亚洲患者面部除皱术后综合管理OA
Experience of postoperative management for Asian patients undergone facelift
目的 提出除皱术后综合管理的标准化流程,并研究术后洗发的时机对患者术后并发症和舒适度的影响.方法 回顾2020年12月至2024年8月接受面部除皱手术的66例患者,总结除皱术后患者的综合管理流程.同时,患者随机分为3组,拔除引流管前洗发组(术后3天内洗发)、拔除引流管后洗发组(术后3~7天洗发)和缝线拆除后洗发组(术后7天后洗发),记录3组患者伤口红肿、瘢痕增生的发生率以及每位患者的术后舒适度水平.结果 除皱术后患者的综合管理流程,包括术后包扎方式、洗头方式、护理、体位、术后随诊流程、术后饮食、术后用药、瘢痕护理等均详细记录.术后不同时机洗发的患者分组中,伤口红肿、瘢痕增生的发生率无显著差异,但面部除皱术后的前3天,拔除引流管前洗发组的舒适度最高.结论 基于随机对照研究结果,在面部除皱术后拔除引流管前即可洗发.面部除皱术的最终效果和术后的综合管理有关,患者的术后舒适度也同样很大程度上决定了患者对整个疗程的满意度.
Objective To propose a standardized process for comprehensive management after wrinkle surgery,and to investigate the timing of hair washing post-surgery and its effect on overall postoperative complications and patient comfort.Methods A review was conducted on 66 patients who underwent facial wrinkle surgery from December 2020 to August 2024,and the comprehensive management process for patients after wrinkle surgery was summarized.Simultaneously,patients were randomly divided into three groups:Pre-drain removal hair washing group(washing hair within 3 days post-surgery),post-drain removal hair washing group(washing hair between 3 to 7 days post-surgery),and post-suture removal hair washing group(washing hair after 7 days post-surgery).The incidences of wound redness and swelling,scar hyperplasia,and the postoperative comfort level of patients in the three groups were all collected.Results The comprehensive management processes for patients after wrinkle surgery,including postoperative dressing methods,hair washing techniques,nursing care,positioning,follow-up procedures,postoperative diet,medication,and scar care,were all recorded in detail.In the three groups with different hair washing timings,there were no significant differences in the incidence of wound redness,swelling,or scar hyperplasia.However,in the first three days post-surgery,the pre-drain removal hair washing group reported the highest level of comfort.Conclusion Based on the results of the randomized controlled study,hair can be washed before the removal of the drainage tube after facial wrinkle surgery.The ultimate effect of facial wrinkle surgery is related to comprehensive postoperative management,and the level of patient comfort significantly determines overall satisfaction with the treatment process.
钱佳;顾婕妤;段然;谢峰;刘蔡钺;高博闻
200011 上海市 上海交通大学医学院附属第九人民医院整复外科200003 上海市 上海长征医院200011 上海市 上海交通大学医学院附属第九人民医院整复外科200011 上海市 上海交通大学医学院附属第九人民医院整复外科200011 上海市 上海交通大学医学院附属第九人民医院整复外科200011 上海市 上海交通大学医学院附属第九人民医院整复外科
医药卫生
面部除皱术术后综合管理并发症管理洗发
FaceliftPostoperative managementComplication managementHair washing
《组织工程与重建外科杂志》 2026 (3)
295-299,5
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