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离子水凝胶单一疗法以及与抗病毒-抗生素预防联合使用,用于分次激光治疗患者的术后管理。

Ionic Hydrogel Monotherapy and in Combination with Antiviral-Antibiotic Prophylaxis, in the Post-procedure Management of Fractional Laser-Treated Patients.

作者信息

Grippaudo Francesca Romana

机构信息

Assistant Professor in Plastic Surgery, NESMOS Dept., Sapienza University of Roma, Roma, Italy.

出版信息

J Clin Aesthet Dermatol. 2016 Nov;9(11):23-28. Epub 2016 Nov 1.

Abstract

The pre- and postoperative care for fractionated laser resurfacing is still controversial, especially in regard to the use of antibiotics to prevent bacterial infection and potential consequences. Recently, an ionic hydrogel has shown to be useful in the postoperative treatment of minor burns. The aim of this study is to evaluate the use of this hydrogel after fractional laser treatments targeting photoaging and chronoaging damage to skin. A randomized prospective study. one plastic surgeon private practice. Fifty patients with chronoaging and photoaging cosmetic issues were enrolled in two different post-treatment regimens: ionic hydrogel alone and ionic hydrogel in combination with antibiotics. Patients were evaluated for healing time, complications, and postoperative pain, the latter assessed with a 10-point visual analogue score. A questionnaire to investigate how patients managed through the postoperative phase was also provided to each patient. No significant differences between the two groups were observed in regard to healing time, postoperative pain, complications, and patient satisfaction. Ionic hydrogel alone has shown to provide adequate skin care support in the postoperative phase of fractional-laser-resurfacing-treated patients.

摘要

分次激光换肤的术前和术后护理仍存在争议,尤其是在使用抗生素预防细菌感染及其潜在后果方面。最近,一种离子水凝胶已被证明在轻度烧伤的术后治疗中有用。本研究的目的是评估这种水凝胶在针对皮肤光老化和自然老化损伤的分次激光治疗后的应用。一项随机前瞻性研究。在一位整形外科医生的私人诊所进行。五十名有自然老化和光老化美容问题的患者被纳入两种不同的治疗后方案:单独使用离子水凝胶和离子水凝胶与抗生素联合使用。评估患者的愈合时间、并发症和术后疼痛,后者采用10分视觉模拟评分进行评估。还向每位患者提供了一份问卷,以调查患者在术后阶段的应对方式。在愈合时间、术后疼痛、并发症和患者满意度方面,两组之间未观察到显著差异。单独使用离子水凝胶已被证明在分次激光换肤治疗患者的术后阶段能提供足够的皮肤护理支持。

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