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1.
皮肤光老化是一个极其复杂的渐进过程,不仅有临床及组织学方面变化,还有生物化学方面变化。无损、非侵入式的皮肤光老化评价技术和组织热损伤定量技术促进了光学治疗技术的发展,有助于优化选择非消融性光治疗参数。评述了基于光学方法的皮肤光老化评价和治疗技术研究进展。  相似文献   

2.
目的:介绍国内外近10年来非剥脱性嫩肤技术治疗皮肤光老化临床研究概况,以期进一步了解非剥脱性嫩肤技术在皮肤光老化中的应用新进展。方法:应用计算机检索Pubmed和中国生物医学文献数据库1999/2009的相关文章,限定文章语言种类为英文和中文,检索词“photoaging(光老化),laser(激光),Intense pulsed light(强光),radiofrequency(射频),Light Emitting Diode(发光二极管)”。对资料进行初审,选择临床实验研究文献查找全文。纳入标准:①有明确诊断标准。②随机对照实验或对照实验。结果:共收集到相关文献110篇,按上述标准纳入23篇,其余文献均被排除。结论:非剥脱性嫩肤技术治疗皮肤光老化疗效可靠,具有副作用少,方法简单,安全性高,易被患者接受等优势。但不管单独使用哪种方法治疗皮肤光老化其效果均不是很完美,必需紧密结合患者疾病的具体情况和非剥脱性嫩肤设备的性能进行个性化的治疗。  相似文献   

3.
目的:从光子嫩肤技术在皮肤美容临床应用中的具体体现,以临床观察的形式探讨其应用价值。方法:选取156名临床患者,将他们分为色斑组、毛细血管扩张组和胶原纤维蜕变组等单组,通过使用光子嫩肤仪器进行分组治疗并观察其临床疗效与美容满意度,观察周期为1个疗程。结果:三组患者的治疗效率差异值不明显(P0.05),证明光子嫩肤技术无论是对光损伤、毛细血管扩张还是光老化患者都具有十分明显的美容效果。三组的临床治疗效果及满意度差异值也不明显(P0.05),说明光子嫩肤技术值得客户信赖。结论:光子嫩肤在皮肤美容临床上的应用应当进行推广。  相似文献   

4.
益生菌对皮肤光老化的修复作用及其机制研究进展   总被引:1,自引:1,他引:0  
皮肤是人体最大的器官,也是机体防御外界各种物理、化学及病原微生物侵害的重要组织。皮肤系统若出现老化,则导致其功能衰退、防御功能下降,危害机体健康。日常生活中,各类光照时刻侵害着我们的皮肤,加速其老化的速度。研究指出,光照尤其是日光中的紫外辐射可通过直接损伤DNA、产生活性氧、降解细胞外基质和诱发炎症等多种方式损伤皮肤细胞,导致皮肤功能的下降。近年来,越来越多的研究发现微生态对于皮肤健康有重要影响,而益生菌作为调节皮肤微生态平衡的手段,通过抗氧化、减少细胞外基质降解和抑制炎症因子的表达,延缓皮肤光老化。本文系统综述了皮肤光老化的机制与益生菌抵抗光老化的研究进展,进而探讨益生菌改善皮肤健康的应用模式,以期对益生菌在皮肤抗光老化应用提供参考。  相似文献   

5.
根据鲜红斑痣的病理特点,建立分层模型中包含分立血管的皮肤模型,以血管为主要研究对象,用蒙特卡罗的模拟方法模拟在强脉冲光系统治疗鲜红斑痣中,血管中光能量密度的分布规律.结果显示与单波长激光相比,强脉冲光照射下血管中光能量的分布更加均匀,在光束传输方向上能量梯度更平坦;且血管中能量极大值更小.  相似文献   

6.
目的:建立脉冲1 064 nm Nd:YAG激光致视网膜出血性损伤及非出血性损伤动物模型,为治疗药物评价提供技术基础.方法:应用自由振荡脉冲及调Q脉冲1 064 nm激光照射青紫蓝灰兔视网膜,通过在光路中加人透镜获得直径200μm眼底光斑,加入衰减片改变角膜入射激光能量.照射即刻对损伤应用检眼镜进行实时观察,并用眼底相...  相似文献   

