医用射频皮肤美容与治疗专家共识

中华医学会皮肤性病学分会皮肤激光医疗美容学组

中华医学会皮肤激光技术应用研究中心

中国医师协会美容与整形医师分会激光学组

中华医学会医学美学与美容学分会激光美容学组、皮肤美容学组

[ 关键词 ] 射频，医用 ；皮肤美容治疗 ；共识

[ 中图分类号 ] R454.1；R751.05 [ 文献标识码 ] A [ 文章编号 ] 1674-1293(2021)04-0193-05

DOI：10.11786/sypfbxzz.1674-1293.20210401

执笔人 ：杨蓉娅（中国人民解放军总医院第七医学中心），尹锐（陆军军医大学第一附属医院）

参与共识起草专家名单（以姓氏笔画为序）：

尹恒（卓正医疗）；尹锐（陆军军医大学第一附属医院）；卢忠（上海复旦大学附属华山医院）；刘红梅（北京梅颜医疗美容诊所）；刘丽红（卓正医疗）；李凯（第四军医大学西京医院）；严淑贤（上海复旦大学附属华山医院）；李雪莉（河南省人民医院）；杨蓉娅（解放军总医院第七医学中心）；陈瑾（重庆医科大学附属第一医院皮肤科）；林彤（中国医学科学院皮肤病医院）；苑凯华（广州紫馨医疗美容医院）；赵小忠（北京小忠丽格医疗美容门诊部）；夏志宽（解放军总医院第七医学中心）；高琳（第四军医大学西京医院）；董继英（上海交通大学医学院附属第九人民医院）；简丹（中南大学湘雅医院）；蔡宏（空军特色医学中心）

通讯作者 ：杨蓉娅，E-mail:该Email地址已收到反垃圾邮件插件保护。要显示它您需要在浏览器中启用JavaScript。

微针围刺配合氨甲环酸治疗黄褐斑疗效观察

马必委，黄玉环，林豪，潘钦关

(苍南县第二人民医院，浙江325802)

【摘要】

目的

比较微针围刺配合氨甲环酸与单纯口服氨甲环酸治疗黄褐斑的疗效差异。方法将60例女性黄褐斑患者随机分为治疗组和对照组。每组30例。治疗组采用微针围刺配合氨甲环酸治疗，对照组采用单纯口服氨甲环酸治疗。连续治疗4个月后评定疗效。结果治疗组总有效率为96．7％，对照组为73．3％，两组比较差异具有统计学意义(P<O．05)。结论微针围刺配合氨甲环酸是一种治疗黄褐斑的有效方法。

【关键词】

针刺疗法：黄褐斑：围刺：氨甲环酸：针药并用

【中图分类号】R246．7

【文献标志码】A

DOI：10．13460／j．issn．i005—0957．2014．05．0433

Therapeutie Observation of Surround Acupuncture with Micro-needles plus Tranexamic Acid for Chloasma MA Bi-weiHUANG Yu-huan, LIN Hao, PAN Qin-guan. The Second People's Hospital ofCangnan,Zhejiang 325802,China

Abstractl Objective To compare the therapeutic efficacies of surround acupuncture with micro-needles plus Tranexamic Acidand single oral administration of Tranexamic Acid in treating chloasma.

Method Sixty female patients with chloasma wererandomized into a treatment group and a control group, 30 in each group. The treatment group was intervened by surroundacupuncture with micro-needles plus Tranexamic Acid, while the control group was only by oral administration of Tranexamic AcidThe therapeutic eficacies were evaluated after successive 4-month treatments.

Result The total efiective rate was 96.7% in thetreatment group versus 73.3% in the control group, and the difference was statistically significant (P<0.05). Conclusion Surroundacupuncture with micro-needles plus Tranexamic Acid is an effective approach in treating chloasma.

