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复合酸联合异维A酸口服治疗痤疮的疗效观察OA

Observation on the efficacy of combined acid peel combined with oral isotretinoin in the treatment of acne

中文摘要英文摘要

目的 观察分析复合酸联合异维A酸口服治疗痤疮的疗效及安全性.方法 回顾性分析 2024 年 11 月至 2025 年 8月于郑州市第二人民医院接受治疗的 150 例痤疮患者,根据治疗方法不同分为对照组与观察组.对照组 75 例予以异维A酸口服治疗,观察组75例予以复合酸联合异维A酸口服治疗.比较两组临床疗效,治疗前后痤疮皮损数量、痤疮综合分级系统(GAGS)评分、疼痛数字评定量表(NRS)评分、痤疮特异性生活质量量表(Qol-acne)评分及治疗期间不良反应.结果 观察组临床疗效优于对照组,差异有统计学意义(P<0.05);观察组治疗后痤疮皮损数量少于对照组,差异有统计学意义(P<0.05);观察组治疗后GAGS评分、NRS评分低于对照组,Qol-acne评分高于对照组,差异有统计学意义(P<0.05);两组不良反应比较,差异无统计学意义(P>0.05).结论 复合酸联合异维A酸口服治疗痤疮可提高临床疗效,显著减少痤疮皮损数量,减轻患者病情及疼痛程度,提升生活质量,且安全性较好.

Objective To observe and analyze the efficacy and safety of combined acid peel combined with oral isotretinoin in the treatment of acne.Methods A total of 150 acne patients who received treatment in Zhengzhou Second People's Hospital from November 2024 to August 2025 were retrospectively selected and divided into control group and observation group according to different treatment methods.The control group(75 cases)received oral isotretinoin treatment,while the observation group(75 cases)received combined acid peel combined with oral isotretinoin treatment.Clinical efficacy,number of acne lesions before and after treatment,Global Acne Grading System(GAGS)score,Numeric Rating Scale(NRS)score,Acne-Specific Quality of Life Scale(Qol-acne)score,and adverse reactions during treatment were compared between the two groups.Results The clinical efficacy of the observation group was superior to that of the control group,the difference was statistically significant(P<0.05).After treatment,the observation group had fewer acne lesions than the control group,the difference was statistically significant(P<0.05).After treatment,the observation group had lower GAGS score and NRS score than the control group,and higher Qol-acne score than the control group,the difference was statistically significant(P<0.05).There was no statistically significant difference in adverse reactions between the two groups(P>0.05).Conclusion Combined acid peel combined with oral isotretinoin in the treatment of acne can improve clinical efficacy,significantly reduce the number of acne lesions,alleviate patients'disease condition and pain degree,enhance quality of life,and has good safety.

李情;王西京;夏飞

郑州市第二人民医院,河南 郑州,450000郑州市第二人民医院,河南 郑州,450000郑州市第二人民医院,河南 郑州,450000

痤疮异维A酸复合酸疗效安全性

acneisotretinoincombined acidefficacysafety

《中国医疗美容》 2026 (2)

4-8,5

10.19593/j.issn.2095-0721.2026.02.002

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