首页|超脉冲二氧化碳点阵激光联合曲安奈德在增生性瘢痕患者中的临床应用

超脉冲二氧化碳点阵激光联合曲安奈德在增生性瘢痕患者中的临床应用

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目的 探讨超脉冲二氧化碳(CO2)点阵激光联合曲安奈德在增生性瘢痕患者中的临床应用效果.方法 回顾性分析于2019年1月至2023年12月厦门大学附属东南医院烧伤整形科收治的268例增生性瘢痕患者的临床资料,根据治疗方法将其分为两组,各134例.对照组患者采用超脉冲CO2点阵激光治疗,观察组患者在对照组的基础上联合曲安奈德治疗.比较两组治疗后的临床疗效、温哥华瘢痕量表评分(VSS)、视觉模拟疼痛量表评分(VAS)、痤疮瘢痕评估量表评分(ECCA)及治疗期间不良反应发生情况.结果 观察组临床疗效高于对照组,差异有统计学意义(P<0.05);治疗后,观察组VSS评分低于对照组,差异有统计学意义(P<0.05);治疗后,观察组VAS评分低于对照组,差异有统计学意义(P<0.05);治疗后,观察组ECCA评分及不良反应发生率均低于对照组,差异有统计学意义(P<0.05).结论 CO2点阵激光联合曲安奈德在增生性瘢痕患者的临床应用中效果较好,可改善患者瘢痕症状,减少疼痛,且安全性较高,值得临床推广.
Clinical application of CO2 dot matrix laser combined with triamcinolone acetonide in patients with hypertrophic scars
Objective To explore the clinical application effect of super-pulsed CO2 dot matrix laser combined with triamcinolone acetonide in patients with hypertrophic scars.Methods A total of 268 patients with hypertrophic scars admitted to the Bum and Plastic Surgery Department of Southeast Hospital affiliated with Xiamen University from January 1,2019 to December 31,2023 were selected as the study subjects and randomly divided into two groups,with 134 patients in each group.The control group was treated with ultra-pulsed CO2 lattice laser,and the observation group was treated with triamcinolone acetonide and lidocaine on the basis of the control group.Compare the clinical efficacy,Vancouver Scar Scale(VSS)score,Visual Analog Pain Scale(VAS)score,Acne Scar Assessment Scale(ECCA)score,and incidence of adverse reactions during treatment between two groups after treatment.Results The clinical efficacy of the observation group was higher than that of the control group(P<0.05);After treatment,the VSS score of the observation group was lower than that of the control group(P<0.05);After treatment,the VAS score of the observation group was lower than that of the control group(P<0.05);After treatment,the ECCA score and the incidence of adverse reactions were lower than those in the control group(P<0.05).Conclusions The clinical application of CO2 dot matrix laser combined with triamcinolone acetonide is effective in patients with hypertrophic scars.It can improve the scar symptoms,reduce pain,and has high safety.It is worthy of clinical promotion.

CO2 lattice laserQuinonideHypertrophic scarsclinical application

刘胜利、郑燕、彭晓菁、查晓慧、曾燕惠、陈待庆、戴泽宇

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第九○九医院 厦门大学附属东南医院烧伤整形科,福建漳州,363000

福建医科大学研究生院,福建 福州,350122

CO2点阵激光 曲安奈德 增生性瘢痕 临床应用

2024

中国医疗美容
中国整形美容协会

中国医疗美容

影响因子:0.454
ISSN:2095-0721
年,卷(期):2024.14(12)