7.
目的:观察新型强脉冲光治疗雀斑的疗效。方法:采用飞顿辉煌激光360嫩肤系统(以色列飞顿公司),波长570~950nm,光斑面积10mm×30mm,脉宽10、12、15ms,能量14~19J/cm~2。治疗40例雀斑患者,每三周一次,共治疗5次,末次治疗后评价患者雀斑的疗效。结查:40例患者经过治疗后,18例(45%)基本完全消退,14例(35%)明显消退,8例(20%)好转,总有效率为100%。所有患者面部治疗区域皮肤质地较以前更光滑、细腻,无严重不良反应出现。结论:采用新型强脉冲光治疗雀斑疗效显著、安全,副作用少。  相似文献   

8.
皮肤光老化是紫外线作用于皮肤细胞引发的一系列功能退化性变化,涉及染色体DNA、线粒体及细胞外基质不同程度的损伤。当前已发现多种药物在光老化各阶段发挥抑制作用,包括一些维生素、植物提取物、微量元素、信号通路调节物质等。本文综述了皮肤光老化的机制与当前已经发现的抗光老化药物,提出了该领域的研究方向及前景。  相似文献   

9.
紫外线A照射差异性损伤皮肤角质形成细胞和成纤维细胞   总被引:1,自引:0,他引:1  
紫外线A(ultraviolet A,UVA)照射皮肤可产生红斑、色素沉着以及光敏性损伤,导致光老化甚至诱导皮肤癌。研究发现,UVA(320~400 nm)照射对皮肤角质形成细胞和成纤维细胞造成损伤的反应和损伤程度都有所不同。本文结合近年来的相关研究,对UVA照射导致的上述两种细胞的形态、细胞膜损伤、血红素氧合酶(heme oxygenase,HO)活性、HO-1表达、细胞内有害自由铁形成,以及其它抗氧化物水平的不同反应等进行阐述,总结分析了同等剂量UVA照射后对角质形成细胞和成纤维细胞损伤的差异性,这些分析可能为皮肤抗UVA照射损伤以及寻找新型防晒剂的开发提供新思路和实验依据。  相似文献   

10.
寻找天然抗氧化物用于修复皮肤光老化问题是目前的研究热点之一。γ-聚谷氨酸(γ-PGA)是由微生物发酵制备的一种天然高分子聚合物材料,具有清除自由基的能力,但其抗氧化、抗皮肤光老化效果及与γ-PGA分子量的关系尚未明确。本文中,笔者考察不同分子量的γ-PGA对超氧阴离子自由基(·O~-_2)、羟基自由基(·OH)和1,1-二苯基-2-三硝基苯肼(·DPPH)的清除能力。结果显示:不同分子量的γ-PGA对以上3种自由基均表现出一定程度的自由基清除活性,清除率可分别达31.36%、97.55%和74.64%。通过构建紫外线诱导小鼠皮肤成纤维细胞(L929)氧化损伤光老化模型,确定不同分子量的γ-PGA都能一定程度修复光老化细胞损伤并能减少光老化细胞中氧自由基(ROS)、氮自由基(NO)的增加,其中分子量3.0×10~5的γ-PGA修复光老化细胞损伤的效果最佳。  相似文献   

11.
观察美白祛斑药物对强脉冲光(intensive pulse light, IPL)作用下的鼠皮黑色素的影响,探讨IPL作用下,皮肤的黑色素的增生和美白药物之间的作用关系,以期探寻美白药物在减少光子嫩肤术并发症的作用机制.以小白鼠作为研究对象,用IPL在一定的波长及能量密度照射活体小鼠皮肤, 在照射后15 min涂抹低浓度的维A酸霜,分别在照射后的4 h、5 d,用显微镜观察涂霜剂、没涂霜剂的皮肤黑色素及其周边组织的变化情况;在照射后的1 d用多光子显微镜观察涂霜剂、没涂霜剂皮肤组织的变化.讨论了美白祛斑药物在光子嫩肤过程中抑制黑色素生成的过程,为如何减少光子嫩肤术并发症提供参考和借鉴.  相似文献   

12.
Using intense pulsed light for cosmetic purposes: our experience   总被引:4,自引:0,他引:4  
The authors' experience using intense pulsed light for skin rejuvenation is summarized and analyzed with regard to its efficacy, safety, and complications. Rejuvenation using intense pulsed light was performed on 59 patients over a 6-month period (January of 2002 to July of 2002); these patients served as the study group. The areas treated were the face, neck, chest, hands, and legs. The parameters used during the procedure, patient satisfaction, and complications are described. Ninety-five percent of the patients included in the study had one or two sessions. Good to very good results were reported by 93.1 percent. Most patients had minor side effects and only three patients (5 percent) experienced complications (hyperpigmentation or scars). Intense pulsed light is an effective and safe method for skin rejuvenation. Its efficacy is mainly manifested by eliminating senile pigmentation and telangiectasias and a achieving a younger and fresher appearance of the skin. Although in the literature intense pulsed light skin rejuvenation is mainly reported for the face, the authors have obtained good results by using it for other areas of the body. The majority of the patients were satisfied. The authors conclude that intense pulsed light skin rejuvenation is a safe and effective method for facial and nonfacial rejuvenation.  相似文献   

