支具面罩治疗面部增生性瘢痕疗效的短期研究

关键词：支具面罩  增生性瘢痕  面部瘢痕  布类面罩  压力治疗

Keywords:brace mask  hypertrophic scar  facial scar  cloth mask  pressure therapy

摘要：

      摘要 目的：探讨支具面罩治疗面部增生性瘢痕的疗效。 方法：招募面部增生性瘢痕患者63例（286处瘢痕），分为支具面罩组28例（152处瘢痕）、布类面罩组26例（100处瘢痕）和对照组9例（34处瘢痕）。支具面罩组和布类面罩组患者均接受8周的压力治疗，对照组无压力治疗干预。治疗前后分别使用色谱仪进行瘢痕色泽评估（亮度、红色和黄色），使用超声测量仪进行瘢痕厚度评估，同时，进行温哥华瘢痕量表评估（VSS）；治疗8周后进行患者满意度评估。 结果：①组内前后比较：对照组瘢痕红色和黄色增高，厚度和VSS评分增加，瘢痕亮度降低（P<0.05）；支具面罩组和布类面罩组瘢痕亮度和黄色增高，厚度和VSS评分增加，瘢痕红色降低（P<0.05）。②3组间比较，瘢痕亮度（L）、红色（a）、厚度、VSS评分的差值间比较均存在差异（P<0.05），瘢痕黄色（b）的差值间比较无差异。差值比较，支具面罩组和布类面罩组均与对照组存在差异（P<0.01），但支具面罩组和布类面罩组间无差异（P>0.05）。③使用满意度比较：支具面罩组与布类面罩组的总体满意度分别为75%和69.2%；支具面罩组的舒适度和外形满意度较布类面罩组高，但价格满意度较布类面罩组差。 结论：本短期疗效研究显示，支具面罩和布类面罩均可改善面部增生性瘢痕亮度和红色的色泽，抑制瘢痕增生的厚度；患者使用支具面罩和布类面罩后的总体满意度较高。

Abstract:

      Abstract Objective： To investigate the effects of brace masks on controlling facial hypertrophic scars. Method： Totally 63 patients with 286 post-burn facial hypertrophic scars samples were recruited for the study. And they were divided into the brace mask group with 28 cases(152 scars)， cloth mask group with 26 cases (100 scars)， and control group with 9 cases(34 scars). Patients in the brace mask group and cloth mask group received eight weeks of pressure therapy， while the control group did not receive pressure therapy intervention. Pre- and post-treatment， chromatography was used to evaluate the scar color(lightness， redness and yellowness). An ultrasonic measuring instrument was used to evaluate the scar thickness. The Vancouver scar scale(VSS) was used. Patient satisfaction with eight weeks of treatment was evaluated with satisfaction scale. Result： ①Pre- and post-treatment comparison: The brightness decreased in control group and increased in mask group(P<0.001). The redness increased in control group and decreased in mask group(P<0.001). The thickness and VSS score increased in three groups bu more in control group(P=0.001). There was no change in yellowness for all the three groups(P=0.981). ②compared the two mask groups, there was no significant difference for all parameters(P>0.05). ③satisfaction： the overall satisfaction of the brace mask group and the cloth mask group are 75% and 69.2% respectively. The comfort and appearance satisfaction of the brace mask group is better than the cloth mask group. The price satisfaction of the mask group is lower. Conclusion： For the facial hypertrophic scars, this short-term efficacy study showed that the brace mask and cloth mask could improve the lightness and redness and inhibit the thickness of it. The overall satisfaction of patients is high after using brace masks and cloth masks.