【摘 要】 目的:观察儿童尖锐湿疣光动力治疗的疗效，探讨最佳护理方法。方法:28例6岁以下患儿疣体处外敷ALA 3小时，照射前20分钟给予10%水合氯醛口服，待患儿熟睡后采用635nm半导体激光器局部照射，光斑直径2.5cm，能量密度100J/CM2，时间20分钟。结果:28例患儿服药后10~20分钟均能很好入睡，经1~3次治疗后25例患儿疣体完全清除，清除率89.3 %。结论:儿童ALA-PDT时配合应用10%水合氯醛能很好入睡，采用综合护理方法能顺利完成治疗，获得疗效，并无不良反应。

    【关键词】 儿童； 尖锐湿疣； 光动力疗法； 护理

    Treatment and nursing of topical aminolevlinic aci-photodymanictherapy on children’s condylomata acuminata

    CHEN Qingfang, YANG Xifang, ZHANG Xiaohua, LI Qi, XU Nan, ZHOU Yanan, CAO Ningxiao

    Dermatology Institution of Chinese Medical Academy, Jiangsu Nanjing 210042, China

    【Abstract】 Objectives: To observe the effectiveness of topical aminolevlinic aci-photodymanic therapy on children’s condylomata acuminata, and to discuss the best nursing method. Methods: Twenty-eight child patients were applied with aminolevlinic aci-photodymanic on the warts for 3h, and then given 10% chloral hydrate 20min before phototherapy. When the patients fell sound asleep, the warts were irradiated locally by 625mn semiconductor laser (spot diameter of 2.5cm, energy density 100J/cm2, irradiation time 20 minutes). Results: All the 28 child patients fell sound asleep in 10-20min. 25 out of 28 patients(89.3%) got complete clearance of warts after 1-3 times of photodynamic therapy. Conclusion: ALA-PDT combined with 10% chloral hydrate can help the child patients fall sound sleep before laser irradiation. The comprehensive nursing can safely and effectively treat children patients with genital warts. ......