医用胶联合自粘弹力绷带在45例面部除皱术中应用体会.docVIP

医用胶联合自粘弹力绷带在45例面部除皱术中应用体会 　　摘要：目的探讨面颞部除皱术后包扎护理方法。方法门诊面颞部除皱术常规组采用缝合加纱布绷带包扎，对照组采用医用胶粘合联合弹力绷带包扎，两组相比较。结果采用缝合加纱布绷带包扎患者术后血肿发生率15.5%，术后换药次数（5.1±1.6）次，愈合时间（9.5±3.4）d。自粘弹力绷带包扎患者术后血肿发生率2.5%，术后换药次数（2.2±0.6）次，愈合时间（6.5±1.1）d。结论采用医用胶粘合联合弹力绷带包可减少血肿发生，缩短愈合时间及换药次数，无明显瘢痕发生，是一种较好的面颞部除皱术后处理方法。 　　关键词：医用胶；自粘弹力绷带；面部除皱术 　　Medical Adhesive and Self-adhesive Elastic Bandage Application in Analysis of 45 Patients with Facial Wrinkles 　　CAI Hai-yan,HUANG Wen-chun 　　(The Outpatient Operation Room,Affiliated Hospital of Guilin Medical College,Guilin 541001,Guangxi,China) 　　Abstract：ObjectiveToinvestigatethe clinical effect ofmedical glueunion cohesive clastic bandage (CEB)after facial wrinkle surgery. MethodsPatientswere randomly assigned to 2 even groups:the Regular group and the control group .In the regular group ,the wounds were sutured and treated by common dressing;In the control group,the wounds were treated by medical glueunion CEB .Comparisin was made between the 2 groups. ResultsIn the regular group,the incidence of postoperative hematoma was 15.5%,, the postoperative treatment (5.1±1.6) times, and healing time was( 9.5±3.4) days; In the controlgroup,the incidence of postoperative hematoma was 2.5%,, the postoperative treatment (2.2±0.6) times, and healing time was( 6.5±1.1) days. ConclusionUse of medical glueunion CEB after facial wrinkle surgery may reduce hematoma and scar formation, shorten the healing time and the treatent times . 　　Key words：Medical glue;Cohesive clastic bandage;Facial wrinkle surgery 　　皱纹是皮肤老化的表现，随着社会的进步和人民生活水平的改善，人们对美的追求也越来越高，爱美成为一种时尚，美容手术逐渐被普通民众所接受，要求面部除皱的多为中老年女性，患者心态各异，有的期望值较高，对传统皮肤缝合可能造成的瘢痕心存顾虑，同时对术后常见并发症血肿也有一定担心。我科采用医用胶粘合联合弹力绷带包扎代替缝合加纱布绷带包扎的方法，取得了很好的效果，现介绍如下。 　　1资料与方法 　　1.1一般资料 2010年12月~2013年5月我院门诊在局麻下行面部除皱术83例，其中女性76例，男性7例，年龄31~68岁，平均年龄49.5岁，其中常规组38例采用缝合加传统纱布绷带包扎，而对照组45例采用医用胶粘合联合弹力绷带包扎。 　　1.2方法 拉紧皮肤，消除皱纹，去除多余皮肤后，常规止血，皮下减张缝合，使切口平整，视情况留置橡胶片引流。 　　1.2.1常规组采用5-0可吸收线或3-0丝线缝合皮肤，加传统纱布绷带包扎，术后第2~3 d换药，如留置引流条则拔除引流胶片，敷料覆盖，视情况多数不再包扎。 　　1.2.2对照组 用有齿镊或手指将双