皮肤康复综合治疗在面部浅Ⅱ度烧伤愈后色素沉着治疗中的临床应用  

Investigate the skin multidisciplinary rehabilitation treatment for repairing pigmented after hearing of Ⅱ degree facial superficial burns

作　　者：张媛媛[1] 卢军玲[1] 

机构地区：[1]解放军总医院第一附属医院全军烧伤研究所,北京100048

出　　处：《中华损伤与修复杂志（电子版）》2011年第1期78-80,共3页Chinese Journal of Injury Repair and Wound Healing(Electronic Edition)

摘　　要：目的探讨皮肤康复综合治疗对减轻烧伤后面部皮肤愈合后色素沉着的作用。方法收集解放军总医院第一附属医院1997～2010年间面部浅Ⅱ度烧伤患者186例,根据所接受治疗方式的不同,分为对照组72例、治疗组56例、改进组58例,创面愈合后即开始皮肤康复治疗并进行观察。对照组为将调制好的面膜粉加适量蒸馏水调成糊状均匀敷于患处,约30 min后洗净,涂修复霜后为1次治疗。治疗组利用中草药离子喷雾机对患处进行喷雾,以适量按摩膏进行按摩,然后涂中草药化斑面膜30 min,洗净后再涂修复霜。改进组皮肤康复护理程序基本同治疗组,手法按摩完毕后,对色素沉着处涂祛斑霜软膏进行离子导入、导出、后再敷面膜,面膜粉采用中草药祛斑面膜。3组患者均隔日治疗1次,10次为一个疗程,治疗周期为3个月。结果改进组治愈率96.55%,治疗组为71.42%,对照组为33.33%,三组治愈率进行统计学比较,差异有统计学意义。结论康复治疗的开始时间越早越早好,手法按摩配合对色素沉着处涂祛斑霜软膏的离子导入和中草药祛斑面膜,隔日1次效果更好。Objective To investigate the effect of skin multidisciplinary rehabilitation treatment for reducing face pigmentation after burn. Methods A total of 186 patients with Ⅱ degree of facial superficial burns who were treated in our Burn and Plastic Surgery Department in recent 13 years. According to the different treat ment ways, they were randomly divided into control （72 patients）, treatment（56 patients）, and improved group（58 patients）. Comprehensive treatment and effect were observed after skin wound healed. In control group, the injury sites were covered with repair mask for about 30 min, after that washed and coated with repair cream. In treatment group, Chinese herbal medicine ion spray machine spray treatment with asiaticoside ointment massage was applied to scar firstly, and then the Chinese herbal medicine mask was used for 30 min, washed and coated with repair cream at last. In improved group, the basic skin care procedure was same as that of the treatment group, but the procedure of treating pigmented spots with freckle cream and ion importing exporting method was taken between massage and Chinese herbal medicine freckle facial mask applying. Those treatments repeated every 2 days and 10 times for a course. Results The cure rates in the improved, treatment and control group were 96.55%, 71.42% and 33.33%, respectively the difference being statistically significant. Concluslon The improved treatmet is the ideal one and the earlier starting the better rehabilitation.

关 键 词：皮肤色素沉着 烧伤 康复护理 

分 类 号：R644[医药卫生—外科学]