13.
比较观察强脉冲光(intense pulsed light,IPL)联合烧伤湿性医疗技术(MEBT/MEBO)与单用IPL治疗皮肤老化的疗效.将2007年9月~2009年9月采用IPL配合MEBT/MEBO治疗的32例患者(治疗组)与2005年8月~2007年8月单用IPL治疗的32例患者(对照组)的疗效进行对比分析....  相似文献   

14.
Photodynamic therapy (PDT) is a treatment option for skin cancer and premalignant skin diseases and exhibits rejuvenation effects, including reducing fine wrinkles and whitening, on aged skin. In this study, we investigated the mechanism underlying the whitening effects of PDT on melanocytes (MCs) in vitro and in vivo. Exposure of MCs to PDT in vitro reduced their melanin content and tyrosinase activity without, however, affecting cell survival. Interestingly, melanogenesis was also inhibited by exposing MCs to conditioned media of PDT‐treated keratinocytes or dermal fibroblasts. This paracrine effect was likely due to a decreased release of melanocyte‐stimulating cytokines such as Kit ligand and hepatocyte growth factor from these cells. Furthermore, we observed that PDT reduced mottled hyperpigmentation of photoaged patient skin in vivo, highlighting the clinical importance of skin whitening by PDT.  相似文献   

15.
IPL作用下鼠皮形态改变的显微观察与初步分析   总被引:3,自引:0,他引:3  
观察光子嫩肤(IPL)后鼠皮的形态学随时间的改变情况,如:表皮层、真皮层的增厚或变薄的情况。探讨IPL作用下,皮肤的表皮、真皮厚度变化与IPL在特定波长的能量密度的关系。以小白鼠作为研究对象,先去毛,用IPL在一定波长不同的能量密度照射活体小白鼠皮肤,分别在照射前、照射后,以及之后的1天,3天,7天应用激光共聚焦显微镜观察皮肤内部的结构,并对其不同的能量密度与照射前相比进行分析,讨论了真皮胶原蛋白在组织的修复过程的作用及其中的关键因素。  相似文献   

16.
Recently, there has been much effort to find effective ingredients which can prevent or retard cutaneous skin aging after topical or systemic use. Here, we investigated the effects of the atomic hydrogen surrounded by water molecules, H(H2O)m, on acute UV-induced responses and as well as skin aging. Interestingly, we observed that H(H2O)m application to human skin prevented UV-induced erythema and DNA damage. And H(H2O)m significantly prevented UV-induced MMP-1, COX-2, IL-6 and IL-1β mRNA expressions in human skin in vivo. We found that H(H2O)m prevented UV-induced ROS generation and inhibited UV-induced MMP-1, COX-2 and IL-6 expressions, and UV-induced JNK and c-Jun phosphorylation in HaCaT cells. Next, we investigated the effects of H(H2O)m on intrinsically aged or photoaged skin of elderly subjects. In intrinsically aged skin, H(H2O)m application significantly reduced constitutive expressions of MMP-1, IL-6, and IL-1β mRNA. Additionally, H(H2O)m significantly increased procollagen mRNA and also decreased MMP-1 and IL-6 mRNA expressions in photoaged facial skin. These results demonstrated that local application of H(H2O)m may prevent UV-induced skin inflammation and can modulate intrinsic skin aging and photoaging processes. Therefore, we suggest that modifying the atmospheric gas environment within a room may be a new way to regulate skin functions or skin aging.  相似文献   

