A型肉毒毒素联合眼袋整形术对眼周皮肤松弛患者的疗效观察

Curative Effect of Botulinum Toxin Type A Combined with Plastic Operation of Pouches on Patients with Eye Skin Relaxation

目的:探讨A型肉毒毒素联合眼袋整形术对眼周皮肤松弛患者的治疗效果和对患者满意度的影响,为临床提供参考。方法:选取2015年6月至2016年6月间因眼周皮肤松弛来我院治疗的患者60例。患者根据自身意愿选择治疗方式,按其选择的治疗方式分组为对照组(n=28)和治疗组(n=32)。对照组采用单纯眼袋整形术进行治疗,治疗组采用A型肉毒毒素联合眼袋整形术治疗。治疗后对两组患者均随访6个月。观察记录患者手术后鱼尾纹的改善效果、眼袋减轻的情况和眼周皮肤光泽的改善效果。观察患者并发症的发生情况。随访结束时采用自制的满意度调查问卷对患者满意度进行调查。结果:经过治疗,治疗组鱼尾纹改善率为100.00%,明显高于对照组的60.71%;治疗组眼袋改善率为96.88%,明显高于对照组的32.14%;治疗组皮肤光泽改善率为87.50%,明显高于对照组的53.57%,差异均具有统计学意义(均P<0.05)。治疗后,两组患者切口红肿、少量分泌物、小血肿的发生率比较无明显差异(P>0.05),治疗组术眼红肿与外眦部切口瘀痕发生率明显少于对照组(P<0.05)。治疗组总满意率为93.75%(30/32),明显高于对照组的67.86%(19/28),差异具有统计学意义(P<0.05)。结论:A型肉毒毒素与眼袋整形术联合应用在眼周皮肤松弛的治疗上有较好的疗效和安全性,能明显降低患者术眼红肿与外眦部切口瘀痕的发生,并提高患者满意率,值得在临床上推广应用。

Objective：To investigate the curative effect of botulinum toxin type A combined with plastic operation of pouches on patients with eye skin relaxation and its impact on patients＆#39; satisfaction,and to provide reference for clinical application.Methods：A total of 60 patients with eye skin relaxation,who were treated in Baoji Central Hospital from June 2015 to June 2016,were selected as subjects and divided into control group （n=28） and treatment group （n=32） according to the patients＆#39; choices.The patients of control group were treated with plastic operation of pouches,while the patients of treatment group were treated with botulinum toxin type A combined with plastic operation of pouches.The two groups were followed up for 6 months.The improvement of crow＆#39;s feet,the relief of pouches and the improvement of eye skin gloss of the patients after operation were observed and recorded.The incidence of complications were also observed.At the end of the follow-up,the satisfaction degrees of the patients were investigated with the self-made questionnaire.Results：After treatment,the improvement rate（100%） of crow＆#39;s feet of the treatment group was significantly higher than that（60.71%） of the control group;the improvement rate （96.88%） of pouches of the treatment group was significantly higher than that （32.14%） of the control group;the improvement rate （87.50%） of eye skin gloss of the treatment group was significantly higher than that （53.57%） of the control group,and the differences were statistically significant （all P〈0.05）.After treatment,there was no significant difference in the incidence of incision swelling,small amount of secretions and small hematoma between the two groups （P〉0.05）,the operation eye swelling and incision bruises outer canthus in the control group were more than those in the treatment group （P〈0.05）.The total satisfaction rate [93.75% （30/32）] of the treatment group was significantly higher than that[67.86% （19/28）] of the control group,the difference was statistically significant （P〈0.05）.Conclusion：Botulinum toxin type A combined with plastic operation of pouches in the treatment of eye skin relaxation has a better efficacy and safety,which can significantly reduce the incidence of operation eye swelling and incision bruises outer canthus,and improve patients＆#39; satisfaction rate.It is worthy of clinical application.