【Key words】Acupuncture therapy, Chloasma, Surround acupuncture, Tranexamic Acid; Acupuncture medication combined

微针联合皮内注射氨甲环酸谷胱甘肽治疗黄褐斑的疗效观察

唐华明 1 ，美合日阿依 1 ，张成英 2 ，周 杰 2 ，李 超 2（1. 伊丽莎白整形美容医院，新疆 乌鲁木齐，830001；2. 天使之翼整形美容医院，四川 成都，610017 ）

【摘 要】 目的 评价氨甲环酸、谷胱甘肽不同给药方式用于治疗黄褐斑的临床效果。方法 从 2018 年 8 月 -2019 年 8 月，选择 MLA 分级 黄褐斑患者 117 例，随机分为微针组（A 组）、皮内组（B 组）和联合组（C 组）各 39 例；谷胱甘肽和氨甲环酸注射液分别采用不同方式：A组微针导入，B组皮内注射，C组联合方式给药。结果 C组患者各观察点的治疗效果明显优于 A、B 组（P 均〈0.05），各组患者不良反应发生率无明显差异。结论 谷胱甘肽和氨甲环酸注射液可有效治疗黄褐斑，联合给药方式优于单独给药。

【关键词】微针 皮内注射 氨甲环酸 谷胱甘肽 黄褐斑

DOI：10.19593/j.issn.2095-0721.2020.01.013

Observation on the efficacy of microacupuncture and intradermal injection of tranexamic acid and glutathione in the treatment of chloasma TANG Hua-ming1 , MEIHERIAYI1 , ZHANG Cheng-ying2 , ZHOU Jie2 , LI Chao2 (1.Urumqi Elizabeth plastic surgery hospital, Xinjiang Uygur Autonomous region, 830001, China; 2. Angel Wing plastic surgery and Beauty Hospital, Sichuan Province, 610017, China)

[ABSTRACT] Objective To evaluate the clinical effect of tranexamic acid and glutathione in the treatment of chloasma.

Methods From August 2018 to August 2019, 117 patients with mla-graded chloasma were selected and randomly divided into the microneedle group (group A), intradermal group (group B) and combined group (group C), 39cases each. Glutathione injection and tranexamic acid injection were administered by microneedle in group A, intradermal injection in group B and combined administration in group C, respectively. 

Results The treatment effect of each observation point of patients in group C was significantly better than that of group A and group B (P < 0.05), and there was no significant difference in the incidence of adverse reactions in each group.

Conclusion

Glutathione and tranexamic acid injection can effectively treat chloasma.

[KEY WORDS] Microneedle; intradermal; injection of tranexamic; acid glutathione; chloasma

纳米微针导入0.5%氨甲环酸溶液对中国女性面部皮肤暗沉的疗效研究

吴亭妍1 ，周炳荣1 ，易 飞1 ，陶艳玲1 ，苗颖颖1 ，倪 娜1 ，马仁燕1 ，许 阳1 ，徐 百2 ，骆 丹1

（1.南京医科大学第一附属医院皮肤科 江苏 南京 210029；2.苏州纳通生物纳米技术有限公司 江苏 苏州 215000）

[摘要]目的：研究经纳米微针导入0.5%氨甲环酸溶液对中国女性面部皮肤暗沉的疗效及安全性。方法：募集60名无基础病的健康临床受试者，随机分为两组，每组30名。生理盐水组：受试者全面部使用纳米微针导入生理盐水；0.5%氨甲环酸溶液组：受试者全面部使用纳米微针导入0.5%氨甲环酸溶液。两组受试者均每周接受1次治疗，共治疗2个月，每周两组受试者接受治疗前及治疗后72h都检测经皮水分丢失（trans-epidermal water loss，TEWL）、角质层含水量、红斑量、黑素及皮肤弹性，拍摄每组受试者治疗前后面部照片。通过皮肤状态问卷调查受试者满意度及不良反应，治疗结束后1个月、2个月复测TEWL、角质层含水量、红斑量、黑素及皮肤弹性。结果：生理盐水组治疗后72h经皮水分丢失、角质层含水量、红斑量、皮肤弹性与0.5%氨甲环酸溶液组无显著性差异；生理盐水组治疗后黑素数值显著高于0.5%氨甲环酸溶液组；生理盐水组受试者面部照片治疗前后无显著性差异，0.5%氨甲环酸溶液组治疗后面部照片明显比治疗前肤色白皙；生理盐水组受试者及医生满意度显著低于0.5%氨甲环酸溶液组；生理盐水组及0.5%氨甲环酸溶液组皆无不良反应；0.5%氨甲环酸溶液组治疗后1个月的黑素值与初次治疗前的黑素值有显著性差异（P＜0.05）,治疗后2个月的黑素值与初次治疗前测得的黑素值无统计学差异。

