Spectra双脉冲激光祛斑后应用MEBO治疗的体会-外科学烧伤整形专业论文.docxVIP

重庆医科 重庆医科大学硕士研究生学位论文 万方数据 万方数据 英汉缩略语名词对照 英文缩写 MEBO 英文全称 Moist exposed burn ointment 中文全称 美宝湿润烧伤膏 IPL Intense pulsed light 强脉冲光 MTZ Microscopic treatment zones 微治疗区 UVB UVB 中波紫外线 MC Melanin cells 黑色细胞 CK19 VEGF Cytokeratin 19 Vascular endothelial growth factor 细胞角蛋 19 血管内皮生长因子 bFGF Basic fibroblast growth factor 基本成纤维细胞生长因子 Palomar Palomar 帕罗玛 MEBT Moist exposed burn treatment 湿润暴露疗法 OPT Optimal pulse technology 优化脉冲技术 1 Spectra 双脉冲激光祛斑后应用 MEBO 治疗的体会 摘 要 目的 观察 Spectra 双脉冲祛斑后使用美宝湿润烧伤膏 (moist exposed burn ointment，MEBO) 的临床效果。 方法 将 200 例使用 Spectra 祛斑的患者，随机分为治疗组和对照 组，各 100 例。治疗组治疗后创面外用 MEBO，每 6 h 一次，共使用 3d， 3d 后每日以冷水洁面；对照组治疗后冰敷 0.5h~1h，其后每日以冷水 洁面。观察两组在治疗后止痛效果、创面愈合时间的差别。 结果 治疗组 100 例中 19 例出现疼痛，81 例无痛。对照组 100 例 中 75 例出现疼痛，25 例无痛。治疗组平均创面愈合时间为 9.53 天， 对照组平均创面愈合时间为 10.65 天。治疗组止痛效果、创面愈合时 间与对照组比较有显著统计学差异(P 0.01)。 结论 美宝湿润烧伤膏(MEBO) 应用于 Spectra 双脉冲祛斑后创面， 有止痛、促进创面愈合的作用，临床效果好。 关键词：美宝湿润烧伤膏，Spectra，祛斑 2 TREATMENT EXPERIENCE OF MEBO AFTER FRECKLES REMOVAL BY SPECTRA DOUBLE PULSE LASER ABSTRACT Objective To observe the clinical effect of MEBO after freckles removal by spectra double pulse laser. Methods 200 patients after freckles removal by spectra were randomly divided into treatment group and control group，100 cases each. The wounds of the treatment group were smeared with MEBO，once every 6h，with 3d，3d later daily clean face with tap water；The control group after treatment were given cold compress for 0.5h~1h，then daily clean face with tap water. Observe the difference of analgesic effect，wound healing time between the two groups. Results 100 cases in treatment group，19 cases was painful，81 cases painless. 100 cases in control group，75 cases was painful，25 cases painless. Compared with the controls，the analgesic effect and wound healing time in treatment group have significant statistical difference(P0.01). Conclusion After freckles removal by spectra double pulse laser， MEBO can ease the pain，promote wound healing，clinical effect is good. Key words：MEBO，Spectra，Freckles removal 3