眼部整形美容术后冷疗法的临床应用分析

中外医疗China &Foreign Medical Treatment

近期,随着医疗技术的长足进展,及人们审美观的改变,整形美容手术已被广大群众所接受。眼部整形美容术能矫正眼部畸形,故能帮助此类患者或对自己眼部不满意患者实现对美的追求[1]。然而手术会引起不同程度的疼痛、肿胀,影响患者术后日常生活,因此,为了尽快让患者在术后康复,降低疼痛、肿胀等不良反应发生率,缩短术后愈合时间,提高患者术后的日常生活能力,通常需在术后进行相应处理。以往主要采用抗菌消

炎等常规处理,效果不甚理想,近年来,许多学者开始用冷疗法进行处理,效果满意。冷疗法是一种采用低于人体温度的物质(冷水或冰块)敷于机体局部而使局部温度降低、止痛、止血、缓解炎性水肿及渗出,促进伤口尽快愈合的疗法[2]。2013年3月—2015年5月该院整形

外科对40例行眼部整形美容术患者在术后进行冷疗法治疗,并与常规处理进行对照,比较两种方法的疗效,旨在寻找一种促进眼部整形美容术后恢复,提高美容效果的有效方法,现报道如下。

DOI :10.16662/ki.1674-0742.2016.08.046

眼部整形美容术后冷疗法的临床应用分析

赵爽,周扬

济南市第一人民医院整形外科,山东济南

250011

[摘要]目的探讨冷疗法对眼部整形美容术患者的临床疗效。方法收集2013年3月—2015年5月在该院整形外科接受眼部整形术的患者80例,根据随机数字表法将患者分为冷疗组和常规组,各组40例。常规组术后采用常规的处理方法。冷疗组在术后采用冰块冷敷的方法。比较两组患者术后创伤反应、疼痛程度及伤口恢复情况及术后开始好转及痊愈的时间。结果冷疗组患者创伤反应分布在Ⅰ级反应、Ⅱ级反应的比例明显高于常规组(P <0.05),冷疗组患者疼痛程度分布在无痛、轻微疼痛的比例明显高于常规组(P <0.05),冷疗组患者伤口恢复达痊愈的比例明显高于常规组(P <0.05),冷疗组术后伤口开始好转的时间、痊愈的时间均明显短于常规组(P <0.05)。结论眼部整形美容术后进行冷疗处理能有效减轻患者的创伤反应,缓解疼痛,消除肿胀,减少渗出,从而促进术后伤口的恢复,提高疗效。[关键词]眼部整形美容;冷疗;疼痛;创伤反应[中图分类号]R4[文献标识码]A [文章编号]1674-0742(2016)03(b )-0046-03

Analysis of the Clinical Application of Cold Treatment after Ocular Plastic Surgery

ZHAO Shuang,ZHOU Yang

Plastic Surgery Department,the First People ’s Hospital of Jinan,Jinan City,Shandong Province,250011China

[Abstract]Objective To investigate the clinical effect of cold treatment applied to the patients with ocular plastic surgery.Methods 80patients underwent ocular plastic surgery in Plastic Surgery Department of our hospital from March 2013to May 2015were selected.According to the random number table method,they were divided into cold treatment group and conventional group,40patients in each group.After surgery,the conventional group were treated by the conventional treat ⁃ment,the cold treatment group were treated by cold compress with ice cakes.The postoperative wound reaction,pain degree and wound recovery,the time that the condition started to get better after surgery,and the healing time were compared be ⁃tween the two groups.Results The proportion of patients with trauma reactions distributed at first-stage reaction and the second-stage reaction in the cold treatment group was significantly higher than that in the conventional group,respectively (P <0.05).The proportion of patients without pain in the cold treatment group was significantly higher than that in the con ⁃ventional group (P <0.05).The proportion of patients with slightly pain in the cold treatment group was significantly higher than that in the conventional group (P <0.05).The ratio of patients with healed wound in the cold treatment group was sig ⁃nificantly higher than that in the conventional group (P <0.05).The time of postoperative wound beginning to recover in the cold treatment group was much shorter than that in the conventional group (P <0.05).The time needed for wound healing in the cold treatment group was much shorter than that in the conventional group (P <0.05).Conclusion Cold treatment given to the patients after ocular plastic surgery can effectively reduce the traumatic reaction,relieve the pain,eliminate swelling,and reduce the effusion so as to promote the recovery of wound,and improve the curative effect.[Key words]Ocular plastic surgery;Cold treatment;Pain;Traumatic reaction

[作者简介]赵爽(1976.11-),男,山东济南人,本科,主治医师,研究方向:整形外科。

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