高压氧对皮肤磨削术后创面愈合的影响  

Effect of skin dermabrasion on wound healing promoted by hyperbaric oxygen

作　　者：任纪祯[1] 陈振雨[1] 王彦进[1] 陈璐[1] 

机构地区：[1]青岛大学医学院附属医院整形外科,266003

出　　处：《中华医学美学美容杂志》2014年第6期433-435,共3页Chinese Journal of Medical Aesthetics and Cosmetology

摘　　要：目的探讨高压氧治疗在面部瘢痕皮肤磨削术后创面愈合中的作用。方法将行面部瘢痕皮肤磨削术患者32例（痤疮后凹陷性瘢痕20例，外伤后条索状线性瘢痕12例）．随机分为两组：16例为高压氧治疗组，于术后第1天开始给予高压氧干预，每日1次，连续6d；另外16例作为对照组．只给予常规术后换药处理，换药程序与高压氧治疗组相同，观察高压氧治疗组与对照组在磨削术后创面换药天数及愈合时间上的差异。结果16例磨削创面进行高压氧治疗后创面愈合较快，平均换药时间为（4．0±1．2）d，平均愈合时间为（11．0±2．8）d，无创面感染。对照组16例磨削创面愈合较慢，平均换药时间为（5．0±1．6）d，平均愈合时间为（16．0±3．1）d，无创面感染。两组患者以供皮区创面内层敷料完全自然翘起，可轻易揭除。揭除的时间为判定愈合标准，两组愈合时间比较差异有统计学意义（P〈O．05），换药天数差异无统计学意义（P〉O．05）。结论面部瘢痕皮肤磨削术后行高压氧治疗可以促进磨削区创面愈合，缩短愈合时间。Objective To study the function of hyperbaric oxygen in the wound healing of skin dermabrasion. Methods A total of 32 cases of facial scar underwent skin dermabrasion, in which 20 cases were caused by aene and 12 cases by external injury. 16 cases were given hyperbaric oxygen treatment after skin dermahrasion randomly and lasted for 6 days, while the other 16 cases were given only routine dressing change which was same to the hyperbaric oxygen group. We observed the wound healing time and dress changing time under the condition of hyperbaric oxygen and no hyperbaric oxygen after skin dermabrasion. Results Sixteen cases received hyperbaric oxygen recovered with short healing time, average 11 days, while other 16 cases received no hyperbaric oxygen recovered with longer healing time, average 16 days, without wound infection. Significant statistical difference （P〈0.05） was found by SPSS 11.5 analysis. However, the average time of dress changing in hyper- baric oxygen group was 5 days, which was a little more than that of the group without hyperbaric oxy- gen treatment （average time of 4 days） although there was no significant statistical difference between the two groups. Conclusions The wound healing of skin dermabrasion can be improved by hyperbaric oxygen.

关 键 词：瘢痕 面部 高压氧 皮肤磨削术 

分 类 号：R622[医药卫生—整形外科]