结论：纳米微针导入0.5%氨甲环酸溶液可明显改善中国女性面部皮肤暗沉。

[关键词]纳米微针；氨甲环酸；生理盐水；黑素；皮肤暗沉

[中图分类号]R364.2+ 3 [文献标志码]A [文章编号]1008-6455(2016)09-0087-04

Effect of 0.5% tranexamic acid solution into skin with microneedles for facial skin dull of Chinese women

WU Ting-yan¹ , ZHOU Bing-rong¹ , YI Fei¹ , TAO Yan-ling¹ , MIAO Ying-ying¹ , NI Na¹ , MA Ren-yan¹ , XU Yang¹ , XU Bai² , LUO Dan¹

(1. Department of Dermatology, the First Affiliated Hospital with Nanjing Medical University, Nanjing 210029, Jiangsu, China; 2. Suzhou Nanomed Skincare Inc , Suzhou 215000, Jiangsu, China)

Abstract: Objective To observe the clinical effect of delivering 0.5% tranexamic acid solution into skin with microneedles

for facial skin dull of Chinese women.

Methods A total of 60 healthy subjects were enrolled for this study and were respectively divided into 2 groups. 60 cases volunteers were treated by deliverying solution into skin through micropores which the microneedles made. In the first group, volunteers were treated by deliverying physiological saline solution into skin . In the second group, volunteers were treated by deliverying 0.5% tranexamic acid solution into skin . One session every 7 days, all 60 volunteers were treated 8 times. We asses its effect by questionaires for subjective evaluation and side effect, and objective evaluation with digital skin analyzers to record raw pictures and data before and after treatment. Retesting TEWL, skin hydration, erythema dose, melanin value and skin elasticity at the ending of 1, 2 months after all treatment.

Results There was no significant difference in TEWL, skin hydration , erythema dose, melanin and skin elasticity between the saline group and the 0.5% tranexamic acid solution group. Melanin of 0.5% tranexamic acid solution group was relatively lower than the saline group. There was no significant difference in facial photo before and after treatment in the saline group, skin colour was obviously pale compared to that before treatment in the 0.5% tranexamic acid solution group. The subjects and doctors’ satisfaction of the saline group was relatively lower than that of the 0.5% tranexamic acid solution group . There was no adverse reaction report both in the saline group and the 0.5% tranexamic acid solution group. In the 0.5% tranexamic acid solution group , there were significant differences in melanin value before and 1 month after the treatment , while there were no statistical differences before and 2 month after the treatment .

Conclusion Delivering 0.5% tranexamic acid solution into skin with microneedles can significantly improve the facial skin dull of Chinese women .

Key words: nanometer microneedle; tranexamic acid ; physiological saline solution ; melanin value; facial skin dull

口服氨甲环酸治疗黄褐斑的临床观察及护理体会

郭 丹

吉林师范大学校医院，吉林 四平 136000

作者简介：郭丹（1979-），吉林师范大学校医院主管护师。

【摘 要】 目的 探究口服氨甲环酸治疗黄褐斑的临床疗效以及护理方法。方法 选取我院收治的134 例黄褐斑患者为研究对象，将其随机分成观察组和对照组，各 67 例，给予对照组患者维生素和氢醌治疗；给予观察组患者氨甲环酸和氢醌治疗。给予两组患者心理护理、生活指导、沟通交流护理干预。治疗 2 个疗程后，观察两组患者的临床疗效。结果 观察组患者总有效率为 73.13%，对照组总有效率为 46.27%，组间对比，差异具有统计学意义（P ＜ 0.05）。结论 口服氨甲环酸治疗黄褐斑疗效确切，配合良好的护理干预措施，有助于患者积极配合临床治疗，促进患者尽快恢复。

