J];實(shí)用皮膚病學(xué)雜志;2008年04期

相關(guān)會(huì)議論文 前10條

1 楊天榮;;1064nm長(zhǎng)脈沖Nd:YAG激光在人體脫毛的應(yīng)用[A];第八屆西南五省一市燒傷整形學(xué)術(shù)會(huì)議暨貴州省醫(yī)學(xué)會(huì)燒傷整形分會(huì)2010年學(xué)術(shù)年會(huì)論文匯編[C];2010年

2 文建湘;吳江;徐曉軍;文雁平;蕭天鵬;;高精度光纖陀螺用1550nm細(xì)徑保偏光纖的研制[A];全國第十三次光纖通信暨第十四屆集成光學(xué)學(xué)術(shù)會(huì)議論文集[C];2007年

3 任龍喜;尹建;焦守國;;Nd:YAG激光(1064nm)與半導(dǎo)體激光(980nm)對(duì)髓核組織生物熱效應(yīng)的對(duì)比性研究[A];中國康復(fù)醫(yī)學(xué)會(huì)第十一次全國頸椎病學(xué)術(shù)會(huì)議論文集[C];2009年

4 堯舜;劉云;王祥鵬;劉云;姚迪;王立軍;;13．2W連續(xù)輸出1540nm波段半導(dǎo)體激光陣列模塊[A];第十七屆全國激光學(xué)術(shù)會(huì)議論文集[C];2005年

5 王思威;趙振宇;蔣江;張國強(qiáng);楊朱黎;;40nm超大規(guī)模集成電路電源網(wǎng)絡(luò)IR Drop預(yù)估[A];第十五屆計(jì)算機(jī)工程與工藝年會(huì)暨第一屆微處理器技術(shù)論壇論文集（A輯）[C];2011年

6 徐世祥;翟惠;楊旋;吳昆;曾和平;;用連續(xù)注入腔內(nèi)光參量手段實(shí)現(xiàn)產(chǎn)生與寬帶794nm光脈沖精確同步的1064nm光脈沖[A];中國光學(xué)學(xué)會(huì)2006年學(xué)術(shù)大會(huì)論文摘要集[C];2006年

7 沈忠偉;王兆華;劉成;魏志義;;基于非共線飛秒光學(xué)參量放大的高對(duì)比度1053nm超短脈沖激光的產(chǎn)生研究[A];中國光學(xué)學(xué)會(huì)2011年學(xué)術(shù)大會(huì)摘要集[C];2011年

8 任龍喜;尹建;焦守國;;Nd:YAG激光(1064nm)與半導(dǎo)體激光(980nm)對(duì)髓核組織生物熱效應(yīng)的對(duì)比性研究[A];第18屆中國康協(xié)肢殘康復(fù)學(xué)術(shù)年會(huì)論文選集[C];2009年

9 宋為民;沈靜;金憲強(qiáng);鄭涵;許愛娥;;波長(zhǎng)1540nm點(diǎn)陣激光治療凹陷性痤瘡疤痕[A];2008年浙江省醫(yī)學(xué)美容暨整形外科學(xué)術(shù)會(huì)議論文匯編[C];2008年

10 張國強(qiáng);趙振宇;張民選;王思威;劉戰(zhàn)濤;;40nm工藝互連線延時(shí)優(yōu)化研究[A];第十五屆計(jì)算機(jī)工程與工藝年會(huì)暨第一屆微處理器技術(shù)論壇論文集（A輯）[C];2011年

相關(guān)重要報(bào)紙文章 前10條

1 ;臺(tái)積電正式采用40nm工藝[N];中國電腦教育報(bào);2008年

2 記者 陳功章　通訊員 瞿軍業(yè);蘭石化8000Nm~(3)/h制氮裝置一次開車成功[N];甘肅經(jīng)濟(jì)日?qǐng)?bào);2012年

3 劉洪宇;45nm：英特爾跨越制程分水嶺[N];中國計(jì)算機(jī)報(bào);2007年

4 ;45nm以下銅互連不如碳納米管[N];中國電腦教育報(bào);2008年

5 ;10nm晶體管[N];中國計(jì)算機(jī)報(bào);2004年

6 本報(bào)記者 熊雯琳;英特爾在移動(dòng)平臺(tái)的22nm博弈[N];電腦報(bào);2011年

7 計(jì)算機(jī)世界實(shí)驗(yàn)室 吳挺;45nm處理器掛帥[N];計(jì)算機(jī)世界;2007年

8 周童;同方首發(fā)45nm“液晶電視電腦”[N];計(jì)算機(jī)世界;2008年

9 余侃;英特爾開啟45nm新世界[N];中國電腦教育報(bào);2007年

10 邱洪民;28nm沖擊波筆記本顯卡新格局[N];電腦報(bào);2011年

相關(guān)博士學(xué)位論文 前2條

1 勞燕鋒;1310nm垂直腔面發(fā)射激光器設(shè)計(jì)與研制[D];中國科學(xué)院研究生院（上海微系統(tǒng)與信息技術(shù)研究所）;2007年

2 李瓊;1470nm半導(dǎo)體介入式激光介導(dǎo)的新型人體輪廓塑形方法的臨床研究[D];南方醫(yī)科大學(xué);2013年

相關(guān)碩士學(xué)位論文 前10條

1 朱志強(qiáng);基于28nm工藝的低功耗觸發(fā)器設(shè)計(jì)及優(yōu)化[D];安徽大學(xué);2015年

2 劉兆騰;低能量1064nm的Q開關(guān)Nd:YAG激光治療532nm激光術(shù)后色素沉著的療效觀察研究[D];安徽醫(yī)科大學(xué);2015年

3 雷o(hù)灬，

本文編號(hào)：1558682