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1、皮肤磨削及术后外用硅凝胶或积雪苷治疗面部增生性瘢痕疗效比较[摘要]目的:比较单纯皮肤磨削以及磨削术后联合外用硅凝胶或积雪苷治疗面部增生性瘢痕的临床疗效。方法:皮肤磨削术后外用莫匹罗星软膏,将101例随机分为三组:A组为对照组;B组和C组为治疗组,分别于术后5天起外用硅凝胶和0.25%积雪苷霜至术后8周结束。均观察治疗结束时红斑及色素沉着发生率,治疗前后瘢痕严重程度的积分评价。结果:与对照组A比较,治疗C组红斑发生率及色素沉着发生率均降低,C组的色素沉着发生率低于B组;B组和C组的瘢痕疗效明显优于A组,而B组和C组之间差异无显著性。结论:皮肤
2、磨削术后联合外用硅凝胶或者积雪苷治疗面部增生性瘢痕效果可靠,后者还可以较好地改善患者肤色。[关键词]硅凝胶;积雪苷;皮肤磨削;增生性瘢痕[中图分类号]R619+.6[文献标识码]A[文章编号]1008-6455(2011)05-0795-03ComparativestudyontheeffectofapplyingSilicaGelorAsiaticosideafterdermabrasiononthefacialhyperplasticscarWUDi,LUYan,LIWei,CAOXiao-dong,ZHAOMin,SHISu-ying
3、,LUODan9(DepartmentofDermatology,theFirstAffiliatedHospitalofNanjingMedicalUniversity,Nanjing210029,Jiangsu,China)Abstract:ObjectiveTocomparetheclinicaleffectonthefacialhyperplasticscartreatedbydermabrasionandbyapplyingSilicaGelandAsiaticosideseparatelyafterdermabrasion.Me
4、thodsAllpatientsinourstudyweretreatedbydermabrasionandthenappliedwithMupirocinOintment.Atotalof101caseswererandomlydividedintothreegroupsasfollows:GroupAascontrolgroup,GroupBandGroupCwasappliedwithSilicaGelandAsiaticosideseparatelyatthe5thdayafterdermabrasionuntiltheeighth
5、week.Theincidenceoferythemaandpigmentation,theintegrationevaluationofscarseveritybeforeandaftertreatmentwasobserved.ResultsComparingwithcontrolgroup,theincidenceofbotherythemaandpigmentationofGroupCwaslower.TheincidenceofpigmentationofGroupCwaslowerthanGroupB.Thetherapeuti
6、ceffectonhyperplasticscarofbothGroupBandGroupCwassuperiortocontrolgroup,9however,therewasnosignificantdifferencebetweenGroupBandGroupC.ConclusionTheeffectofdermabrasioncombinedwithapplyingSilicaGelandAsiaticosideonthefacialhyperplasticscarwasdefinite,andAsiaticosidecanbeus
7、edtoimprovepatients’complexion.Keywords:SilicaGel;asiaticoside;dermabrasion;hyperplasticscar发生于面部的增生性瘢痕会影响患者的外观及生活质量,严重者可造成患者心理障碍,故患者求治心切。2009年6月~2010年6月,笔者应用单纯皮肤磨削术,术后联合外用硅凝胶或积雪苷治疗面部增生性瘢痕,并观察比较这三种方法的临床疗效,现将结果报道如下。1资料和方法1.1病例:入选标准:发生于面部,原发疾病治愈稳定6个月以上的增生性瘢痕;年龄18~60岁;男女不限;自愿
8、参加本临床观察,能按要求进行治疗和完成观察。排除标准:有严重糖尿病、凝血功能障碍、癫痫病史;对莫匹罗星软膏、硅凝胶软膏及积雪苷霜过敏者;瘢痕体质;资料不全影响疗效判断或中途退出观