正颌外科术后外用复方七叶皂苷钠凝胶对患者颌面部肿胀反应影响的效果评价.pdfVIP

Nursing Science 护理学, 2015, 4, 1-6 Published Online January 2015 in Hans. /journal/ns /10.12677/ns.2015.41001 Evaluation of External Use of Compound Sodium Aescinate Gel for Reducing Postoperative Swelling after Orthognathic Surgery Juan Cai, Na Zhou, Xiaojing Liu, Wenya Zhen, Qianqian Li Oral and Maxillofacial Surgery, Peking University School of Stomatology, Beijing Email: cjkouqiang@ th th st Received: Nov. 6 , 2014; revised: Nov. 14 , 2014; accepted: Nov. 21 , 2014 Copyright © 2015 by authors and Hans Publishers Inc. This work is licensed under the Creative Commons Attribution International License (CC BY). /licenses/by/4.0/ Abstract Objective: To evaluate the effect of nursing intervention and external use of compound sodium aescinate gel for reducing postoperative swelling after orthognathic surgery. Method: 64 patients accepting Le Fort I osteotomy, bilateral sagittal split ramus osteotomy (BSSRO) and genioplasty were randomly divided into experiment group and control group. The control group adopted rou- tine nursing to reduce the swelling. Together with routine nursing, the experiment group adopted compound sodium aescinate gel inunction on the face every day after surgery. Degrees of facial swelling were evaluated according to the swelling grading evaluation criterion on postoperative days 2, 4, and 6. 3D photos of the face of the patients were taken and compared with 3D photos three months after surgery to observe and analyze the effect of compound sodium aescinate gel on postoperative swelling. Result: Significant differences were observed between the two groups. Af- ter the orthognathic surgery, routine nursing and external use