离子束联合强脉冲光治疗面部烧伤瘢痕的修复效果观察OA
Observation on Repair Effect of Ion Beam Combined with Intense Pulsed Light in Treating Facial Burn Scar
目的:观察离子束联合强脉冲光治疗面部烧伤瘢痕的修复效果.方法:选取2024年3月-2024年8月在茂名市人民医院就诊的120例面部烧伤瘢痕,且瘢痕处于稳定期,病程为1~3个月,烧伤程度为Ⅱ度或Ⅲ度的患者,采用随机信封法分为对照组(予以曲安奈德联合强脉冲光治疗,n=40)、观察组(在对照组的基础上使用离子束治疗,n=40)和阴性对照组(不接受任何治疗,仅进行常规护理和观察,n=40).治疗6个月后,比较三组患者的疗效、外观变化[温哥华瘢痕量表(VSS)]、疼痛程度[视觉模拟疼痛量表(VAS)]和瘢痕内血流灌注量.结果:观察组治疗总有效率为97.50%,对照组为85.00%,阴性对照组为62.50%,三组比较观察组>对照组>阴性对照组(P<0.05);治疗6个月后,三组患者VSS评分中的色泽、血管分布、厚度、柔软度评分均降低,且三组比较观察组<对照组<阴性对照组(P<0.05);治疗3、6个月,三组患者VAS评分、瘢痕内血流灌注量均逐渐降低,且三组比较观察组<对照组<阴性对照组(P<0.05).结论:离子束联合强脉冲光治疗面部烧伤瘢痕修复效果显著,能有效改善患者的瘢痕外观和质地,同时还降低患者的疼痛程度和瘢痕内血流灌注量,值得临床推广应用.
Objective To observe the repair effect of ion beam combined with intense pulsed light in the treatment of facial burn scar.Methods 120 cases of facial burn scars in Maoming People's Hospital from March,2024 to August,2024 were selected,and the scars were in a stable period,the course of disease was 1-3 months,and the degree of burn was Ⅱ or Ⅲ.They were randomly divided into control group(treated with triamcinolone acetonide combined with intense pulsed light,40 cases),observation group(treated with ion beam on the basis of control group,40 cases)and negative control group(treated with routine care and observation,40 cases).After 6 months of treatment,the efficacy,appearance changes[Vancouver Scar Scale(VSS)],pain degree[Visual Analogue Scale(VAS)]and blood flow perfusion volume in scar were compared between groups.Results The total effective rate of treatment was 97.50%in the observation group,85.00%in the control group,and 62.52%in the negative control group.Intergroup comparison revealed that the observation group>control group>negative control group(P<0.05).After 6 months of treatment,the scores for vascularity,pigmentation,height,and pliability in the Vancouver Scar Scale(VSS)were all decreased in the three groups,with the observation group<control group<negative control group(P<0.05).At 3 and 6 months of treatment,the VAS scores and blood perfusion of scars in the three groups showed a gradual reduction,and intergroup comparison indicated that the observation group<control group<negative control group(P<0.05).Conclusion Ion beam combined with intense pulsed light has a significant repair effect in the treatment of facial burn scar,and it can effectively improve the scar appearance and texture,and reduce the pain degree and blood flow perfusion volume in scar.
吴小李;康雨田;林栋盛;杨荣汇;陈思雄
茂名市人民医院烧伤整形外科 广东 茂名 525000茂名市人民医院烧伤整形外科 广东 茂名 525000茂名市人民医院烧伤整形外科 广东 茂名 525000茂名市人民医院烧伤整形外科 广东 茂名 525000茂名市人民医院烧伤整形外科 广东 茂名 525000
医药卫生
离子束强脉冲光面部烧伤瘢痕修复效果
ion beamintense pulsed lightfacialburn scarrepair effect
《中国美容医学》 2026 (5)
100-104,5
茂名市科技计划项目(编号:240506174558657)
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