超脉冲CO_2点阵激光结合心理弹性支持护理对烧伤瘢痕修复的作用研究
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摘要
目的:分析超脉冲CO2点阵激光结合心理弹性支持护理对烧伤瘢痕修复的作用,为烧伤后患者瘢痕修复及护理提供临床指导。方法:将笔者医院2017年1月-2018年1月收治的600例烧伤瘢痕修复患者作为研究对象。按随机数表法,分为对照组(300例)和观察者(300例)。对照组给予超脉冲CO_2点阵激光治疗,观察组在对照组基础上,结合心理弹性支持护理。治疗3个月,观察两组患者瘢痕修复疗效、温哥华瘢痕量表评分(VSS)、视觉模拟疼痛评分(VAS)、瘢痕权重评分(ECCA)、护理满意度及不良反应。结果:观察组美容修复总有效率(95.7%)明显高于对照组(81.0%),差异有统计学意义(P<0.05)。护理前,两组患者VSS、VAS及ECCA评分无显著性差异(P>0.05);护理后,两组患者上述指标评分明显降低,且观察组显著低于对照组,差异具有统计学意义(P<0.05)。观察组总满意率(88.3%)明显高于对照组(70.0%),差异具有统计学意义(P<0.05)。观察组的总不良反应率(4.7%)显著低于对照组(21.4%),差异有统计学意义(P<0.05)。结论:超脉冲CO_2点阵激光结合心理弹性支持护理对烧伤瘢痕美容修复效果显著,可明显降低患者疼痛,改善瘢痕形态、色泽及柔软度,提高美观度,安全可靠,值得临床推广应用。
Objective To study effect in patients with burn scar repair by ultra pulsed CO_2 dot laser combined with resilience support nursing. Methods 600 cases of patients were divided into the observation group(300 cases) and the control group(300 cases) from January 2017 to January 2018. The control group was given ultra pulsed CO_2 dot laser while the observation group was received ultra pulsed CO_2 dot laser combined with resilience support nursing. The differences of therapeutic effect,Vancouver Scar Scale(VSS), Visual Analogue(VAS) score, Scar weight score(ECCA), nursing satisfaction and adverse reaction of two groups were observed after treatment. Results The total efficiency(95.7%) of the observation group was signi? cantly rather than the control group(81.0%), the difference was statistically signi? cant(P<0.05). VSS, VAS and ECCA scores of two groups were not statistically signi? cant(P>0.05) before treatment. Above indicators scores of the observation group were signi? cantly lower than the control group, the differences of two groups was statistically signi? cant(P<0.05). Total satisfaction rate(88.3%) of the observation group was signi? cantly rather than the control group(70.0%), the differences of two groups was statistically signi? cant(P<0.05). Adverse reaction rates(4.7%) of the observation group were statistically lower rather the control group(21.4%), he differences of two groups was statistically signi? cant(P<0.05)). Conclusion Cosmetic effect of burn scar was remarkable by ultra-pulse CO_2 lattice laser combined with psychological elasticity support nursing which could signi? cantly reduced pain, improved scared shape, improves beauty, color and softness, improved aesthetics and was worth popularizing and applying in clinic.
Objective To study effect in patients with burn scar repair by ultra pulsed CO_2 dot laser combined with resilience support nursing. Methods 600 cases of patients were divided into the observation group(300 cases) and the control group(300 cases) from January 2017 to January 2018. The control group was given ultra pulsed CO_2 dot laser while the observation group was received ultra pulsed CO_2 dot laser combined with resilience support nursing. The differences of therapeutic effect,Vancouver Scar Scale(VSS), Visual Analogue(VAS) score, Scar weight score(ECCA), nursing satisfaction and adverse reaction of two groups were observed after treatment. Results The total efficiency(95.7%) of the observation group was signi? cantly rather than the control group(81.0%), the difference was statistically signi? cant(P<0.05). VSS, VAS and ECCA scores of two groups were not statistically signi? cant(P>0.05) before treatment. Above indicators scores of the observation group were signi? cantly lower than the control group, the differences of two groups was statistically signi? cant(P<0.05). Total satisfaction rate(88.3%) of the observation group was signi? cantly rather than the control group(70.0%), the differences of two groups was statistically signi? cant(P<0.05). Adverse reaction rates(4.7%) of the observation group were statistically lower rather the control group(21.4%), he differences of two groups was statistically signi? cant(P<0.05)). Conclusion Cosmetic effect of burn scar was remarkable by ultra-pulse CO_2 lattice laser combined with psychological elasticity support nursing which could signi? cantly reduced pain, improved scared shape, improves beauty, color and softness, improved aesthetics and was worth popularizing and applying in clinic.
引文
[1]屈艳艳,周琴,石雪芹,等.早期干预对重度烧伤患者生活质量的影响分析[J].中国美容医学,2017,26(2):121-123.
[2]赵奥林,杨德刚,张丽,等.皮损内注射曲安奈德序贯CO2点阵激光治疗增生性瘢痕疗效观察[J].中国皮肤性病学杂志,2016,30(9):905-907.
