瘢痕体质者外科手术治疗后切口~(32)P敷贴治疗的临床价值初探
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摘要
目的:分析瘢痕体质者外科手术治疗后切口~(32)P敷贴治疗的临床价值。方法:选取2017年8-10月本院收治的58例经外科手术治疗后的瘢痕体质者。按照治疗方法不同将其分为对照组(n=25)和试验组(n=33)。对照组术后给予常规处理,试验组拆线后视切口恢复状况采取~(32)P敷贴治疗。比较两组术后切口恢复良好率、生活质量评分、情绪状态变化(SAS、SDS评分)以及对切口恢复的满意情况。结果:试验组术后2、4、6、12个月切口恢复良好率均高于对照组(P<0.05);治疗后,试验组生活质量评分高于对照组,SAS、SDS评分均低于对照组,比较差异均有统计学意义(P<0.05);试验组患者对切口恢复美观度、平整度及色泽统一性的满意度评分均高于对照组,比较差异均有统计学意义(P<0.05)。结论:~(32)P敷贴用于瘢痕体质者外科手术治疗后切口恢复中,可有效预防瘢痕,改善其情绪状态及生活质量。
Objective:To analyze the clinical value of ~(32)P application on incision after surgical treatment for patients with scar physique.Method:A total of 58 patients with scar physique after surgical treatment admitted to our hospital from August 2017 to October 2017 were selected.According to different treatment methods,they were divided into control group(n=25)and experimental group(n=33).The control group received routine treatment after operation,and the experimental group received ~(32)P application for the recovery of visual incision after thread removal.The incision recovery rate,quality of life score,emotional state change(SAS,SDS score)and satisfaction with incision recovery between the two groups were compared.Result:At 2,4,6 and 12 months after operation,the incision recovery rate of experimental group were higher than those of control group(P<0.05).After treatment,the quality of life score of experimental group was higher than that of control group,the scores of SAS and SDS were lower than those of control group,the differences were statistically significant(P<0.05).The satisfaction scores of experimental group on the aesthetic recovery,flatness and color uniformity of the incision were higher than those of control group,the differences were statistically significant(P<0.05).Conclusion:~(32)P application is used in the recovery of incision after surgical treatment for patients with scar physique,can effectively prevent scars and improve their emotional state and quality of life.
Objective:To analyze the clinical value of ~(32)P application on incision after surgical treatment for patients with scar physique.Method:A total of 58 patients with scar physique after surgical treatment admitted to our hospital from August 2017 to October 2017 were selected.According to different treatment methods,they were divided into control group(n=25)and experimental group(n=33).The control group received routine treatment after operation,and the experimental group received ~(32)P application for the recovery of visual incision after thread removal.The incision recovery rate,quality of life score,emotional state change(SAS,SDS score)and satisfaction with incision recovery between the two groups were compared.Result:At 2,4,6 and 12 months after operation,the incision recovery rate of experimental group were higher than those of control group(P<0.05).After treatment,the quality of life score of experimental group was higher than that of control group,the scores of SAS and SDS were lower than those of control group,the differences were statistically significant(P<0.05).The satisfaction scores of experimental group on the aesthetic recovery,flatness and color uniformity of the incision were higher than those of control group,the differences were statistically significant(P<0.05).Conclusion:~(32)P application is used in the recovery of incision after surgical treatment for patients with scar physique,can effectively prevent scars and improve their emotional state and quality of life.
引文
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[15]杨桂芝,华彩群,王亚敏,等.瘢痕体质病人甲状腺术后用90锶敷贴预防瘢痕疙瘩效果及护理[J].家庭护士,2008(11):941-942.
[16]张国旭,张彤,毕占华.核素32磷(32P)敷贴治疗瘢痕疙瘩的疗效观察[J].中国疗养医学,2013,22(10):915-917.
[17]李中华,王海琴,王一民,等.32P敷贴结合无针缝合器治疗前胸瘢痕疙瘩的疗效[J].山东大学学报(医学版),2013,51(1):88-92.
[18]张焕梅,罗宇康.32P敷贴联合超脉冲CO2激光治疗215例瘢痕疙瘩疗效观察[J].中国麻风皮肤病杂志,2013,29(1):63.
