[摘要]目的：探讨强脉冲光ACNE滤光片不同脉冲数治疗寻常痤疮的疗效及安全性对比分析。方法：纳入2023年8月-2023年10月在笔者医院医疗美容科门诊就诊的寻常痤疮患者，根据筛选标准最终入选30例。采用自身左右脸对照的试验设计，用随机数字表法将患者两侧面部随机分为三脉冲治疗侧和双脉冲治疗侧，首先使用ACNE滤光片对痤疮部位进行两遍治疗，两侧面部选择相同的能量密度、脉冲延迟及子脉宽，仅脉冲数有差别，三冲侧子脉宽为4 ms-4 ms-4 ms三脉冲，双冲侧子脉宽为4 ms-4 ms双脉冲，之后再用其他滤光片对全面部进行治疗，两侧参数一致。间隔4周治疗1次，共3次。每次治疗后4周评估对比双侧疗效，并在每次治疗中及治疗后记录随访期间不良反应。结果：治疗后三冲侧在痤疮总数目及其疗效指数、炎性痤疮数目及其疗效指数、有效率、显效率等指标评估上均优于双冲侧，差异有统计学意义；在非炎性痤疮数目及其疗效指数上，两侧对比差异无统计学意义。安全性上，双冲侧有1例患者在治疗后额部出现片状结痂、水疱，三冲侧未出现明显不良反应。结论：用强脉冲光ACNE滤光片治疗寻常痤疮，相比于4 ms-4 ms双脉冲，选择4 ms-4 ms-4 ms三脉冲可能是更优的参数。

    [关键词]强脉冲光；寻常痤疮；ACNE滤光片；临床观察

    [中图分类号]R758.73" " [文献标志码]A" " [文章编号]1008-6455(2024)12-0106-04

    Clinical Observation on the Treatment of Acne Vulgaris with Different Pulse Numbers of ACNE Filters Using Intense Plused Light

    DING Ying， SHI Chenlong， TAO Congmin， PENG Ying， LI Wei， YI Yangyan

    ( 1.Department of Medical Cosmetology， the Second Affiliated Hospital， Jiangxi Medical College， Nanchang University， Nanchang 330006， Jiangxi， China )

    Abstract： Objective" To investigate the therapeutic efficacy and safety of different pulse numbers of ACNE filters using intense pulsed light (IPL) in the treatment of acne vulgaris. Methods" Thirty patients with acne vulgaris who attended the outpatient department of Medical Cosmetology at the author’s hospital between August 2023 and October 2023 were included according to specific screening criteria. A self-controlled experimental design was used ......