微创美容技术修复急诊面部皮肤软组织外伤效果分析

Analysis of minimally invasive cosmetic technique in the repair of emergency facial skin and soft tissue injuries

目的观察微创美容技术修复用于急诊面部皮肤软组织外伤患者的疗效。方法选择浙江省荣军医院2015年1月至2017年10月收治的急诊面部皮肤软组织外伤患者92例为观察对象,采用随机数字表法分为两组,观察组46例,应用微创美容技术修复治疗;对照组46例,应用常规技术修复治疗。随访1年,比较两组患者面部皮肤瘢痕颜色评分、面部皮肤平整度评分、面部皮肤弹性程度评分、伤口甲级愈合率、生活质量评分及满意度。结果观察组面部皮肤瘢痕颜色评分、面部皮肤平整度评分、面部皮肤弹性程度评分分别为(0.36±0.12)分、(0.52±0.23)分、(0.49±0.23)分,均低于对照组的(0.89±0.17)分、(1.12±0.31)分、(0.95±0.12)分(t=17.725、10.542、12.026,均P<0.05);观察组伤口甲级愈合率为91.30%(42/46)、满意度为95.65%(44/46),均高于对照组的81.74%(33/46)、73.91%(34/46)(χ2=5.845、8.425,均P<0.05);观察组患者术后半年生活质量评分[(102.65±2.78)分]高于对照组[(89.24±2.36)分](t=24.941,P<0.05)。结论对急诊面部皮肤软组织外伤患者实施微创美容技术修复具有较好的疗效,伤口甲级愈合率高,有助于修复患者面部皮肤,提高患者满意度及改善其日常生活质量。

Objective To observe the curative effect of minimally invasive cosmetic technique in emergency patients with facial soft tissue trauma.Methods From January 2015 to October 2017,92 patients with emergency facial soft tissue trauma in Rongjun Hospital of Zhejiang Province were selected and randomly divided into two groups according to the digital table,with 46 cases in each group.The observation group was treated with minimally invasive cosmetic technique.The control group was treated with conventional technique.The patients were followed up for one year,the facial scar color score,facial skin flatness score,facial skin elasticity score,wound healing rate,quality of life score and satisfaction were compared between the two groups.Results The facial scar color score,facial skin smoothness score and facial skin elasticity score in the observation group were(0.36±0.12)points,(0.52±0.23)points and(0.49±0.23)points,respectively,which were lower than those in the control group[(0.89±0.17)points,(1.12±0.31)points,(0.95±0.12)points](t=17.725,10.542,12.026,all P<0.05).The wound healing rate of the observation group was 91.30%(42/46)and the satisfaction rate was 95.65%(44/46),which were higher than 81.74%(33/46)and 73.91%(34/46)of the control group(χ2=5.845,8.425,all P<0.05).The quality of life score of the observation group[(102.65±2.78)points]was higher than that of the control group[(89.24±2.36)points](t=24.941,P<0.05).Conclusion Minimally invasive cosmetic technique has better curative effect on patients with emergency facial skin and soft tissue trauma.The rate of grade A wound healing is high,which is helpful to repair the facial skin of patients,improve the satisfaction of patients and improve the quality of their daily life.