超脉冲CO2点阵激光配合康复功能锻炼减缓关节部位烧伤后增生性瘢痕形成的效果研究

Analysis of Effect in Patients with Hypertrophic Scar after Joint Burn by Ultra Pulsed CO2 Dot Laser Combined with Rehabilitation Exercise

目的:分析超脉冲CO2点阵激光配合康复功能锻炼减缓关节部位烧伤后增生性瘢痕形成的效果。方法:将笔者医院2017年1月-2018年1月收治的600例烧伤瘢痕修复患者作为研究对象。按随机数表法,分为对照组(300例)和观察组(300例)。对照组给予超脉冲CO2点阵激光治疗,观察组在对照组基础上,给予康复功能锻炼。治疗3个月,观察两组患者的瘢痕修复疗效、温哥华瘢痕量表评分(Vancouver scar scale,VSS)、视觉模拟疼痛评分(Visual analogue score,VAS)、治疗满意度及不良反应情况。结果:观察组总有效率为95.7%(287/300)高于对照组的81.0%(243/300),差异有统计学意义(P<0.05)。治疗前,两组患者VSS、VAS评分比较差异无统计学意义(P>0.05);治疗后,两组患者VSS、VAS评分均明显降低,且观察组显著低于对照组,组间比较差异有统计学意义(P<0.05)。观察组总满意率为88.3%(265/300)高于对照组的70.0%(210/300),差异有统计学意义(P<0.05)。观察组总不良反应发生率为4.7%(14/300)低于对照组的21.3%(64/300),差异有统计学意义(P<0.05)。结论:超脉冲CO2点阵激光配合康复功能锻炼对关节烧伤瘢痕美容修复效果显著,可明显降低患者疼痛,改善瘢痕形态、色泽及柔软度,提高美观度,安全可靠,在临床中值得推广应用。

Objective To analyse effect in patients with hypertrophic scar after joint burn by ultra pulsed CO2 dot laser combined with rehabilitation exercise.Methods 600 cases of patients were divided into the observation group(300 cases)and the control group(300 cases)from January 2017 to January 2018.The control group was given ultra pulsed CO2 dot laser,while the observation group was received ultra pulsed CO2 dot laser combined with rehabilitation exercise.Therapeutic effect,Vancouver scar scale(VSS),Visual analogue score(VAS),treatment satisfaction and adverse reaction of two groups were observed after 3 months.Results The total effective rate of observation group was 95.7%(287/300)higher than that of control group(81.0%,243/300),the difference was statistically signi ficant(P<0.05).Before treatment,there was no signi ficant difference in VSS and VAS scores between the two groups(P>0.05).After treatment,the scores of VSS and VAS in both groups were significantly decreased,and the observation group was signi ficantly lower than the control group(P<0.05).The total satisfaction rate of the observation group was 88.3%(265/300)higher than that of the control group(70.0%,210/300,P<0.05).The total incidence of adverse reactions in the observation group was 4.7%(14/300)lower than that in the control group(21.3%,64/300,P<0.05).Conclusion Cosmetic effect of hypertrophic scar after joint burn was remarkable by ultra-pulse CO2 lattice laser combined with rehabilitation exercise which can significantly reduce pain,improve scared shape,improve beauty,color and softness and aesthetics.It is worth popularizing and applying in clinic.