CAJ | 학술논문

目的：观察多爱肤联合爱康肤银敷料治疗睑黄瘤激光术后创面的临床效果。方法选择睑黄瘤激光术后患者114例，随机分为3组，均按相同方法清洗创面，根据创面情况按需换药。观察组（n＝39）创面内敷料为爱康肤银，外敷料为多爱肤敷料，待渗液减少后粘贴多爱肤敷料；对照1组（n＝37）创面单纯敷盖多爱肤敷料；对照2组（ n＝38）创面采用传统换药法，用无菌纱布覆盖，保持清洁干燥。比较3组患者创面肉芽生长时间、治愈时间、瘢痕增生及治愈率情况。结果观察组患者创面肉芽生长时间（5．35±2．18）d，愈合时间（11．15±2．24）d，均优于对照组，差异有统计学意义（F值分别为9．000，5.717；P＜0．05）；观察组患者无一例瘢痕增生，治愈率为100％，均优于对照组，差异有统计学意义（χ2值分别为13．515，21．351；P＜0．01）。结论多爱肤联合爱康肤银敷料治疗睑黄瘤激光术后创面的临床效果优于单纯多爱肤敷料和传统纱布换药，值得临床推广应用。
목적：관찰다애부연합애강부은부료치료검황류격광술후창면적림상효과。방법선택검황류격광술후환자114례，수궤분위3조，균안상동방법청세창면，근거창면정황안수환약。관찰조（n＝39）창면내부료위애강부은，외부료위다애부부료，대삼액감소후점첩다애부부료；대조1조（n＝37）창면단순부개다애부부료；대조2조（ n＝38）창면채용전통환약법，용무균사포복개，보지청길간조。비교3조환자창면육아생장시간、치유시간、반흔증생급치유솔정황。결과관찰조환자창면육아생장시간（5．35±2．18）d，유합시간（11．15±2．24）d，균우우대조조，차이유통계학의의（F치분별위9．000，5.717；P＜0．05）；관찰조환자무일례반흔증생，치유솔위100％，균우우대조조，차이유통계학의의（χ2치분별위13．515，21．351；P＜0．01）。결론다애부연합애강부은부료치료검황류격광술후창면적림상효과우우단순다애부부료화전통사포환약，치득림상추엄응용。
Objective To observe the clinical effect of DuoDERM combined with AquacelAg dressing on the wound after the xanthelasma palpebrarum treatment with laser surgery .Methods One hundred and fourteen patients after the xanthelasma palpebrarum treatment with laser surgery were chosen and were randomly divided into three groups .All patients received the clean of wound surface using the same method , and dressing change according to the wound .The observation group ( n =39 ) received the DuoDERM combined with AquacelAg dressing on the wound , and the control group Ⅰ( n=37 ) received the DuoDERM dressing alone , and the control group Ⅱ( n=38 ) received the traditional gauze dressing change that was sterile gauze to cover wound surface ,keep clean and dry .The growth time of granulation on the wound , the healing time , the scar hyperplasia and the cure rate were compared among three groups .Results The growth time of granulation on the wound and the healing time were respectively (5.35 ±2.18) d, (11.15 ±2.24) d in the observation group, and were better than those of the control group , and the differences were statistically significant ( F=9.000, 5.717, respectively;P<0.05).The cases of scar hyperplasia and the cure rate were respectively 0 cases and 100%in the observation group , and were better than those of control group , and the differences were statistically significant (χ2 =13.515,21.351, respectively; P<0.01).Conclusions The clinical effect of DuoDERM combined with AquacelAg dressing on the wound after the xanthelasma palpebrarum treatment with laser surgery is better than the DuoDERM dressing and the traditional gauze dressing change alone , and is worthy of clinical promotion.