水胶体敷料及术后冰敷在2940nm铒像素激光治疗痤疮瘢痕中的应用价值

Clinical value of 2940 nm erbium pixel laser with hydrocolloid dressing and ice compress in the treatment of acne scar

目的 观察水胶体敷料及术后即刻冰敷对2940 nm铒像素激光治疗痤疮瘢痕术后创面愈合、术后疼痛及疗效等的影响.方法 选取2012年11月至2014年6月2940 nm铒像素激光治疗的痤疮瘢痕患者60例,将其完全随机分为观察组（37例）和对照组（23例）,观察组术后应用水胶体敷料及即刻冰敷,对照组术后创面未应用敷料及冰敷.分别对术后疼痛视觉模拟量表（VAS）评分、灼热感、红斑、脱痂时间、疗效、并发症等进行定量分析和评价.结果 观察组较对照组术后疼痛程度减轻,术后VAS评分观察组（5.81土0.64）分,对照组（6.09±0.69）分;灼热感持续时间缩短,观察组（1.86±0.75）h,对照组（3.65±0.93）h;红斑持续时间缩短,观察组（2.27±0.73）d,对照组（3.52±0.79）d;脱痂时间缩短,观察组（5.76±1.06）d,对照组（8.09±0.95）d;术后并发症减少,观察组5.4％（2/37）,对照组30.4％ （7/23）,差异均有统计学意义（均P＜0.05）,而术中VAS疼痛评分及疗效差异无统计学意义.结论 2940 nm铒像素激光治疗痤疮瘢痕后应用水胶体敷料及即刻冰敷,可以有效降低患者术后疼痛及灼热感,缩短术后红斑持续时间及结痂时间,减少并发症的发生.

Objective To observe the effect of hydrocolloid dressings with instant ice compress on the healing process,postoperative pain and efficacy of patients with acne scar treated by 2940 nm erbium pixel laser.Methods We selected 60 patients with acne scar from November 2012 to June 2014 treated by the erbium pixel laser.They were randomly divided into two groups：hydrocolloid dressings with ice compress after treatment were used in observation group （n=37）and postoperative wound dry were kept in control group （n=23）;pain,duration of burning,erythema duration,efficacy,decrustation time,postoperative complications were evaluated and quantitatively analyzed.Results Compared with the control group,the application of hydrocolloid dressings with ice compress group （observation group） received less postoperative paim postoperative VAS pain score was （5.81± 0.64） in observation group and （6.09±0.69） in control group;duration of burning was shorter：（1.86± 0.75） h in observation group and （3.65±0.93） h in control group;duration of erythema was shorter：（2.27±0.73） d in observation group and （3.52 ±0.79） d in control group;decrustation time was shorter：（5.76± 1.06） d in observation group and （8.09±0.95） d in control group;postoperative complications were reduced：（5.4%,2/37） in the observation group and （30.4%,7/23） in the control group,with statistically significant difference （all P〈0.05）.The differences were not statistically significant in the intraoperative VAS score and the curative effect.Conclusions The application of hydrocolloid dressing with instant ice compress after erbium pixel laser in the treatment of acne scar can effectively reduce postoperative pain and burning sensation,shorten the duration of erythema and crusting time after operation.It also reduces the incidence of complications.