CAJ | 학술논문

目的：探讨薄形泡沫敷料（爱立敷）联合冰敷减轻颜面部整形术后肿胀的效果及总结护理要点。方法选择本科室60例颜面部整形术后患者，将患者随机分为观察组和对照组，每组各30例。对照组患者术后给予无菌纱布包裹冰袋置于患者伤口的敷料上冷敷，每次30~40 min，间隔30 min再冷敷，每日6~10次至术后72 h；观察组患者采用薄形泡沫敷料贴于伤口处，再给予对照组同样冰敷方法。比较两组患者术后第3天颜面部肿胀程度。结果两组患者术后第3天颜面部肿胀情况比较，P＜0.01，差异具有统计学意义，观察组患者术后第3天颜面部肿胀情况明显轻于对照组。结论薄形泡沫敷料联合冰敷可有效减轻颜面部整形术后患者早期肿胀程度，值得临床推广应用。
목적：탐토박형포말부료（애립부）연합빙부감경안면부정형술후종창적효과급총결호리요점。방법선택본과실60례안면부정형술후환자，장환자수궤분위관찰조화대조조，매조각30례。대조조환자술후급여무균사포포과빙대치우환자상구적부료상랭부，매차30~40 min，간격30 min재랭부，매일6~10차지술후72 h；관찰조환자채용박형포말부료첩우상구처，재급여대조조동양빙부방법。비교량조환자술후제3천안면부종창정도。결과량조환자술후제3천안면부종창정황비교，P＜0.01，차이구유통계학의의，관찰조환자술후제3천안면부종창정황명현경우대조조。결론박형포말부료연합빙부가유효감경안면부정형술후환자조기종창정도，치득림상추엄응용。
Objective To investigate the preventive effect of thin foam dressings(Allevyn Thin)combined with ice compress on facial plastic postoperative swelling and to summarize the nursing key points.Methods Sixty patients after facial plastic surgeries in our department were randomly divided into the observation group and the control group with 30 cases in each group.In the control group,ice packs wrapped with sterile gauze were placed on the patients’ wound dressings postoperatively and fixed properly for 30 to 40 minutes with an interval of 30 minutes,6 to 10 times a day for 72 hours postoperatively.In the observation group,thin foam dressing was stick to the wounds,followed by ice compress as in the control group.The facial swelling degrees of both groups were compared on day 3 and day 7 postoperatively.Result The swelling degree in the observation group was significantly smaller than that of the control group(P<0.01).Conclusion Thin foam dressings combined with ice compress can effectively improve the postoperative early swelling of patients receiving facial plastic surgery and therefore it is worthy of clinical popularization and application.