正颌外科术后外用复方七叶皂苷钠凝胶对患者颌面部肿胀反应影响的效果评价

Evaluation of External Use of Compound Sodium Aescinate Gel for Reducing Postoperative Swelling after Orthognathic Surgery

摘要: 目的：研究和评价通过护理干预及外用复方七叶皂苷钠凝胶对正颌外科患者术后面部肿胀的影响，改善正颌外科患者的舒适度，减少发生窒息的危险因素。方法：随机选取正颌外科手术后患者64例，分为对照组和试验组。对照组：按正颌外科术后护理常规，采取缓解患者面部肿胀的方法。试验组：在对照组实施干预措施的基础上，术后每日使用复方七叶皂苷钠凝胶涂擦及按摩患者颌面部，分别于术后第2、4、6天按照肿胀分级评价标准评定颌面部肿胀程度；并采用三维相机获取患者软组织数据，与术后3个月面部轮廓进行配准，重建面部三维模型，观察和分析复方七叶皂苷钠凝胶对面部肿胀程度的效果。结果：两组差异具有统计学意义。正颌外科术后给予护理干预及外用复方七叶皂苷钠凝胶具有一定的减轻患者面部肿胀的作用。

Abstract: Objective: To evaluate the effect of nursing intervention and external use of compound sodium aescinate gel for reducing postoperative swelling after orthognathic surgery. Method: 64 patients accepting Le Fort I osteotomy, bilateral sagittal split ramus osteotomy (BSSRO) and genioplasty were randomly divided into experiment group and control group. The control group adopted rou-tine nursing to reduce the swelling. Together with routine nursing, the experiment group adopted compound sodium aescinate gel inunction on the face every day after surgery. Degrees of facial swelling were evaluated according to the swelling grading evaluation criterion on postoperative days 2, 4, and 6. 3D photos of the face of the patients were taken and compared with 3D photos three months after surgery to observe and analyze the effect of compound sodium aescinate gel on postoperative swelling. Result: Significant differences were observed between the two groups. After the orthognathic surgery, routine nursing and external use of compound sodium aescinate can help reduce the facial swelling of patients.