消融点阵CO2激光手术改善成人肥厚性瘢痕患者的睡眠质量、疼痛和瘙痒

2022-03-12 MedSci原创 MedSci原创

睡眠质量差与严重烧伤疤痕患者的生活质量下降有关,并伴有瘙痒和疼痛。据报道,很少有干预措施可以改善疤痕患者的睡眠质量。

睡眠质量差与严重烧伤疤痕患者的生活质量下降有关,并伴有瘙痒和疼痛。据报道,很少有干预措施可以改善疤痕患者的睡眠质量。

在当前的前瞻性队列研究中,该研究团队以睡眠质量为主要研究结果,调查了 CO2消融点阵激光 (AFL) 手术与传统手术在烧伤后肥厚性瘢痕患者中的疗效。

图1 文章来源

该研究共招募了 68 名连续接受瘢痕手术治疗的患者,包括 CO2-AFL 手术队列(n  = 35)和常规手术队列(n  = 33)。从 AFL 队列中选择了一个亚组。评估睡眠质量、疼痛和瘙痒。进行多元线性回归分析以揭示 CO2-AFL 手术的效果。

结果显示,在最后一次手术治疗后, CO2-AFL 手术队列的匹兹堡睡眠质量指数 (PSQI) 整体评分显着低于常规手术队列。

在接受硬件睡眠监测的患者亚组中,CO2-AFL 显着增加了深度睡眠时间、深度睡眠效率并降低了初始睡眠潜伏期。

与传统手术队列相比,CO2-AFL 队列的疼痛和瘙痒评分显着降低。相关分析显示疼痛和瘙痒与PSQI评分显着相关,疼痛和瘙痒评分之间也存在显着相关性。

多元线性回归分析显示,手术方式与视觉模拟量表(VAS)疼痛评分、简要疼痛量表(BPI)总分、VAS瘙痒评分、5-D瘙痒量表总分、四项瘙痒问卷(FIIQ)总分呈负线性相关和 PSQI 总和。

该研究团队的研究表明,CO2-AFL 手术显着改善了肥厚性瘢痕患者的睡眠质量,尤其是深度睡眠质量,并减少了疼痛和瘙痒,这可能为提高大面积人群的生活质量和睡眠质量提供有效的工具。区域未成熟烧伤疤痕。结合之前针对成熟瘢痕治疗的研究,该研究团队认为CO2-AFL 治疗是对整个瘢痕增殖过程的有效治疗。

原始文章:

Kaiyang Lv, Huazhen Liu, Haiting Xu, Caixia Wang, Shihui Zhu, Xiaozhen Lou, Pengfei Luo, Shichu Xiao, Zhaofan Xia, Ablative fractional CO2laser surgery improving sleep quality, pain and pruritus in adult hypertrophic scar patients: a prospective cohort study,Burns & Trauma, Volume 9, 2021, tkab023

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    2022-03-13 seeyod

    挺好的 学习了已经

    0

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    2022-03-13 ms5000000518166734

    学习学习学习学习学习学习学习学习学习学习学习学习学习

    0

  4. [GetPortalCommentsPageByObjectIdResponse(id=2083747, encodeId=aee52083e4763, content=<a href='/topic/show?id=c1fb66e641b' target=_blank style='color:#2F92EE;'>#激光手术#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=45, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=66764, encryptionId=c1fb66e641b, topicName=激光手术)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=80a244, createdName=d830372, createdTime=Sun Oct 09 06:39:40 CST 2022, time=2022-10-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1202233, encodeId=7a2512022339a, content=挺好的 学习了已经, beContent=null, objectType=article, channel=null, level=null, likeNumber=79, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210327/72439065afea4e0ba2d625ffedb69721/3394cdb6cd5541169b5421f43eb43761.jpg, createdBy=44325458894, createdName=seeyod, createdTime=Sun Mar 13 16:04:33 CST 2022, time=2022-03-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1202204, encodeId=b7dd120220487, content=学习学习学习学习学习学习学习学习学习学习学习学习学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=91, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f03a5433387, createdName=ms5000000518166734, createdTime=Sun Mar 13 12:28:56 CST 2022, time=2022-03-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1201922, encodeId=6a9e1201922a2, content=不错,学习了。, beContent=null, objectType=article, channel=null, level=null, likeNumber=93, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210606/e8b96fdba070433da10cd357c0646807/28bf16f46e314caaad8396c0c7df7a04.jpg, createdBy=adb15496357, createdName=仁术2021, createdTime=Sat Mar 12 09:50:40 CST 2022, time=2022-03-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1279815, encodeId=319a12e9815b1, content=<a href='/topic/show?id=265c66e50ea' target=_blank style='color:#2F92EE;'>#激光#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=50, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=66750, encryptionId=265c66e50ea, topicName=激光)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=4fd6156, createdName=oliver169, createdTime=Sun Mar 06 05:39:40 CST 2022, time=2022-03-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1302597, encodeId=13e8130259edd, content=<a href='/topic/show?id=b541e1219dc' target=_blank style='color:#2F92EE;'>#瘙痒#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=56, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=71219, encryptionId=b541e1219dc, topicName=瘙痒)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=9d17305, createdName=listen318, createdTime=Sun Mar 06 05:39:40 CST 2022, time=2022-03-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1305772, encodeId=1ad11305e7250, content=<a href='/topic/show?id=e87de303850' target=_blank style='color:#2F92EE;'>#睡眠质量#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=54, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=73038, encryptionId=e87de303850, topicName=睡眠质量)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=f612331, createdName=gds2009, createdTime=Sun Mar 06 05:39:40 CST 2022, time=2022-03-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1337006, encodeId=d155133e00669, content=<a href='/topic/show?id=48f8e12220f' target=_blank style='color:#2F92EE;'>#瘢痕#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=48, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=71222, encryptionId=48f8e12220f, topicName=瘢痕)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=1fa82500120, createdName=12498a1cm67暂无昵称, createdTime=Sun Mar 06 05:39:40 CST 2022, time=2022-03-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1421891, encodeId=f044142189132, content=<a href='/topic/show?id=4bc865819d2' target=_blank style='color:#2F92EE;'>#消融#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=42, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=65819, encryptionId=4bc865819d2, topicName=消融)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=1a193676008, createdName=xiangyuzhou972, createdTime=Sun Mar 06 05:39:40 CST 2022, time=2022-03-06, status=1, ipAttribution=)]
    2022-03-12 仁术2021

    不错,学习了。

    0

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    2022-03-06 oliver169
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    2022-03-06 listen318
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