皮肤护理多元改良模式对术后瘢痕患者切口美观度及舒适度的影响
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宁夏医科大学总医院

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The influence of the combined application of multiple improved skin care models and silicone gel scar patches on the aesthetic appearance and comfort of postoperative incisions in scar patients
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    摘要:

    目的:探讨皮肤护理多元改良模式与硅酮凝胶疤痕贴片联合应用对疤痕患者术后切口美观度及舒适度的影响。方法:研究对象为100例术后疤痕患者,执行时间2023.10~2024.10,受试者分组方式为硬币投掷法,将接受常规护理的50例患者列入对照组,将联合应用皮肤护理多元改良模式与硅酮凝胶疤痕贴片的50例患者列入研究组,评价两组患者术后1周切口疼痛程度、切口美观度、舒适度、疤痕情况及患者满意度。结果:研究组患者术后1周切口疼痛总发生率相比对照组更低(P<0.05);研究组患者切口美观度相比对照组更高(P<0.05);两组患者舒适度评分相比,干预后升高更为突出者为研究组(P<0.05);两组患者VSS评分与疤痕平均厚度相比,术后3个月降低更为突出者为研究组(P<0.05);研究组患者总满意度相比对照组更高(P<0.05)。结论:对术后疤痕患者联合应用皮肤护理多元改良模式与硅酮凝胶疤痕贴片可有效抑制切口疤痕增生,缓解术后切口疼痛,提高患者舒适度及切口美观度,患者满意度高,具有较高的临床应用价值。

    Abstract:

    Objective: To explore the influence of the combined application of multiple improved skin care models and silicone gel scar patches on the aesthetic appearance and comfort of postoperative incisions in scar patients. Methods: The research subjects were 100 patients with postoperative scars. The study period was from October 2023 to October 2024. The subjects were grouped by the coin-tossing method. 50 patients who received routine care were included in the control group, and 50 patients who combined the application of the multi-modified skin care model and silicone gel scar patches were included in the study group. The incision pain degree, incision aesthetics, comfort level, scar condition and patient satisfaction of the two groups of patients one week after the operation were evaluated. Results: The total incidence of incision pain one week after surgery in the study group was lower than that in the control group (P<0.05). The aesthetic appearance of the incision in the study group was higher than that in the control group (P < 0.05). Compared with the comfort scores of the two groups of patients, the one with a more significant increase after the intervention was the study group (P < 0.05). Compared with the average thickness of scars, the VSS score of the two groups of patients decreased more significantly 3 months after the operation in the study group (P < 0.05). The total satisfaction of patients in the study group was higher than that in the control group (P < 0.05). Conclusion: The combined application of the multi-modified skin care model and silicone gel scar patches for postoperative scar patients can effectively inhibit scar hyperplasia at the incision site, relieve postoperative incision pain, improve patient comfort and the aesthetic appearance of the incision, and achieve high patient satisfaction. It has high clinical application value.

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  • 收稿日期:2025-11-17
  • 最后修改日期:2025-12-16
  • 录用日期:2025-12-18
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