硅酮片与纸胶带治疗术后瘢痕的对比：一项随机对照研究。
Comparison of Silicone Sheets and Paper Tape for the Management of Postoperative Scars: A Randomized Comparative Study.
机构信息
Ying-Sheng Lin, MD, MPH, is a resident; Pei-San Ting, MSc, is a research assistant; and Kuei-Chang Hsu, MD, is Attending Physician, Division of Plastic and Reconstructive Surgery, Kaohsiung Veterans General Hospital, Taiwan. Acknowledgments: The authors appreciate the support and cooperation of the patients in this study, who were referred by Dr Wen-Shiung Liou, Dr Fu-Nan Cho, Dr San-Nung Chen, Dr Kuan-Hao Tsui, and Dr Ju-Yueh Li in the Department of Obstetrics and Gynecology. A version of this article was presented at the Annual Meeting of the American Society of Plastic Surgery in Los Angeles, California, in September 2016. The authors have disclosed no financial relationships related to this article. Submitted March 28, 2017; accepted in revised form December 19, 2017.
出版信息
Adv Skin Wound Care. 2020 Jun;33(6):1-6. doi: 10.1097/01.ASW.0000661932.67974.7d.
OBJECTIVE
To compare the effectiveness of silicone sheets and paper tape in the prevention of postoperative cesarean section scars.
METHODS
Patients undergoing horizontal cesarean section were included in this randomized controlled trial. Surgical wounds were divided into two halves. Patients randomly applied silicone sheets or paper tape to each side of their wound as assigned for 3 months. Wounds were assessed at 1, 3, 6, and 12 months after surgery. Researchers used the objective Vancouver Scar Scale (VSS) to evaluate the scars and the subjective visual analog scale (VAS) to evaluate itch, pain, and scar appearance.
RESULTS
No significant differences between the silicone sheet and paper tape groups were noted at postoperative follow-ups with respect to VSS scores. The silicone sheet group had significantly better VAS scores for scar appearance than the paper tape group at 6 (6.81 ± 1.47 vs 6.19 ± 1.62, P = .03) and 12 (6.88 ± 2.01 vs 6.2 ± 2.08, P = .04) months' follow-up, respectively.
CONCLUSIONS
The silicone sheet group showed statistically significant differences in comparison with the paper tape group in terms of scar appearance as determined by the VAS. However, the differences were too small to be clinically meaningful.
目的
比较硅酮片和纸胶带在预防剖宫产术后瘢痕中的效果。
方法
本随机对照试验纳入行水平剖宫产术的患者。将手术切口分为两半，患者随机将硅酮片或纸胶带贴在切口的每一侧，持续 3 个月。术后 1、3、6 和 12 个月评估伤口。研究人员使用客观温哥华瘢痕量表（VSS）评估瘢痕，使用主观视觉模拟量表（VAS）评估瘙痒、疼痛和瘢痕外观。
结果
在术后随访中，硅酮片组与纸胶带组在 VSS 评分方面无显著差异。在术后 6 个月（6.81 ± 1.47 对 6.19 ± 1.62，P =.03）和 12 个月（6.88 ± 2.01 对 6.2 ± 2.08，P =.04）时，硅酮片组的 VAS 瘢痕外观评分明显优于纸胶带组。
结论
与纸胶带组相比，硅酮片组在 VAS 评估的瘢痕外观方面具有统计学显著差异。但差异太小，无临床意义。
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