水胶体敷料在四肢烧伤后压力疗法防治瘢痕中的应用效果

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Abstract Objective To observe the safety and feasibility of hydrocolloid dressing+pressure therapy in the prevention and treatment of scar after extremities burn. Methods A total of 50 patients with deep Ⅱdegree burn wounds in the First Affiliated Hospital of Gannan Medical University from May 2017 to December 2018 were selected as the research objects, and they were divided into control group and treatment group by the random number table method, with 25 cases in each group. The control group was treated with ordinary gauze dressing+pressure therapy, while the treatment group was treated with hydrocolloid dressing+pressure therapy. The pain degree of dressing change, residual wound healing time, dressing change times and Vancouver scar scale score between the two groups were compared. Results The pain degree of dressing change in the treatment group was lower than that in the control group, the difference was statistically significant (P＜0.05). The residual wound healing time in the treatment group was shorter than that in the control group, and the dressing change times was less than that in the control group, the differences were statistically significant (P＜0.05). The scores of Vancouver scar scale in the treatment group at 4 and 12 weeks after treatment were lower than those in the control group, the differences were statistically significant (P＜0.05). Conclusion Hydrocolloid dressing applied to pressure therapy after extremities burn can accelerate the residual wound healing, improve the comfort of patients, and improve the compliance of patients with pressure therapy, the efficacy is positive.

Key words： Hydrocolloid dressing Extremities burn Pressure therapy Scar hyperplasia

Received: 26 October 2020

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[1]	Jiang ZY，Liao XC，Liu MZ，et al.Efficacy and Safety of Intralesional Triamcinolone Versus Combination of Triamcinolone with 5-Fluorouracil in the Treatment of Keloids and Hypertrophic Scars：A Systematic Review and Meta-analysis[J].Aesthetic Plast Surg，2020，44（5）：1859-1868.
[2]	Tawfic S，Sayed S，Nada A，et al.High- Versus Low-Density Fractional Laser in the Treatment of Hypertrophic Postburn Scars：A Randomized Clinical Trial[J].Dermatol Surg，2020，46（9）：e38-e44.
[3]	纪雪亮，王意，蓝蔚，等.压力治疗对烧伤后增生性瘢痕的远期影响[J].中国康复医学杂志，2016，31（5）：521-525，530.
[4]	齐慧颉，胡晓根，任冲，等.水胶体敷料及术后冰敷在2940 nm铒像素激光治疗痤疮瘢痕中的应用价值[J].中华医学美学美容杂志，2015，21（4）：223-225.
[5]	第七届全国烧伤外科学术会议烧伤深度诊断标准修订决议[C].中华医学会烧伤外科学会.第七届全国烧伤外科学术会议论文汇编.中华医学会烧伤外科学会：中华医学会，2004：319.
[6]	卢朋松，倪鹏，赵飞龙，等.纳米银敷料联合表皮生长因子凝胶制剂对深Ⅱ度烧伤创面溶痂及愈合的影响[J].蚌埠医学院学报，2020，45（7）：902-905，909.
[7]	王佳旭，李英明，冯金凤，等.超声生物显微镜与温哥华量表法用于瘢痕测量的比较分析[J].河北医药，2017，39（23）：3608-3610.
[8]	何放，徐达圆，罗鹏飞，等.新型抗菌凝胶敷料治疗深Ⅱ度烧伤创面的疗效评价[J].现代生物医学进展，2017，17（21）：4051-4054.
[9]	Lee KC，Bamford A，Gardiner F，et al.Burns objective scar scale （BOSS）：Validation of an objective measurement devices based burn scar scale panel[J].Burns，2020，46（1）：110-120.
[10]	Piccolo NS，Piccolo MS，de Paula Piccolo N，et al.Fat Grafting for Treatment of Facial Burns and Burn Scars[J].Clin Plast Surg，2020，47（1）：119-130.
[11]	龙航，徐佳丽，张小林，等.压力疗法联合硅凝胶防治面部深Ⅱ度烧伤后瘢痕的疗效观察[J].遵义医学院学报，2019，42（3）：328-333.
[12]	刘冰峰，舒斌，彭文要，等.压力治疗对增生性瘢痕中肥大细胞的作用[J].中华损伤与修复杂志（电子版），2016，11（4）：273-277.
[13]	石梦娜，李娜，王冰水，等.早期超短波联合序贯压力治疗对手深度烧伤后功能恢复的作用[J].中华烧伤杂志，2014，30（6）：472-476.
[14]	魏亚婷，付晋凤，李曾慧平.儿童面部烧伤瘢痕的压力治疗研究进展[J].中华烧伤杂志，2017，33（5）：277-280.
[15]	刘庆.水胶体敷料在浅表皮肤损伤中的应用效果研究[J].中国美容医学，2019，28（10）：8-11.
[16]	Zenda S，Ryu A，Takashima A，et al.Hydrocolloid dressing as a prophylactic use for hand-foot skin reaction induced by multitargeted kinase inhibitors：protocol of a phase 3 randomised self-controlled study[J].BMJ Open，2020，10（10）：e038276.
[17]	田凌云，李映兰，吴英，等.压力疗法治疗增生性瘢痕患者有效性的荟萃分析[J].中华烧伤杂志，2019，35（9）：668-675.
[18]	高栋梁，张雷.水胶体敷料在大面积烧伤患者中的应用效果及促进创面愈合机制探讨[J].中国美容医学，2020，29（4）：90-93.