地奥司明片治疗重睑成形术后上睑肿胀临床探究.docVIP

地奥司明片治疗重睑成形术后上睑肿胀临床探究[摘要]目的：探讨地奥司明片对重睑成形术后上睑肿胀的治疗作用。方法：将行重睑成形术患者，随机分为治疗组和对照组，治疗组术后口服地奥司明片，头孢丙烯，外用酒精消毒切口；对照组术后口服头孢丙烯， 外用酒精消毒切口。结果：治疗组患者术后7天肿胀明显较对照组轻，患者自我满意度明显提高，未出现不良反应。结论：地奥司明片可以有效减轻重睑成形术后上睑肿胀，值得临床推广应用。 [关键词]地奥司明；重睑成形术；上睑肿胀 [中图分类号]R622 [文献标识码]A [文章编号]1008-6455（2013）01-0003-02 Clinical study of Diosmin tablets on treating upper eyelid edema after double eyelid surgery HE Dong-mei，WU Jin-fang，XIA Dong-sheng （The Plastic and Aesthetic Center of the 117th Hospital of PLA， Hangzhou 310013，Zhejiang，China） Abstract： Objective To investigate the therapeutic effects of Disomin tablets on treating upper eyelid edema after blepharoplasty. Methods 100 cases， age from 18 year-old to 25 year-old， underwent blepharoplasty were randomly divided into two gruops： the treatment group and the control group. Patients in treatment group were instructed to take the oral tablets of the Disomin and Cefprozil after surgery， disinfecting incision with ethyl alcohol. Patients in control group were treated the same methods except for without taking the oral tablets of Disomin. The level of edema was evaluated independently by three people： docter， patient， relative. Results the level of upper eyelid edema was observed at the seventh day of postoperation . 90% cases in treatment group patients were significantly lighter， and it was 40% in control group. Any adverse reactions after taking Disomin did not taken place. Conclusions The upper eyelid edema after blepharoplasty can be reduced effectively by Diosmin tablets. And It is safe and simple.. Key words： Disomin； blepharoplasty； upper eyelid edema 单睑常给人一种睡眠不足，不精神的感觉。重睑成形术可以克服单睑者这一缺点从而增添其容貌美，是我国整形美容外科手术中常见的方法之一[1]，重睑成形术是一个较为成熟的手术，随着生活水平的快速提高，人们对外观的要求也越来越高，行重睑成形术亦日趋普遍。但随着人们生活工作节奏的加快，人们的休息时间较短，因此如何帮助术后患者更快的恢复是值得我们探讨的。作者应用地奥司明片治疗重睑成形术后上睑肿胀取得满意疗效，现报道如下： 1 资料和方法 1.1 临床资料：作者在2011年6月至12月工作期间，从门诊行重睑成形术患者中选出100例，入选条件：均为女性患者，年龄在18岁至25岁之间，均为双侧正力型单睑（上睑皮肤无松驰，弹性好，皮下脂肪充盈适度）[2]，无并发上睑下垂，肌无力，手术时间均在患者月经干净后一周，术前血常规及凝血时间检查均在正常范围。病例随机分成两