[19]冯方,梁九根,卢献平,等.32P敷贴联合盐酸卡替洛尔滴眼液局部外涂治疗婴幼儿浅表血管瘤的疗效观察[J].中山大学学报(医学科学版),2016,37(3):433-437.
[20]蓝冠章,郑吉祥.32P简易敷贴药膜治疗小儿皮肤血管瘤的疗效分析[J].中国医学工程,2015,23(4):141,143.
[2]蔡景龙.瘢痕疙瘩的诊疗指南建议[J].中国美容医学,2016,25(6):38-40.
[3]程定,崔树英,吴昌旭.三种方式治疗增生性瘢痕的疗效分析[J].中国美容医学,2017,26(4):44-47.
[4]陈小娥,周红,刘兴无,等.同位素磷32敷贴联合曲安奈德、5-氟尿嘧啶治疗瘢痕疙瘩的临床观察[J].中国中西医结合皮肤性病学杂志,2016,15(6):349-352.
[5]陈琼兰.CO2激光磨削术联合放射性32P敷贴治疗瘢痕疙瘩的临床观察[A].浙江省医学会皮肤病学分会.2012年浙江省皮肤病性病学术会议论文集[C].浙江省医学会皮肤病学分会:浙江省科学技术协会,2012:1.
[6]吴昌旭.三种方法治疗胸部增生性瘢痕的疗效比较[D].新乡:新乡医学院,2016.
[7]赵新萍.128例瘢痕瘤切除后放射治疗疗效分析[J].临床医药实践,2014,21(12):953-954.
[8]罗梅,姬永忠,庞艳.手术切除联合32P治疗耳部瘢痕疙瘩的疗效观察[J].中国美容医学,2011,20(3):384.
[9]李中华,王海琴,孙玉凯,等.瘢痕疙瘩放射治疗的疗效与皮肤张力的关系[J].山东大学学报(医学版),2015,53(7):78-81.
[10]张强,史彦青,李艳萍.放射性32P敷贴治疗瘢痕疙瘩临床观察[J].河南职工医学院学报,2015,23(1):11-13.
[11]孙玉凯,李中华,王海琴,等.两种方法治疗瘢痕疙瘩的前瞻性研究[J].山东大学学报(医学版),2015,52(8):85-89.
[12]杨凡慧,张春银.放射性核素敷贴治疗瘢痕疙瘩的应用与进展[J].医学综述,2014,20(8):1458-1460.
[13] Varma N,Piccini J P,Snell J,et al.The Relationship Between Level of Adherence to Automatic Wireless Remote Monitoring and Survival in Pacemaker and Defibrillator Patients[J].J Am Coll Cardiol,2015,65(24):2601-2610.
[14]刘青武.瘢痕疙瘩的临床及中医体质类型分析[D].北京:北京中医药大学,2018.
[15]杨桂芝,华彩群,王亚敏,等.瘢痕体质病人甲状腺术后用90锶敷贴预防瘢痕疙瘩效果及护理[J].家庭护士,2008(11):941-942.
[16]张国旭,张彤,毕占华.核素32磷(32P)敷贴治疗瘢痕疙瘩的疗效观察[J].中国疗养医学,2013,22(10):915-917.
[17]李中华,王海琴,王一民,等.32P敷贴结合无针缝合器治疗前胸瘢痕疙瘩的疗效[J].山东大学学报(医学版),2013,51(1):88-92.
[18]张焕梅,罗宇康.32P敷贴联合超脉冲CO2激光治疗215例瘢痕疙瘩疗效观察[J].中国麻风皮肤病杂志,2013,29(1):63.
[19]冯方,梁九根,卢献平,等.32P敷贴联合盐酸卡替洛尔滴眼液局部外涂治疗婴幼儿浅表血管瘤的疗效观察[J].中山大学学报(医学科学版),2016,37(3):433-437.
[20]蓝冠章,郑吉祥.32P简易敷贴药膜治疗小儿皮肤血管瘤的疗效分析[J].中国医学工程,2015,23(4):141,143.