压力治疗和硅酮敷料治疗对增生性瘢痕疗效的短期研究.PDF

·462 · 2004 8 26 8　Chin J Phys Med Rehabil, August 2004, Vol.26, No.8 ·· 李曾慧平　刘颂文　励建安　周士枋　戴玲　路鹏 【　】　　 2 。　 96 、(cica care)、( )。 , 2 。　, 、。 。 t , , 、2 , 3 。 , (P0.01)(P0.05);(P0.01) 。　, 。 。 【】　;　;　;　 The short term effect of pressure therapy and silicone gel on controlling the hypertrophic scar　Cecilia Wai-Ping LI- ＊ ＊ TSANG , Joy LAU, LI Jian-an, ZHOU Shi-fang, DAI Ling, LU Peng .Department of ehabilitation Sciences, The HongKong Polytechnic University, HongKong SA , China 【Abstract】　Objective　To investigate the effect of pressure therapy and silicone gel on controlling the hypertrophic scar in Chinese population.Methods　Ninety-six patients recruited in the Jiangsu People s irst Affiliated Hospital, aged 21.25 (SD=19.37)were randomly allocated into 4 groups:control group, pressure therapy group, silicone gel sheeting (SGS)group and combined treatment group.Each subjectwasgiven a treatment programme lasting for two months Vancou- ver Scar Scale wasused to assess the progressof scar.The spectrocolorimeter and the ultrasound advancement (Tissue Ultra- sound Palpation System)were employed to collect the color and whole thickness of scar, respectively.Two-way repeated analysis was used to analyze the interaction effect of time and treatment and paired t-testwas used to analyze the effect over time in each treatment.Results　Total score of Vancouver Scar Scale indicated significant change in pressure therapy (P= 0.038)and silicone gel sheeting (P=0.02)groups only.Paired t-test showed that the scar thickness in pressure therapy group, silicone gel sheeting (cica-care)and combined groups have significant difference after 2 months of application when compare with control group, but no difference among treatment groups.Among the color parameters, only redness and light- ness were significantly changed