[摘 要]目的 探究强脉冲光联合调Q激光对黄褐斑患者的治疗效果。方法 选取肇庆市高要区人民医院激光整形美容科2020年2月-2023年2月收治的220例黄褐斑患者，采用随机数字表法分为激光组和联用组，每组110例。激光组使用调Q激光治疗，联用组在激光组的基础上使用强脉冲光治疗，比较两组临床疗效、皮肤状态、美观认可评分和不良反应。结果 联用组治疗总有效率为95.45%，高于激光组的85.45%(P<0.05)；两组治疗后皮损面积和皮损颜色评分均低于治疗前，且联用组低于激光组(P<0.05)；联用组FACE-Q评分高于激光组(P<0.05)；两组不良反应发生率比较，差异无统计学意义(P>0.05)。结论 强脉冲光联合调Q激光用于治疗黄褐斑患者，能有效改善患者皮肤状态，提高美观认可度，且安全性高。

    [关键词] 强脉冲光；调Q激光；黄褐斑；皮肤状态；美观认可评分

    [中图分类号] R758.4+2 [文献标识码] A [文章编号] 1004-4949(2024)21-0005-04

    Clinical Effect of Intensive Pulsed Light Combined with Q-switched Laser in the Treatment of Chloasma and its Effect on Skin Status and Aesthetics

    LIANG Xiaomei， ZENG Zhaoqun， LI Junqi

    (Deaprtment of Laser Cosmetology and Plastic Surgery， Zhaoqing Gaoyao District People’s Hospital， Zhaoqing 526060， Guangdong， China)

    [Abstract]Objective To explore the therapeutic effect of intensive pulsed light combined with Q-switched laser on patients with chloasma. Methods A total of 220 patients with chloasma admitted to the Deaprtment of Laser Cosmetology and Plastic Surgery， Zhaoqing Gaoyao District People’s Hospital from February 2020 to February 2023 were selected and divided into laser group and combined group by random number table method ......