[3]许珂,任辉.临床护理人员心理弹性特点及其与社会支持和应对方式的关系[J].第三军医大学学报,2017,39(9):935-940.
[4]崔泽龙,杨小辉,首家保,等.瘢痕断层皮片联合脱细胞异体真皮治疗大面积深Ⅱ度烧伤瘢痕的疗效[J].中国修复重建外科杂志,2014,28(12):1502-1504.
[5]刘勇军,朱薛峰,陈小敏.CO2点阵激光治疗皮肤烧伤后瘢痕修复中的疗效研究[J].浙江创伤外科,2016,21(4):647-649.
[6]黄跃深,万建勣,董秀芹.超脉冲CO2点阵激光治疗瘢痕58例临床观察[J].中国皮肤性病学杂志,2015,29(6):637-639.
[7]吴小婷,章新琼,王秋萍,等.癌症患者心理弹性干预的研究进展[J].中华护理杂志,2017,52(3):316-320.
[8]Zhang YT,Li-Tsang CWP,Au RKC.A Systematic Review on the Effect of Mechanical Stretch on Hypertrophic Scars after Burn Injuries[J].Hong Kong J Occup Ther,2017,29(1):1-9.
[9]陈天庆,梁国仲.聚维酮碘乳膏联合可见光治疗小儿烧/烫伤的临床疗效[J].实用医学杂志,2018,34(17):2925-2929.
[10]赵翠杨,夏丹英,马蕾.rh EGF联合点阵激光对痤疮疤痕患者皮肤屏障功能及TLR2水平的影响[J].中国现代医学杂志,2017,27(28):110-114.
[11]Lee SJ,Suh DH,Lee JM,et al.Dermal remodeling of burn scar by fractional CO2 laser[J].Aesthetic Plast Surg,2016,40(5):761-768.
[12]鲁安康,郑贺英,吴爽,等.脑梗死患者心理弹性的影响机制及干预策略[J].重庆医学,2017,46(10):80-82.
[13]Yu PX,Diao WQ,Qi ZL.Effect of dermabrasion and recell?on large superfi cial facial scars caused by burn,trauma and acnes[J].Chin Med Sci J,2016,31(3):173-179.
[14]杨丽云,吴承高,胡飘萍,等.小儿大面积烧伤休克期切痂术输血策略[J].中国输血杂志,2018,31(7):711-714.
[2]赵奥林,杨德刚,张丽,等.皮损内注射曲安奈德序贯CO2点阵激光治疗增生性瘢痕疗效观察[J].中国皮肤性病学杂志,2016,30(9):905-907.
[3]许珂,任辉.临床护理人员心理弹性特点及其与社会支持和应对方式的关系[J].第三军医大学学报,2017,39(9):935-940.
[4]崔泽龙,杨小辉,首家保,等.瘢痕断层皮片联合脱细胞异体真皮治疗大面积深Ⅱ度烧伤瘢痕的疗效[J].中国修复重建外科杂志,2014,28(12):1502-1504.
[5]刘勇军,朱薛峰,陈小敏.CO2点阵激光治疗皮肤烧伤后瘢痕修复中的疗效研究[J].浙江创伤外科,2016,21(4):647-649.
[6]黄跃深,万建勣,董秀芹.超脉冲CO2点阵激光治疗瘢痕58例临床观察[J].中国皮肤性病学杂志,2015,29(6):637-639.
[7]吴小婷,章新琼,王秋萍,等.癌症患者心理弹性干预的研究进展[J].中华护理杂志,2017,52(3):316-320.
[8]Zhang YT,Li-Tsang CWP,Au RKC.A Systematic Review on the Effect of Mechanical Stretch on Hypertrophic Scars after Burn Injuries[J].Hong Kong J Occup Ther,2017,29(1):1-9.
[9]陈天庆,梁国仲.聚维酮碘乳膏联合可见光治疗小儿烧/烫伤的临床疗效[J].实用医学杂志,2018,34(17):2925-2929.
[10]赵翠杨,夏丹英,马蕾.rh EGF联合点阵激光对痤疮疤痕患者皮肤屏障功能及TLR2水平的影响[J].中国现代医学杂志,2017,27(28):110-114.
[11]Lee SJ,Suh DH,Lee JM,et al.Dermal remodeling of burn scar by fractional CO2 laser[J].Aesthetic Plast Surg,2016,40(5):761-768.
[12]鲁安康,郑贺英,吴爽,等.脑梗死患者心理弹性的影响机制及干预策略[J].重庆医学,2017,46(10):80-82.
[13]Yu PX,Diao WQ,Qi ZL.Effect of dermabrasion and recell?on large superfi cial facial scars caused by burn,trauma and acnes[J].Chin Med Sci J,2016,31(3):173-179.
[14]杨丽云,吴承高,胡飘萍,等.小儿大面积烧伤休克期切痂术输血策略[J].中国输血杂志,2018,31(7):711-714.