几丁多糖面膜在激光术后创面护理临床评价.doc

几丁多糖面膜在激光术后创面护理临床评价[摘要]目的：评价几丁多糖面膜在点阵激光术后创面护理中的临床疗效和安全性。方法：纳入面部行Er:YAG点阵激光治疗后的受试者15例，采用单侧脸自身对照策略，治疗后即刻给予冰几丁多糖面膜冷敷，观察该面膜对激光术后皮肤炎症反应抑制和主观症状缓解的临床疗效，同时检测其不良反应。结果：所有激光术后受试者经过几丁多糖面膜治疗后，无论主观症状的缓解，还是皮损恢复病程的缩短，均明显优于对照侧，整个治疗过程并无严重不良反应发生。结论：几丁多糖面膜用于激光术后护理是一种具有确切疗效、安全的治疗策略。 [关键词]几丁多糖；Er:YAG点阵激光；激光术后护理 [中图分类号]R622.9 [文献标识码]A [文章编号]1008-6455（2011）10-1588-02 Clinical analysis with SACCHACHITIN facial masks for postoperative laser care LUAN Qi 1, SUN Jing 2, LI Qiang 1, LIU Ling 1, WANG Jing 1, LIU Bin 1, GAO Tian-wen 1 (1.Institute of Dermatology of Chinese PLA, 2. Department of Anesthesiology, Xijing Hospital,The Fourth Military Medical University, Xi’an 710032, Shaanxi, China) Abstract: Objective To evaluate the clinical effect and safety using SACCHACHITIN facial masks for treating postoperative laser care.MethodsBy means of a study of half-face control,a total of fifteen subjects received by Er:YAG fractional laser once were treated by SACCHACHITIN facial masks at 0 days,1 days,3 days and 7 days after laser operation, respectively. After treatment, they were followed up to assess the clinical effect and adverse reaction. Results After the treatment of SACCHACHITIN facial masks,the reduction of subjective symptoms and acceleration of wound healing were statistically significant.And no adverse reactions occurred in all subjects.ConclusionThe use of SACCHACHITIN facial masks is a safe,effective and very valuable strategy for postoperative laser care. Key words: SACCHACHITIN; Er:YAG fractional laser; postoperative laser care 随着激光在皮肤美容方面的盛行，激光术后的护理也成了激光美容中不可忽视的环节。除了常规的冰敷、防晒等护理措施外，各种术后护理产品也相继问世，对激光术后炎症反应的抑制和主观症状的缓解都产生了一定的疗效，进而减少了激光术后并发症的发生率。几丁多糖作为一类天然的多糖类纤维素，具有止血、止痛、抑制微生物生长等作用[1]，早在20世纪80年代就有人将其用于皮肤烧伤的治疗，取得了明确的疗效。而对于激光术后的护理疗效，目前报道还很有限。因此本研究旨在评估几丁多糖面膜在点阵激光术后创面护理中的临床疗效和安全性。 1临床资料 本研究纳入年龄24～52岁行Er:YAG点阵激光治疗的患者15例，均为女性。受试者签署知情同意书后，整个观察期间按医生指导使用几丁多糖面膜作为术后护理产品。所有受试者均无激光治疗禁忌证。 2治疗方法 2.1仪器和参数：点阵激光选择Profile饵激光（Sciton,CA），所有患者均采用点阵激光治疗模式，治疗参数根据患者治疗终点确定，左右侧参