离子束联合强脉冲光综合美容措施对面部烧伤瘢痕的修复效果研究
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摘要
目的:研究离子束联合强脉冲光综合美容措施对面部烧伤瘢痕的修复效果,为患者的瘢痕修复提供临床指导。方法:回顾性分析2015年10月-2018年10月笔者医院治疗的80例面部烧伤瘢痕患者的诊疗情况。按照瘢痕处理方式的不同,将其随机分为观察组(n=40)和对照组(n=40)。对照组采取常规措施进行面部烧伤瘢痕治疗,涂抹抗瘢痕药物进行治疗;观察组在常规措施治疗的基础上应用离子束联合强脉冲光的综合美容措施进行治疗。对两组患者的修复效果进行比较分析,并采用温哥华瘢痕量表(Vancouverscarscale,VSS)对患者的瘢痕情况进行评定。结果:治疗后对照组VSS评分显著高于观察组,差异具有统计学意义(P<0.05)。观察组患者的色素沉着、瘢痕增生和萎缩发生率以及红斑的持续时间均低于对照组,差异均有统计学意义(P<0.05)。观察组患者满意度为90.00%明显高于对照组的70.00%,差异具有统计学意义(P<0.05)。结论:离子束联合强脉冲光综合美容措施治疗对面部烧伤瘢痕进行修复,可明显降低瘢痕增生和萎缩、色素沉着的发生率,提高治疗效果,值得在临床应用。
Objective To study the effect of ion beam combined with intense pulsed light on the repair of facial burn scar.Methods 80 patients with facial burn scar treated in our hospital from October 2015 to October 2018 were randomly divided into the observation group(n=40) and the control group(n=40) according to random number table method. The patients in the control group were treated with routine measures for facial burn scars, and the patients were treated with anti-scar drugs.The patients in the observation group were treated with comprehensive cosmetic measures of ion beam combined with intense pulsed light on the basis of routine measures. The repair effects of the two groups were compared and analyzed. The patients' scars were evaluated with VSS scale. Results After treatment, the VSS score of the control group was significantly higher than that of the observation group, and the difference was statistically significant(P<0.05). The incidence of pigmentation,scar hyperplasia and atrophy and the duration of erythema in the observation group were lower than those in the control group(P<0.05). The satisfaction rate of patients in observation group was 90.00%, which was significantly higher than 70.00%in control group(P<0.05). Conclusion Ion beam combined with intense pulsed light cosmetic treatment can effectively reduce the incidence of scar hyperplasia, atrophic pigmentation and sedation, improve the therapeutic effect of facial burn scar and improve the prognosis of facial burn, and it is worthy of clinical application in the treatment of facial burn.
Objective To study the effect of ion beam combined with intense pulsed light on the repair of facial burn scar.Methods 80 patients with facial burn scar treated in our hospital from October 2015 to October 2018 were randomly divided into the observation group(n=40) and the control group(n=40) according to random number table method. The patients in the control group were treated with routine measures for facial burn scars, and the patients were treated with anti-scar drugs.The patients in the observation group were treated with comprehensive cosmetic measures of ion beam combined with intense pulsed light on the basis of routine measures. The repair effects of the two groups were compared and analyzed. The patients' scars were evaluated with VSS scale. Results After treatment, the VSS score of the control group was significantly higher than that of the observation group, and the difference was statistically significant(P<0.05). The incidence of pigmentation,scar hyperplasia and atrophy and the duration of erythema in the observation group were lower than those in the control group(P<0.05). The satisfaction rate of patients in observation group was 90.00%, which was significantly higher than 70.00%in control group(P<0.05). Conclusion Ion beam combined with intense pulsed light cosmetic treatment can effectively reduce the incidence of scar hyperplasia, atrophic pigmentation and sedation, improve the therapeutic effect of facial burn scar and improve the prognosis of facial burn, and it is worthy of clinical application in the treatment of facial burn.
引文
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[12]魏玲,王立云,王永霞,等.微等离子束联合夫西地酸乳膏治疗凹陷性痤疮瘢痕的美容效果研究[J].中国美容医学,2018,27(11):56-59.
[13]Zisman A,Dex T,Roberts M,et al.Bedtime-to-morning glucose difference and iGlarLixi in Type 2 diabetes:post hoc analysis of LixiLan-L[J].Diabetes Ther,2018,9(5):2155-2162.
[14]石岩.湿润暴露疗法治疗面部烧伤的临床分析[J].中国现代药物应用,2018,12(22):83-84.
[15]Peng L,Tang S,Li Q.Intense pulsed light and laser treatment regimen improves scar evolution after cleft lip repair surgery[J].J Cosmet Dermatol,2018,17(5):752-755.
[2]Labibzadeh M,Kaydani GA,Savari M,et al.Emergence of high-level gentamicin resistance among enterococci clinical isolates from burn patients in south-west of iran:vancomycin still working[J].Pol JMicrobiol,2018,67(4):401-406.
[3]赵朱云,廖丽娟,杨丽丹,等.45例烧伤患者出院后延续护理对瘢痕增生的预防作用[J].临床护理杂志,2018,17(5):30-32.
[4]Grechenkov A,Sukhanov R,Bezrukov E,et al.Risk factors for urethral stricture and/or bladder neck contracture after monopolar transurethral resection of the prostate for benign prostatic hyperplasia[J].Urologia,2018,85(4):150-157.
[5]刘迪娜.硅酮敷料结合重组人源胶原蛋白凝胶对颌面头颈部创口瘢痕的影响[J].中国美容医学,2018,27(11):130-133.
[6]Heydarikhayat N,Ashktorab T,Rohani C,et al.Effect of posthospital discharge follow-up on health status in patients with burn injuries:a randomized clinical trial[J].Int J Community Based Nurs Midwifery,2018,6(4):293-304.
[7]王君,师军涛,徐淑江,等.湿润烧伤膏联合重组人表皮生长因子凝胶治疗颌面部擦挫伤的疗效观察[J].哈尔滨医药,2018,38(2):150-151.
[8]Meng F,Zhao Y,Titus T,et al.Brain of the blind:transcriptomics of the golden-line cavefish brain[J].Curr Zool,2018,64(6):765-773.
[9]王嘉炜.中高剂量短波紫外线软化瘢痕异常增生组织疗效报告1例[J].按摩与康复医学,2018,9(18):10-11.
[10]Peng L,Tang S,Li Q.Intense pulsed light and laser treatment regimen improves scar evolution after cleft lip repair surgery[J].J Cosmet Dermatol,2018,17(5):752-755.
[11]周牮,陈志坚.扩散加权成像ADC值与肝细胞癌病理学特征及微血管侵犯的相关性研究[J].中国CT和MRI杂志,2018,16(12):90-93.
[12]魏玲,王立云,王永霞,等.微等离子束联合夫西地酸乳膏治疗凹陷性痤疮瘢痕的美容效果研究[J].中国美容医学,2018,27(11):56-59.
[13]Zisman A,Dex T,Roberts M,et al.Bedtime-to-morning glucose difference and iGlarLixi in Type 2 diabetes:post hoc analysis of LixiLan-L[J].Diabetes Ther,2018,9(5):2155-2162.
[14]石岩.湿润暴露疗法治疗面部烧伤的临床分析[J].中国现代药物应用,2018,12(22):83-84.
[15]Peng L,Tang S,Li Q.Intense pulsed light and laser treatment regimen improves scar evolution after cleft lip repair surgery[J].J Cosmet Dermatol,2018,17(5):752-755.