[摘 要]目的 探究在黄褐斑患者中应用无针水光联合强脉冲光的效果及对色素沉着情况的影响。方法 选取无锡妤初医疗美容诊所2021年1月-2023年12月收治的60例黄褐斑患者为研究对象，采用随机数字表法分为参考组和试验组，各30例。参考组采用强脉冲光治疗，试验组采用无针水光联合强脉冲光治疗，比较两组临床疗效、色素沉着情况、黄褐斑情况及复发情况。结果 试验组治疗总有效率为93.33%，高于参考组的63.33%，差异有统计学意义(P<0.05)；试验组色素沉着情况优于参考组，差异有统计学意义(P<0.05)；试验组治疗后MASI评分低于参考组，差异有统计学意义(P<0.05)；试验组复发率为3.33%，低于参考组的23.33%，差异有统计学意义(P<0.05)。结论 无针水光联合强脉冲光治疗黄褐斑的效果良好，可有效减轻色素沉着情况，降低黄褐斑程度，且治疗后复发率较低，远期效果较好，值得临床应用。

    [关键词] 黄褐斑；无针水光；强脉冲光；色素沉着

    [中图分类号] R758.4+2 [文献标识码] A [文章编号] 1004-4949(2024)23-0090-04

    Effect of Needle-free Water Light Combined with Intensive Pulsed Light on Pigmentation in Patients with Chloasma

    YU Shuxu

    (Wuxi Yuchu Medical Beauty Clinic， Wuxi 214000， Jiangsu， China)

    [Abstract]Objective To explore the effect of needle-free water light combined with intensive pulsed light on patients with chloasma and its effect on pigmentation. Methods A total of 60 patients with chloasma admitted to our hospital from January 2021 to December 2023 were selected as the research objects. They were divided into reference group and experimental group by random number table method ......