中西医结合皮肤再生法治疗增生性瘢痕的临床观察  

Research on the proliferative scars treated by skin regenerative method treatment

作　　者：赵贤忠[1,2,3] 孙记燕[1,2,3] 张东波[1,2,3] 葛永亮[1,2,3] 殷东京[1,2,3] 

机构地区：[1]江苏省南通大学附属南通第三医院 [2]南京中医药大学南通中西医结合临床学院整形美容烧伤中心 [3]中国烧伤创疡科技中心临床部,南通226006

出　　处：《中华中医药杂志》2010年第8期1329-1332,共4页China Journal of Traditional Chinese Medicine and Pharmacy

摘　　要：目的:观察中西医结合瘢痕移除原位皮肤再生法治疗增生性瘢痕的效果。方法:选择烧伤或创伤后出现多处增生性瘢痕的患者32例。每例选择2处瘢痕相似的部位,进行自身对照。实验组采用瘢痕移除、瘢痕皮回植后应用美宝湿润烧伤膏药纱覆盖的中西医结合原位皮肤再生法治疗;对照组采用瘢痕移除、瘢痕皮回植后应用凡士林覆盖的传统方法治疗。观察比较疗效,应用温哥华瘢痕评估量表评估瘢痕增生情况。结果:两组回植的瘢痕皮均成活。实验组再生皮肤良好,愈合速度和质量优于对照组(P<0.05);瘢痕移除后9个月,实验组温哥华瘢痕评估量表评估均优于对照组(P<0.05),瘢痕所致的疼痛、瘙痒等症状消失,皮片平整且颜色较回植前明显改善,与周围皮肤接近。结论:对自体皮源不足、瘢痕面积大的增生性瘢痕患者或不愿增加新的供皮区创面患者,应用瘢痕移除瘢痕皮回植原位皮肤再生的中西医结合方法治疗是一种较理想的方法。Objective： To observe the efficacy of skin regenerative medical technique in treating proliferative scars. Method： Select 32 patients （age16-52） with proliferative scars after burns or wound for 1-11 years,which include 25（male） and 7（female）. 2 scar similar spots are chosen in each patient for self-comparison.After the experimental group uses the scar detachment, scar Pi Huizhi applies the beautiful valuable moist burn medicinal plaster gauze cover the cooperation of Chinese and Western medicine home position skin regenerative method treatment; After the control group uses the scar detachment, scar Pi Huizhi applies the petroleum jelly cover the traditional method treatment.The observation comparison curative effect, applies the Vancouver scar appraisal meter appraisal scar proliferation situation. Results： Two groups return to the scar skin which plants to survive.The experimental group regenerates the skin to be good, the cicatrization speed and the quality surpass the control group （P 0.05）; The scar detachment latter 9 months, the experimental group Vancouver scar appraised the meter appraised surpasses the control group （P〈0.05） front, the scar result ache, sao itches and so on symptom vanishing, the skin piece smooth also the color returns plants improves obviously, is close with the periphery skin. Conclusion： To from the body skin source insufficiency, the scar area big proliferative scar patient or is not willing to increase newly for the skin area injured area patient, the home position skin regenerates the cooperation of Chinese and western medicine method treatment using scar detachment scar Pi Huizhi is one ideal method.

关 键 词：瘢痕移除 瘢痕皮回植 增生性瘢痕 原位皮肤再生 中西医结合 

分 类 号：R644[医药卫生—外科学]