ĐÁNH GIÁ KẾT QUẢ ĐIỀU TRỊ RÁM MÁ BẰNG LASER Q-SWITCHED ND:YAG PHỐI HỢP VỚI KEM MELATONIN, TRI-WHITE SERUM THOA TẠI BỆNH VIỆN TRƯỜNG ĐẠI HỌC Y DƯỢC CẦN THƠ VÀ VIỆN NGHIÊN CỨU DA THẨM MỸ QUỐC TẾ FOB NĂM 2022-2023

Abstract

Background: Melasma is a common skin disease, often appearing in areas exposed to light. Presented by gray-brown macules on face, symmetrically distributed, may be continuous or scattered, not life-threatening. Objects: Evaluating the results of melasma treatment with Q-switched Nd:YAG Laser combined with Melatonin cream, Tri-white serum applied at Can Tho university of medicine and pharmacy hospital and FOB international cosmetic dermatology institute in 2022-2023. Materials and methods: Cross-sectional descriptive study on 41 patients who came for examination and were diagnosed with melasma at Can Tho university of medicine and pharmacy hospital and FOB international cosmetic dermatology institute from August 2022 to August 2023. Results: No new lesions appeared, accounting for 82.9% (time T1), 87.8% (time T2), 91.7% (time T3), 89.5% (time T4). Unwanted effects were the highest: skin redness was 53.7% at T1 and 58.3% at T3, stinging was highest at 63.4% at T2 and 57.9% at T4. Results of Q-switched ND:YAG laser treatment for melasma combined with Melatonin cream and Tri-white serum were successful in 95.1% (78% cured, 17.1% reduced), unsuccessful 4 ,9%. Patients' feelings after treatment showed that 56.1% were very satisfied, 26.8% were satisfied, and 17.1% were normal. Treatment results according to MASI melasma classification have statistical significance p<0.001. Conclusions: The results of melasma treatment with Q-switched ND:YAG laser combined with Melatonin cream and Tri-white serum were successful in 95.1% (78% cure, 17.1% disease reduction). Patients' feelings after treatment showed that 56.1% were very satisfied, 26.8% were satisfied, and 17.1% were normal.