Objective:To evaluate the efficacy and safety of radiofrequency introduction of L-vitamin C in patients with melasma.Methods:From March to June 2019, 20 patients with melasma were admitted to the Department of Dermatology, the Seventh Medical Center of PLA General Hospital, including 19 females and 1 male, aged 30-60 years, with an average age of 43.5 years. All patients were treated with 22 percent of L-vitamin C once a week, a total of 8 times of treatment and followed up for 12 weeks. Each subject was assessed with standardized clinical photo, skin tests (VISIA skin image analyzer and CK multifunctional skin tester) and patient self-assessment. In addition, the adverse reactions were recorded.Results:Physician evaluation and patient self-evaluation showed that skin symptoms were improved obviously after treatment. 90% of the subjects thought that all of the skin moisture, pores, fine lines, glossiness, and color spots were improved after 12 weeks. The skin texture, ultraviolet stain and the brown spots which were detected with VISIA skin image analyzer were all improved after one week and one month. Difference was statistically significant ( P<0.05). Skin glossiness was significantly improved, skin moisture content increased and melanin decreased, which were detected with CK multifunctional skin tester. The differences were statistically significant ( P<0.05). But there was no significant change in transdermal water loss and red pigment index ( P>0.05). Conclusions:22% L-vitamin C can be used to treat melasma and improve photoaging safely without affecting skin barrier function.

目的 观察复合酸对面部痤疮的临床疗效及安全性.方法 面部痤疮志愿者共32例,每2周进行1次复合酸治疗,共6次.分别在治疗前(W0)、2次(W4)、4次(W8)、6次治疗后1个月(W14)回访时分别进行数码照片、皮肤Soft检测仪、图像分析仪(VISIA)采集,同时进行患者自我满意度评价.结果 入组受试者治疗总有效率分别为93.75％.受试者皮肤含水量、毛孔大小、色斑、炎症等均有不同程度改善,患者主观满意度较高,且治疗过程中未出现严重不良反应.结论 复合酸对痤疮的治疗安全有效.

<正>吸脂术是清除人体的皮下脂肪组织,改善体形而达到美容目的的一种手术。随着年龄的增长,人的体形在不断变化,主要表现在膨胀的腹部和大腿[1]。我院采用Body-Jet水动力辅助吸脂术,高效、安全、副作用小,减轻了患者的术后反应,取得了较好的减肥塑身效果,现将护理体会报道如下。

<正>足拇外翻,俗称大脚骨,是一种常见的足外侧过度倾斜、第一趾骨向内收的前足畸形。有家族遗传因素,也有患者由于经常穿高跟鞋或尖头鞋,站立过久,行走过多而致病。我院采用微创小切口治疗拇外翻,其优点是采用局部麻醉、创伤小、术后恢复快等优点取得了良好的治疗效果。术中对患者采用多种方式的护理干预取得较好的效果,现报道如下。