Q开关532 nm激光治疗汗孔角化症的效果观察及护理.doc

Q开关532 nm激光治疗汗孔角化症的效果观察及护理
(作者:___________单位: ___________邮编: ___________)
作者:厉建鸣,戎惠珍,贾高蓉,史华玲
【摘要】目的探讨Q开关532 nm激光治疗汗孔角化症的疗效及护理。方法采用美国科医人公司生产的维纳斯激光仪(四波长),调频Q开关532 nm激光对27例汗孔角化症患者进行1~3次治疗,并进行术前、术中、术后护理。结果显效8例(30%),有效16例(59%),无效3例(11%),总有效率为89%。结论 Q开关532 nm激光是目前治疗汗孔角化症较有效的方法之一,具有疗效肯定,损伤小,不留瘢痕等优点。但有效的术前、术中、术后护理是获得治疗成功的重要保证。
【关键词】激光;治疗;汗孔角化;护理
[Abstract] Objective To explore the effect of Q-switched 532 nm laser in the treatment of mibelli and nursing 27 patients of mibelli were treated with Q-switched 532 nm laser and the effects were the 27 patients received 1~3 treatments at 1~2 months skilled nursing care procedure were performed before,during and after 8 patients were cured(30%),16 patients had improved(59%),the effective rate was 89%.Conclusion Q-switched 532 nm laser is safe and effective in the treatment of peri-operative stage nursing care is significant in the treatment of mibelli.
[Key words] laser;therapy;porokeratosis of mibelli;nursing
汗孔角化症是一种较少见的、起源于遗传的慢性进行性角化性皮肤病。以边缘堤状疣状隆起、中央轻度萎缩为特点。好发于四肢、面部、颈部、肩部及阴部,也可累及头皮及口腔黏膜。主要表现为环形、地图形、匐形性或不规则的边界清楚的斑片,边缘呈堤状、有沟槽的角质性隆起,灰色或棕色,中心部分皮肤干燥、光滑而有轻度萎缩,缺少毳毛,其间汗孔处有时有针头大小的角质栓,数目多少不等,少数病例易发生癌变[1]。它的治疗方法很多,药物治疗、冷冻、皮肤磨削等效果不甚理想,我科采用美国科医人公司生产的维纳斯激光仪Q开关532 nm激光治疗汗孔角化症,取得了较好的临床效果。现报告如下。
1 资料和方法
一般资料 27例汗孔角化症中,男7例,女20例,年龄14~45岁,,病程10~30年,治疗部位均为面部,14例治疗1次,