强脉冲光联合维拉帕米颜面外伤早期抗瘢痕治疗

Earlier treatment of facial injury against scars with intense pulsed light and verapamil

目的应用强脉冲光联合维拉帕米行颜面外伤早期预防和抗瘢痕治疗。方法75例颜面外伤的患者随机分成3组,每组25例。A组在瘢痕内注射维拉帕米;B组应用强脉冲光照射治疗;C组应⒚强脉冲光照射治疗后,瘢痕内Β射维拉帕米,各组治疗均坚持3次,每次间隔3周。观察治疗后各组外伤的Ⅹ合情况。结果A组25例患者中,6例痊愈,13例有效,6例无效;B组6例痊愈,12例有效,7例无效;C组13例痊愈,10例有效,2例无效,与其他两组比较,强脉冲光子治疗仪联合维拉帕米治疗效果好,痊Ⅹ率高,差异有高度统计学意义(P<0.01)。结论强脉冲光联合维拉帕米行颜面外伤早期预防和抗瘢痕治疗是一种疗效好的方法。

Objective To disscuss the treatment of preventing and resisting scars in facial injuries during earlier period by application of intense pulsed light in conjunction with verapamil. Methods Seventy-five patients with facial injuries were randomly divided into three groups, 25 cases for each group. Group A were injected with verapamil in scars, group B were applied intense pulsed light irradiation treatment, group C were injected with verapamil in scars after application of intense pulsed light irradiation treatment. All cases were treated three times with three weeks intervals, trauma healing information in each group after treatment were collectected. Results Among 25 patients of group A, 6 cases were recovered, 13 cases were effective, 6 cases were invalid, There were 6 cases recovered, 12 cases effective,7 cases invalid in group B, and in group B, 13 cases were recovered, lO cases were effective, 2 cases were invalid. Compared to group A and B, group C had a better effect, and higher cure rate, P 〈0.01. Conclusions Treatment of preventing and resisting scars in facial injuries during earlier period by application of intense pulsed light in conjunction with verapamil is a eutherapeutic approach.