超脉冲CO2激光联合中医综合疗法防治早期增生性瘢痕  

Combined therapy of super-pulsed CO2 laser and traditional Chinese medicine for prevention and treatment of post-traumatic hypertrophic scar

作　　者：晏丹[1] 黄泽春[1] 李慧[1] 余涵[1] 张安利[1] 梁志为[1] 王红梅[1] 彭丽[1] 李霞霞[1] 

机构地区：[1]湖南省郴州市第一人民医院整形美容科,郴州423000

出　　处：《中华医学美学美容杂志》2010年第5期317-319,共3页Chinese Journal of Medical Aesthetics and Cosmetology

摘　　要：目的 探讨超脉冲CO2激光联合中医综合疗法防治外伤后增生性瘢痕（hyperplastic scar,HS）的临床疗效.方法 将108例早期外伤后HS患者随机分为3组：超脉冲CO2激光联合中医综合治疗组（联合组）、单纯中医综合治疗组（中医组）及单纯激光治疗组（激光组）,每组各36例,均规律治疗6个月,治疗后随访1年以上.根据瘢痕性状和自觉症状评价临床疗效.结果 总有效率,联合组和中医组分别为97.2%和86.1%,显著高于激光组的61.1%;显效率,联合组为55.6%,中医组和激光组分别为27.8%、11.1%,联合组显著高于中医组和激光组,差异有统计学意义.结论 超脉冲CO2激光联合中医综合疗法用于面颈部外伤后HS的早期防治显效率高,远期效果好,无明显不良反应,可达到满意的美容治疗效果.Objective To analyse the clinical efficacy of combined therapy of super-pulsed CO2 laser and traditional Chinese medicine on the prevention and treatment of post-traumatic hypertrophic scar, and to discuss effective comprehensive therapy for hypertrophic scars. Methods 108 cases of early post-traumatic hypertrophic scar were divided randomly into three groups with 36 cases each： combined treatment group of super-pulsed CO2 laser and traditional Chinese medicine （combined group）, Chinese medicine treatment group （Chinese medicine group） and simple laser-treated group （laser group）. They were regularly treated for 6 months and followed up for longer than 1 year. Clinical effects were evaluated according to scar property and subjective symptoms in patients. Results The total effective rate was 97.2 % and 86.1% in combined group and Chinese medicine group that were higher than 61.1 % in laser group. Obviously effective rate of the three methods were 55. 6 %, 27.8 % and 11. 1 %, respectively, and the difference of obviously effective rate between combined group and other two groups was significally different. Conclusion The method combined with super-pulsed CO2 laser and traditional Chinese medicine for prevention and treatment of post-traumatic hypertrophic scar has advantages of high obviously effective rate, long-term and stable effects, less complication, and it can achieve satisfactory cosmetic effects.

关 键 词：增生性瘢痕 激光 外伤 中医疗法 

分 类 号：R6[医药卫生—外科学]