中华医学美学美容杂志
中華醫學美學美容雜誌
중화의학미학미용잡지
CHINESE JOURNAL OF MEDICAL AESTHETICS AND COSMETOLOGY
2015年
4期
223-225
,共3页
齐慧颉%胡晓根%任冲%高占巍
齊慧頡%鬍曉根%任遲%高佔巍
제혜힐%호효근%임충%고점외
水胶体敷料%冰敷%2940 nm铒像素激光%痤疮
水膠體敷料%冰敷%2940 nm鉺像素激光%痤瘡
수효체부료%빙부%2940 nm이상소격광%좌창
Hydrocolloid dressings%Ice compress%2940 nm erbium pixel laser%Acne
目的 观察水胶体敷料及术后即刻冰敷对2940 nm铒像素激光治疗痤疮瘢痕术后创面愈合、术后疼痛及疗效等的影响.方法 选取2012年11月至2014年6月2940 nm铒像素激光治疗的痤疮瘢痕患者60例,将其完全随机分为观察组(37例)和对照组(23例),观察组术后应用水胶体敷料及即刻冰敷,对照组术后创面未应用敷料及冰敷.分别对术后疼痛视觉模拟量表(VAS)评分、灼热感、红斑、脱痂时间、疗效、并发症等进行定量分析和评价.结果 观察组较对照组术后疼痛程度减轻,术后VAS评分观察组(5.81土0.64)分,对照组(6.09±0.69)分;灼热感持续时间缩短,观察组(1.86±0.75)h,对照组(3.65±0.93)h;红斑持续时间缩短,观察组(2.27±0.73)d,对照组(3.52±0.79)d;脱痂时间缩短,观察组(5.76±1.06)d,对照组(8.09±0.95)d;术后并发症减少,观察组5.4％(2/37),对照组30.4％ (7/23),差异均有统计学意义(均P＜0.05),而术中VAS疼痛评分及疗效差异无统计学意义.结论 2940 nm铒像素激光治疗痤疮瘢痕后应用水胶体敷料及即刻冰敷,可以有效降低患者术后疼痛及灼热感,缩短术后红斑持续时间及结痂时间,减少并发症的发生.
目的 觀察水膠體敷料及術後即刻冰敷對2940 nm鉺像素激光治療痤瘡瘢痕術後創麵愈閤、術後疼痛及療效等的影響.方法 選取2012年11月至2014年6月2940 nm鉺像素激光治療的痤瘡瘢痕患者60例,將其完全隨機分為觀察組(37例)和對照組(23例),觀察組術後應用水膠體敷料及即刻冰敷,對照組術後創麵未應用敷料及冰敷.分彆對術後疼痛視覺模擬量錶(VAS)評分、灼熱感、紅斑、脫痂時間、療效、併髮癥等進行定量分析和評價.結果 觀察組較對照組術後疼痛程度減輕,術後VAS評分觀察組(5.81土0.64)分,對照組(6.09±0.69)分;灼熱感持續時間縮短,觀察組(1.86±0.75)h,對照組(3.65±0.93)h;紅斑持續時間縮短,觀察組(2.27±0.73)d,對照組(3.52±0.79)d;脫痂時間縮短,觀察組(5.76±1.06)d,對照組(8.09±0.95)d;術後併髮癥減少,觀察組5.4％(2/37),對照組30.4％ (7/23),差異均有統計學意義(均P＜0.05),而術中VAS疼痛評分及療效差異無統計學意義.結論 2940 nm鉺像素激光治療痤瘡瘢痕後應用水膠體敷料及即刻冰敷,可以有效降低患者術後疼痛及灼熱感,縮短術後紅斑持續時間及結痂時間,減少併髮癥的髮生.
목적 관찰수효체부료급술후즉각빙부대2940 nm이상소격광치료좌창반흔술후창면유합、술후동통급료효등적영향.방법 선취2012년11월지2014년6월2940 nm이상소격광치료적좌창반흔환자60례,장기완전수궤분위관찰조(37례)화대조조(23례),관찰조술후응용수효체부료급즉각빙부,대조조술후창면미응용부료급빙부.분별대술후동통시각모의량표(VAS)평분、작열감、홍반、탈가시간、료효、병발증등진행정량분석화평개.결과 관찰조교대조조술후동통정도감경,술후VAS평분관찰조(5.81토0.64)분,대조조(6.09±0.69)분;작열감지속시간축단,관찰조(1.86±0.75)h,대조조(3.65±0.93)h;홍반지속시간축단,관찰조(2.27±0.73)d,대조조(3.52±0.79)d;탈가시간축단,관찰조(5.76±1.06)d,대조조(8.09±0.95)d;술후병발증감소,관찰조5.4％(2/37),대조조30.4％ (7/23),차이균유통계학의의(균P＜0.05),이술중VAS동통평분급료효차이무통계학의의.결론 2940 nm이상소격광치료좌창반흔후응용수효체부료급즉각빙부,가이유효강저환자술후동통급작열감,축단술후홍반지속시간급결가시간,감소병발증적발생.
Objective To observe the effect of hydrocolloid dressings with instant ice compress on the healing process,postoperative pain and efficacy of patients with acne scar treated by 2940 nm erbium pixel laser.Methods We selected 60 patients with acne scar from November 2012 to June 2014 treated by the erbium pixel laser.They were randomly divided into two groups:hydrocolloid dressings with ice compress after treatment were used in observation group (n=37)and postoperative wound dry were kept in control group (n=23);pain,duration of burning,erythema duration,efficacy,decrustation time,postoperative complications were evaluated and quantitatively analyzed.Results Compared with the control group,the application of hydrocolloid dressings with ice compress group (observation group) received less postoperative paim postoperative VAS pain score was (5.81± 0.64) in observation group and (6.09±0.69) in control group;duration of burning was shorter:(1.86± 0.75) h in observation group and (3.65±0.93) h in control group;duration of erythema was shorter:(2.27±0.73) d in observation group and (3.52 ±0.79) d in control group;decrustation time was shorter:(5.76± 1.06) d in observation group and (8.09±0.95) d in control group;postoperative complications were reduced:(5.4％,2/37) in the observation group and (30.4％,7/23) in the control group,with statistically significant difference (all P＜0.05).The differences were not statistically significant in the intraoperative VAS score and the curative effect.Conclusions The application of hydrocolloid dressing with instant ice compress after erbium pixel laser in the treatment of acne scar can effectively reduce postoperative pain and burning sensation,shorten the duration of erythema and crusting time after operation.It also reduces the incidence of complications.
