面部凹陷性痤疮瘢痕激光治疗术后两种护理方法的比较.docVIP

面部凹陷性痤疮瘢痕激光治疗术后两种护理方法的比较 廖凤艳1* 熊 峰1 王艳明2 （广州医学院第二附属医院皮肤科，广东 广州 510260[摘要] 目的 探讨不同的护理方法对改善非剥脱点阵激光治疗面部凹陷性痤疮瘢痕术后副作用的差异。方法 80例面部凹陷性痤疮瘢痕患者分为两组，胶原组在治疗结束后立即在局部用胶原贴敷料敷贴30分钟，连续3天，首日同时加4℃冰袋冷敷；对照组在治疗结束后立即在局部用冰水敷贴30分钟，连续3天，首日同时加4℃冰袋冷敷。结果 激光治疗术后胶原组的平均红斑消退、平均刺痛消退、不适缓解时间均快于对照组，术后1周皮肤干燥感少于对照组。结论 凹陷性痤疮瘢痕激光治疗术后应用胶原贴敷料进行皮肤护理，对改善术后副作用效果良好，提高了病人对激光治疗的依从性及满意度。 [关键词] 凹陷性痤疮瘢痕 非剥脱点阵激光治疗 胶原贴敷料 护理 Comparison of Two Nursing Care Methods After Laser Therapy on Facial Atrophic Acne Scars LIAO Feng-yan, XIONG Feng, WANG Yan-ming Department of Dermatology, Second Affiliated Hospital, Guangzhou Medical University, Guangzhou, Guangdong [Abstract] Object: By comparing the two different nursing care after the non-ablative fractional laser therapy on removing facial atrophic acne scars, to find a better way on reducing adverse reactions after the laser therapy. Methods: 80 cases were evenly divided into two groups. All patients in both groups underwent the laser therapy, instantly following which patients in the collagen group were locally applied the cold collagen dressings for 30 minutes, which plus local ice compress on first day, once daily for total continuous 3 days; While patients in the control group were applied the cold plain wet dressing, plus local ice compress on first day, once daily for total continuous 3 days. Results: In the collagen group, improvement and relief of both objective and subjective adverse reactions showed significantly better than in the control group. Conclusions: Nursing care with locally applied cold collagen dressing is more effective than the merely applied ice compress in improving adverse reactions after the laser therapy, and leading to better patient compliance and satisfaction. [Keywords] Atrophic acne scars; Non-ablative fractional laser therapy; Collagen dressing; Nursing care. 痤疮是一种毛囊皮脂腺的慢性炎症性疾病，好发于富含皮脂腺的颜面、胸背部位，多发于青春期人群，愈合后常遗留凹陷性瘢痕，损害颜面容貌，给患者带来一定的心理负担和精神压力。非剥脱性点阵激光治疗是近年来新兴的一种瘢痕治疗方法，术后没有停工期是其优势之一，但仍然有大部分患者术后部位出现红斑水肿及不适感。我科从2011年起采用1540点阵激光治疗凹陷性痤疮瘢