17.
Light causes damage to the retina, which is one of the supposed factors for age-related macular degeneration in human. Some animal species show drastic retinal changes when exposed to intense light (e.g. albino rats). Although birds have a pigmented retina, few reports indicated its susceptibility to light damage. To know how light influences a cone-dominated retina (as is the case with human), we examined the effects of moderate light intensity on the retina of white Leghorn chicks (Gallus g. domesticus). The newly hatched chicks were initially acclimatized at 500 lux for 7 days in 12 h light: 12 h dark cycles (12L:12D). From posthatch day (PH) 8 until PH 30, they were exposed to 2000 lux at 12L:12D, 18L:6D (prolonged light) and 24L:0D (constant light) conditions. The retinas were processed for transmission electron microscopy and the level of expressions of rhodopsin, S- and L/M cone opsins, and synaptic proteins (Synaptophysin and PSD-95) were determined by immunohistochemistry and Western blotting. Rearing in 24L:0D condition caused disorganization of photoreceptor outer segments. Consequently, there were significantly decreased expressions of opsins and synaptic proteins, compared to those seen in 12L:12D and 18L:6D conditions. Also, there were ultrastructural changes in outer and inner plexiform layer (OPL, IPL) of the retinas exposed to 24L:0D condition. Our data indicate that the cone-dominated chick retina is affected in constant light condition, with changes (decreased) in opsin levels. Also, photoreceptor alterations lead to an overall decrease in synaptic protein expressions in OPL and IPL and death of degenerated axonal processes in IPL.  相似文献   

18.
Coimbra M  Rohrich RJ  Chao J  Brown SA 《Plastic and reconstructive surgery》2004,113(5):1438-43; discussion 1444
Aged skin is characterized by rhytides but also by epidermal and dermal atrophy, rough skin texture, irregular pigmentation, telangiectasias, and laxity. Microdermabrasion is an office-based mechanical resurfacing technique alternative to traditional dermabrasion. It has been used in Europe since 1992 with great acceptance. The purpose of this study was to evaluate and quantify the degree of visible improvement in photodamaged skin and fine rhytides following a series of microdermabrasion treatments. A single operator treated 20 patients with varying degrees of photodamage and rhytides with a series of eight microdermabrasion treatments at 1-week intervals; 17 subjects completed the entire study protocol. Standardized photographic documentation was performed before and after each treatment, and a survey questionnaire was completed by each subject. Punch biopsy specimens (3 mm) were collected on treated and matched nontreated control sites and evaluated for histological characteristics. Preprocedure and postprocedure photographs were rated on a 5-point scale by independent blinded observers. A total of 30 blinded observers (16 plastic surgeons and 14 laypersons) rated all photographs. The results showed that all observers rated a significant improvement of hyperchromic discoloration (p = 0.004), while only nonmedical observers observed improvement in fine rhytides. All patients were very satisfied with the results. Common side effects were mild to moderate discomfort occurring on bony areas during the treatment and an itching and tingling sensation for 2 days after treatment. No infections or scars were observed postoperatively. The average epidermal thickness in the untreated samples was 103 +/- 23 microM (mean +/- SD) before treatment compared with 148 +/- 41 microM after treatment (p < 0.001). Histologic analysis of the matched punch biopsy specimens showed an increase in organized collagen in treated versus nontreated sites. Treatment of aged skin using a series of microdermabrasion treatments is an effective, noninvasive method of skin rejuvenation with minimal risk and patient downtime. It is safe and improves skin quality by minimizing certain hyperchromic pigmentations.  相似文献   

19.
Mikko Tikkanen 《BBA》2008,1777(11):1432-1437
Phosphorylation of photosystem II (PSII) reaction center protein D1 has been hypothesised to function as a signal for the migration of photodamaged PSII core complex from grana membranes to stroma lamellae for concerted degradation and replacement of the photodamaged D1 protein. Here, by using the mutants with impaired capacity (stn8) or complete lack (stn7 stn8) in phosphorylation of PSII core proteins, the role of phosphorylation in PSII photodamage and repair was investigated. We show that the lack of PSII core protein phosphorylation disturbs the disassembly of PSII supercomplexes at high light, which is a prerequisite for efficient migration of damaged PSII complexes from grana to stroma lamellae for repair. This results in accumulation of photodamaged PSII complexes, which in turn results, upon prolonged exposure to high light (HL), in general oxidative damage of photosynthetic proteins in the thylakoid membrane.  相似文献   

20.
8-甲氧补骨脂素(8-MOP)联合UVA辐射(即光化学疗法PUVA)因诱导皮肤光损伤的副作用,常被用于实验动物皮肤光损伤模型的构建。为研究维生素C(Vc)对皮肤光损伤的保护效应,本研究在Balb/c小鼠背部皮肤涂抹0.1%8-MOP溶液1h后进行UVA辐照(10 J/cn2)。然后分别涂抹7.5%、15%和30%浓度的Vc溶液的进行光保护治疗,利用光学相干层析成像分析皮肤厚度和光信号衰减的变化,从而评估Vc对皮肤的光保护作用。结果显示,相对于溶媒组,Vc治疗组皮肤厚度减小,光衰减系数增加,其中15%效果尤为明显结果表明,局部涂抹Vc溶液具有一定的光损伤保护效应。  相似文献   

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