【关键词】 氨甲环酸；黄褐斑；护理干预；疗效

Poly-D,L-Lactic Acid Filler Increases Extracellular Matrix by Modulating Macrophages and Adipose-Derived Stem Cells in Aged Animal Skin

Seyeon Oh ^1,†, Suk Bae Seo ^2,†, Gunpoong Kim ³ , Sosorburam Batsukh ^1,4, Chul-Hyun Park ⁵ , Kuk Hui Son ^5,* and Kyunghee Byun ^1,4,6,*

1 Functional Cellular Networks Laboratory, Graduate School and Lee Gil Ya Cancer and Diabetes Institute, College of Medicine, Gachon University, Incheon 21999, Republic of Korea

2 SeoAh Song Dermatologic Clinic, Seoul 05557, Republic of Korea

3 VAIM Co., Ltd., Okcheon 29055, Republic of Korea

4 Department of Anatomy & Cell Biology, College of Medicine, Gachon University, Incheon 21936, Republic of Korea

5 Department of Thoracic and Cardiovascular Surgery, Gachon University Gil Medical Center, Gachon University, Incheon 21565, Republic of Korea

6 Department of Health Sciences and Technology, Gachon Advanced Institute for Health & Sciences and Technology (GAIHST), Gachon University, Incheon 21999, Republic of Korea

* Correspondence: 该Email地址已收到反垃圾邮件插件保护。要显示它您需要在浏览器中启用JavaScript。 (K.H.S.); 该Email地址已收到反垃圾邮件插件保护。要显示它您需要在浏览器中启用JavaScript。 (K.B.); Tel.: +82-32-460-3666 (K.H.S.); +82-32-899-6511 (K.B.)

† These authors contributed equally to this work.

Abstract: Poly-D,L-lactic acid (PDLLA) filler corrects soft tissue volume loss by increasing collagen synthesis in the dermis; however, the mechanism is not fully understood. Adipose-derived stem cells (ASCs) are known to attenuate the decrease in fibroblast collagen synthesis that occurs during aging, and nuclear factor (erythroid-derived 2)-like-2 factor (NRF2) increases ASCs survival by inducing M2 macrophage polarization and IL-10 expression. We evaluated the ability of PDLLA to induce collagen synthesis in fibroblasts by modulating macrophages and ASCs in a H2O2 -induced cellular senescence model and aged animal skin. PDLLA increased M2 polarization and NRF2 and IL-10 expression in senescence-induced macrophages. Conditioned media from senescent macrophages treated with PDLLA (PDLLA-CMMΦ) reduced senescence and increased proliferation and expression of transforming growth factor-β (TGF-β) and fibroblast growth factor (FGF) 2 in senescence-induced ASCs. Conditioned media from senescent ASCs treated with PDLLA-CMMΦ (PDLLA-CMASCs) increased the expression of collagen 1a1 and collagen 3a1 and reduced the expression of NF-κB and MMP2/3/9 in senescence-induced fibroblasts. Injection of PDLLA in aged animal skin resulted in increased expression of NRF2, IL-10, collagen 1a1, and collagen 3a1 and increased ASCs proliferation in aged animal skin. These results suggest that PDLLA increases collagen synthesis by modulating macrophages to increase NRF2 expression, which stimulates ASCs proliferation and secretion of TGF-β and FGF2. This leads to increased collagen synthesis, which can attenuate aging-induced soft tissue volume loss.

Keywords: aged skin; NRF2; macrophage; collagen; elastic fiber

Citation: Oh, S.; Seo, S.B.; Kim, G.; Batsukh, S.; Park, C.-H.; Son, K.H.; Byun, K. Poly-D,L-Lactic Acid Filler Increases Extracellular Matrix by Modulating Macrophages and Adipose-Derived Stem Cells in Aged Animal Skin. Antioxidants 2023, 12, 1204. https://doi.org/10.3390/ antiox12061204

Academic Editor: Alessandra Napolitano

Received: 14 April 2023

Revised: 28 May 2023

Accepted: 29 May 2023

Published: 1 June 2023

Copyright: © 2023 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https:// creativecommons.org/licenses/by/ 4.0/).