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评估眶下区域包扎法对初次鼻中隔成形术患者焦虑、满意度、水肿及瘀斑程度的影响。

Evaluating the Effect of Infraorbital Region Taping Procedure on Patient Anxiety, Satisfaction, Edema, and Ecchymosis Level on Primary Septorhinoplasty.

作者信息

Tulaci Kamil Gokce, Arslan Erhan, Tulaci Tugba, Tastan Eren, Yazici Hasmet

机构信息

Departments of Otorhinolaryngology Head and Neck Surgery, Faculty of Medicine, Balikesir University, Balikesir.

Departments of Otorhinolaryngology Head and Neck Surgery, Ankara Training Research and Referral Hospital, Ulucanlar Caddesi Altindag, Ankara, Turkey.

出版信息

J Craniofac Surg. 2020 Jul-Aug;31(5):1322-1326. doi: 10.1097/SCS.0000000000006292.

Abstract

AIM

This study aims to evaluate the effect of infraorbital region taping on patients' postoperative edema and ecchymosis, satisfaction levels, and anxiety during follow-up.

METHODS

A total of 64 patients who underwent septorhinoplasty were included in this randomized controlled prospective study. According to the randomization list, the taping group's (TG) infraorbital region was taped with adhesive strips. Others were included in the control group and were classified as the nontaping group. Two blinded physicians evaluated the degree of edema and ecchymosis according to the photographs of patients taken on the first, second, fifth, and seventh postoperative days. Patient's appearance satisfaction was evaluated for ecchymosis levels. State anxiety inventory (STAI-S) and trait anxiety inventory (STAI-T) were used to measure preoperative and postoperative anxiety levels of patients.

RESULTS

The degree of ecchymosis and edema were not significantly different except on the first day in the TG (P = 0.01, P = 0.01, respectively). Significant increment was found in the TG on first, second, and fifth days based on the satisfaction levels of patients for their appearance (P = 0.05, P = 0.03, P = 0.04, respectively). Preoperative STAI-S and STAI-T were similar for the groups (P = 0.78, P = 0.17, respectively). However, postoperative STAI-S of the TG were significantly lower compared with those of the nontaping group except seventh day (P < 0.05).

CONCLUSION

Infraorbital taping did not decrease the edema and ecchymosis except on the first postoperative day. However, it had a significant ameliorating effect on patients' anxiety and satisfaction levels.

摘要

目的

本研究旨在评估眶下区域贴带对患者术后水肿、瘀斑、随访期间的满意度及焦虑情绪的影响。

方法

本项随机对照前瞻性研究纳入了64例行鼻中隔成形术的患者。根据随机分组列表,贴带组(TG)的眶下区域用胶带粘贴。其他患者纳入对照组,为非贴带组。两名盲法医生根据患者术后第1、2、5和7天拍摄的照片评估水肿和瘀斑程度。根据瘀斑程度评估患者的外观满意度。采用状态焦虑量表(STAI-S)和特质焦虑量表(STAI-T)测量患者术前和术后的焦虑水平。

结果

除第1天外,TG组的瘀斑和水肿程度无显著差异(分别为P = 0.01,P = 0.01)。根据患者对自身外观的满意度,TG组在第1、2和5天有显著提高(分别为P = 0.05,P = 0.03,P = 0.04)。两组术前STAI-S和STAI-T相似(分别为P = 0.78,P = 0.17)。然而,除第7天外,TG组术后STAI-S显著低于非贴带组(P < 0.05)。

结论

眶下贴带除术后第1天外并不能减轻水肿和瘀斑。然而,它对患者的焦虑和满意度有显著改善作用。

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