首页|复方倍他米松注射液联合放射对额面部瘢痕疙瘩患者的治疗效果

复方倍他米松注射液联合放射对额面部瘢痕疙瘩患者的治疗效果

扫码查看
目的 探讨复方倍他米松注射液联合放射治疗额面部瘢痕疙瘩的治疗效果.方法 选取浙江省人民医院2014年1月~2016年1月收治的额面部瘢痕疙瘩患者60例,所有患者均采取手术治疗,术后随机分为观察组和对照组,每组30例,对照组术后采用放射治疗,观察组在对照组基础上联合复方倍他米松局部注射治疗,比较2组患者治疗效果、疼痛评分、不良反应及并发症情况.结果 观察组复发率3.33%明显低于对照组10%,改善率93.33%明显高于对照组80%,差异均具有统计学意义(P<0.05);术后1、2、3月观察组疼痛评分均明显低于相同时间点对照组,差异具有统计学意义(P<0.05);观察组不良反应发生率为6.66%(2/30),对照组为23.33%(7/30),2组患者不良反应发生率比较差异无统计学意义;观察组术后皮肤凹陷、色素沉着、切口延迟愈合及毛细血管扩张的发生率明显低于对照组(P<0.05).结论 复方倍他米松注射液联合放射对额面部瘢痕疙瘩患者效果显著,能明显降低复发率,提高改善率,减少患者疼痛和并发症发生.
Effect of compound betamethasone injection combined with radiation on keloid in frontal facial region
Objective To analysis the effect of compound betamethasone injection combined with radiation on keloid in frontal facial region. Methods 60 cases of keloid patients in zhejiangprovincial people's hospital from January 2014 to January 2016 were selected,all patients were treated with surgery,the patients were randomly divided into observation group and control group,30 cases in each group,radiotherapy was used in the control group,the observation group was treated with local injection of compound betamethasone on the basis of the control group,the therapeutic effects, pain scores, adverse reactions and complications were compared between the two groups. Results The recurrence rate of the observation group was 3.33% which was significantly lower than that of the control group 10%,the improvement rate of the observation group 93.33% was significantly higher than the control group 80%,the difference was statistically significant (P<0.05).one,two and three months after operation,the pain scores in the observation group were significantly lower than those in the control group at the same time point,the difference was statistically significant (P<0.05).The adverse reaction rate was 6.66% (2/30) in the observation group and 23.33% (7/30) in the control group, there was no significant difference between the two groups.The incidences of skin sag, pigmentation, incision delayed union and telangiectasia in the observation group were significantly lower than those in the control group (P<0.05). Conclusion Compound betamethasone injection combined with radiation on the frontal facial keloid patients with significant effect,can significantly reduce the recurrence rate,improve the rate of improvement,reduce pain and complications in patients.

compound betamethasone injectioneradiotherapyfacies frontalis departmentkeloid

曾海峰、冀宇、严晟

展开 >

浙江省人民医院 整形外科,浙江 杭州 310000

复方倍他米松注射液 放射治疗 额面部 瘢痕疙瘩

浙江省自然科学基金青年项目

LQ16C100001

2017

中国生化药物杂志
南京生物化学制药研究所,全国生化制药情报中心站,中国生化制药工业协会,中国药品生物制品检定所

中国生化药物杂志

ISSN:1005-1678
年,卷(期):2017.37(1)
  • 4
  • 14