CAJ | 학술논문

目的:探讨LPG物理治疗仪治疗增生性瘢痕的临床效果.方法:选取甘肃省人民医院2014年5月-2015年5月收治的诊断为瘢痕增生患者78例.其中男性46例,女性32例;年龄2~42岁,平均(14.21±10.74)岁.瘢痕增生病程为6个月~5年.采用LPG物理治疗仪,根据瘢痕的大小及位置选取合适的探头,较大部位采取大探头,较小部位如眼周,选择小探头;压力按照压力梯度递增,至患者可耐受即可.治疗周期为1个月,1次/d, 10~15min/次.分别记录患者治疗前后瘢痕的色泽、厚度、血管化状态、柔软度情况.采用温哥华烧伤瘢痕评定量表(Vancouver scarscale,VSS)进行量化比较.截止2015年5月,治疗后随访,均未出现明显瘢痕增生,其中最长随访时间为8个月,患者为12名.结果:治疗后78名患者瘢痕瘙痒症状均有不同程度的缓解,通过VSS量表分析治疗前与治疗后两组比较差异有显著性(P<0.05),且患者对于治疗结果均满意.结论:LPG可以有效地治疗创伤后增生性瘢痕,其采取负压抽吸的作用,软化瘢痕,促进瘢痕内胶原合成.
목적:탐토LPG물리치료의치료증생성반흔적림상효과.방법:선취감숙성인민의원2014년5월-2015년5월수치적진단위반흔증생환자78례.기중남성46례,녀성32례;년령2~42세,평균(14.21±10.74)세.반흔증생병정위6개월~5년.채용LPG물리치료의,근거반흔적대소급위치선취합괄적탐두,교대부위채취대탐두,교소부위여안주,선택소탐두;압력안조압력제도체증,지환자가내수즉가.치료주기위1개월,1차/d, 10~15min/차.분별기록환자치료전후반흔적색택、후도、혈관화상태、유연도정황.채용온가화소상반흔평정량표(Vancouver scarscale,VSS)진행양화비교.절지2015년5월,치료후수방,균미출현명현반흔증생,기중최장수방시간위8개월,환자위12명.결과:치료후78명환자반흔소양증상균유불동정도적완해,통과VSS량표분석치료전여치료후량조비교차이유현저성(P<0.05),차환자대우치료결과균만의.결론:LPG가이유효지치료창상후증생성반흔,기채취부압추흡적작용,연화반흔,촉진반흔내효원합성.
Objective To investigate the clinical effect of LPG physical therapy for the treatment of the hyperplastic scar. Methods Selected 78 patients which had been diagnosed with hyperplastic scar in Gansu Provincial Hospital from May.2014 to May.2015.There were 46 males,32 females;age 2-42 years old, average(14.21±10.74)years old.Scar hyperplasia course for half a year to 5 years.Using LPG physical therapy instrument, according to the size and the position of scars to select a appropriate head,the position which is larger will take a large head,small parts such as the eye,will choose a small head;Pressure according to the pressure gradient increased,untill the patient can tolerate.The treatment period are 1 months,1 times/d,10-15h/times.Recorded those before and after treatments datum in patients with scar color, thickness,vascular status, soft degree.Using the Vancouver scarscale VSS to quantify and compare.As of 2015 May,follow-up the treatment,there were no obvious scar hyperplasia,the longest follow-up time was 8 months,12 patients. Results 78 patients scars itch symptoms relieved in different degree after treatments,through the analysis of VSS scale before and after treatment of the two groups had significant difference(P<0.05).And all the patients are satisfactory for the treatment results. Conclusion LPG can effectively treat hyperplastic scar,which take the negative pressure suction effect,to soften the scar,promote the synthesis of collagen in the scar.