摘要
目的观察移动式冷气机在585 nm强脉冲光(IPL)治疗面部毛细血管扩张术后护理的效果与应用评价。方法选取2020年1—10月在中国人民解放军第四军医大学第二附属医院进行585 nm IPL治疗的48例面部毛细血管扩张病人作为研究对象,根据术后处理方式不同,采用随机抽签法分为冷气机组和冰袋冷敷组。对两组病人术后冷疗护理前后舒适状况及疼痛进行评分和对比。结果两组病人治疗后即刻疼痛感、红斑水肿评分均差异无统计学意义(P>0.05);术后30 min,两组间疼痛灼热感评分,冰袋冷敷组均值低于冷气机组,但差异无统计学意义(P>0.05);两组间红斑、水肿评分差异无统计学意义(P>0.05);冷敷护理后12 h,两组病人疼痛、灼热,水肿、红斑均明显消退,两组间VAS评分差异无统计学意义(P>0.05)。冷疗结束后,冷气机组舒适度75%(18/24)明显高于冰袋冷敷组33.3%(8/24),差异有统计学意义(P<0.05)。结论对585 nm IPL治疗后病人采用移动式冷气机进行冷敷降温护理,其止痛效果好,病人舒适度高,值得临床广泛应用推广。
Objective To observe the effect and application of mobile air conditioner in 585 nm IPL intense pulse phototherapy after facial telangiectasia operation.Methods Forty-eight patients in The Second Affiliated Hospital of the Fourth Military Medical University of the PLA of China with facial telangiectasia who underwent IPL 585 nm intense pulsed light therapy from January to October 2020 were selected as study subjects.Patients were random drawing divided into air-conditioner group and ice pack group.The comfort state and pain of the two groups were evaluated and compared before and after cold therapy.Results There was no significant difference in scores of pain,erythema and edema between the two groups(P>0.05).Thirty minutes after operation,the mean value of pain and burning scores of ice pack group were lower than that of air-conditioner group,but there was no significant difference(P>0.05).Twelve hours after operation,pain,burning,edema,and erythema in both groups resolved significantly,and there was no significant difference in the score of erythema,edema and VAS scores between the two groups(P>0.05).The GCQ score of air-conditioner group 75%(18/24)was significantly higher than that of ice pack group 33.3%(8/24)(P<0.05).Conclusion Treatment with mobile air-conditioner cold compress cooling care after 585nm IPL intense pulsed light treatment has a good pain relief effect and high patient comfort,which is worthy of widespread clinical application and promotion.
作者
王娜
吕雅洁
蔺建苹
王娟
曹天宇
WANG Na;LYU Yajie;LIN Jianping;WANG Juan;CAO Tianyu(Department of Dermatology,The Second Affiliated Hospital of the Fourth Military Medical University of the PLA of China,Xi´an,Shaanxi 710038,China)
出处
《安徽医药》
CAS
2023年第4期690-692,共3页
Anhui Medical and Pharmaceutical Journal
基金
国家自然科学基金(81703119)。
