单极射频促进积雪苷霜软膏经皮吸收治疗未成熟瘢痕的临床观察  

Clinical observation of unipolar radiofrequency in promoting the transdermal absorption of cumenexin cream ointment in the treatment of immature scars

作　　者：张杉 张天琦 付秋悦 陈浩 熊楚楚 胡国强 陈刚[1] ZHANG Shan;ZHANG Tianqi;FU Qiuyue;CHEN Hao;XIONG Chuchu;HU Guoqiang;CHEN Gang(Department of Plastic Surgery,Jiangsu Province Hospital of Traditional Chinese Medicine,Nanjing 210029,China)

机构地区：[1]南京中医药大学附属医院(江苏省中医院)整形外科,江苏南京210029 [2]东部战区空军医院烧伤整形外科,江苏南京210002

出　　处：《中国美容整形外科杂志》2024年第7期385-388,共4页Chinese Journal of Aesthetic and Plastic Surgery

基　　金：2022年南京市科技发展计划项目(202205058)。

摘　　要：目的 探究单极射频通过促进积雪苷霜软膏经皮吸收治疗未成熟瘢痕的疗效及安全性。方法 自2022年5月至2023年5月,江苏省中医院整形外科将42例患者随机分为对照组和观察组,21例/组。对照组外用积雪苷霜软膏治疗,观察组采用单极射频联合积雪苷软膏治疗。治疗周期为3个月,采用温哥华瘢痕评估量表(vancouver scar scale,VSS)评估两组患者治疗前后的疗效,观察并比较两组患者的满意率、不良反应等。结果 治疗前观察组VSS评分为(7.67±1.96)分,治疗后12个月降至(1.10±0.61)分;对照组治疗前评分为(7.62±2.16)分,治疗后12个月降至(2.24±1.02)分;观察组评分下降量明显高于对照组,差异具有统计学意义(P<0.05)。两组均未出现不良反应,观察组患者满意率为85.71%,对照组满意率为66.67%。结论 单极射频联合积雪苷霜软膏治疗未成熟瘢痕效果优于单纯外用积雪苷霜软膏,联合治疗方法安全性较高无明显不良反应,值得临床推广。Objective To observe the efficacy and safety of monopolar radiofrequency in the treatment of immature scarring by promoting the transdermal absorption of cumenex cream ointment.Methods From May 2022 to May 2023,42 patients were randomly di-vided into two groups,each with 21 patients.Patients in the control group were topically treated with Centella Triterpenes Cream,while those in the research group were treated with monopolar radiofrequency combined with Centella Triterpenes Cream.Vancouver Scar Scale(VSS)was used to evaluate the scars of the two groups before and after treatment.Then we observe and compare the efficacy,adverse reactions,and so on.Results The VSS score of the research group was(7.67±1.96)before treatment,and decreased to(1.10±0.61)after treatment 12 months.In the control group,the preoperative score was(7.62±2.16),and it decreased to(2.24±1.02)after treatment 12 months.The VSS score of the research group was significantly lower than the control group,and the difference was statistically significant(P<0.05).There were no adverse reactions in both groups.The satisfaction rate of patients was 85.71%in the research group and 66.19%in the con-trol group.Conclusion Unipolar radiofrequency combined with cumeneoside cream ointment is better than simple topical medicine in the treatment of immature scars,and the combined treatment method is safe without obvious side effects,which is worthy of clinical promotion.

关 键 词：射频 瘢痕 积雪苷霜软膏 经皮吸收 

分 类 号：R622[医药卫生—整形外科]