二氧化碳点阵激光联合硅凝胶外涂早期应用对头面颈部创口缝合后增生性瘢痕的预防效果  

The preventive effect of dot matrix CO_(2)laser combined with silicon gel applied externally in early stage on hypertrophic scar after head,face and neck wound suture

作　　者：曹炳丽 米钐钐 陈淑红 CAO Bingli;MI Shanshan;CHEN Shuhong(Third Affiliated Hospital of Nanyang Medical College,Henan Province,473000,China)

机构地区：[1]南阳医学高等专科学校第三附属医院,河南南阳473000

出　　处：《中国医疗美容》2024年第12期15-18,共4页China Medical Cosmetology

摘　　要：目的观察二氧化碳(CO_(2))点阵激光联合硅凝胶外涂早期应用对头面颈部创口缝合后增生性瘢痕的预防效果,为临床干预策略的选择提供参考。方法选取2022年1月至2024年5月南阳医学高等专科学校第三附属医院接诊的126例实施头面颈部创口缝合的患者,按治疗方法不同将其分为观察组和对照组。对照组在创口拆线后实施CO_(2)点阵激光治疗,观察组给予CO_(2)点阵激光联合硅凝胶外涂预防增生性瘢痕;使用温哥华瘢痕量表(VSS)评价两组患者伤口瘢痕形成情况,瘢痕部位色泽、柔韧性、血管分布情况等美学指标,以及局部不良反应和美学满意度。结果观察组患者瘢痕部位皮肤色泽、柔韧性、血管分布、皮肤厚度等指标评分及VSS总分均明显低于对照组,组间比较差异有统计学意义(P<0.05),且观察组瘢痕部位局部瘙痒、局部烧灼感、毛细血管扩张、色素沉着等不良反应发生率为4.76%,明显低于对照组15.87%,组间比较差异有统计学意义(χ^(2)=4.203,P=0.041);观察组患者美学满意度为98.41%,高于对照组85.71%,组间比较差异有统计学意义(χ^(2)=6.952,P=0.008)。结论CO_(2)点阵激光联合硅凝胶外涂早期应用可有效预防头面颈部创口缝合后瘢痕形成,改善局部美容效果,提升患者美学满意度。Objective To observe the preventive effect of dot matrix CO_(2)laser combined with silicon gel applied externally in the early stage on hypertrophic scar after head,face and neck wound suture,so as to provide reference for the selection of clinical intervention strategies.Methods A total of 126 patients who underwent head,face and neck wound suture in the Third Affiliated Hospital of Nanyang Medical College from January 2022 to may 2024 were selected and divided into observation group and control group according to different treatment methods.The control group was treated with dot matrix CO_(2)laser after suture removal,and the observation group was treated with dot matrix CO_(2)laser combined with silicone gel to prevent hypertrophic scar;Vancouver Scar Scale(VSS)was used to evaluate the formation of wound scar,the color,flexibility,vascular distribution and other aesthetic indicators of the scar site,as well as local adverse reactions and aesthetic satisfaction in the two groups.Results The scores of indicators such as skin color,flexibility,vascular distribution,skin thickness,and VSS total score in the observation group were significantly lower than those in the control group,and the difference between the groups was statistically significant(P<0.05).The incidence of adverse reactions such as local itching,local burning sensation,capillary dilation,and pigmentation in the scar area of the observation group was 4.76%,significantly lower than that of the control group(15.87%),and the difference between the groups was statistically significant(χ^(2)=4.203,P=0.041).The aesthetic satisfaction of the observation group patients was 98.41%,higher than that of the control group(85.71%),and the difference between the groups was statistically significant(χ^(2)=6.952,P=0.008).Conclusions The early application of dot matrix CO_(2)laser combined with silicon gel can effectively prevent the formation of scar after the suture of head,face and neck wounds,improve the local beauty effect,and enhance the aesthetic satisfactio

关 键 词：CO_(2)点阵激光 硅凝胶 头面颈部 增生性瘢痕 

分 类 号：R47[医药卫生—护理学]