剥脱性CO₂点阵激光应用于烧伤增生性瘢痕治疗的围手术期护理配合

The Perioperative Period Cooperation in the Treatment of Hypertrophic Scar by Burn Using Exfoliative CO₂ Fractional Laser

摘要: 目的：总结剥脱性CO₂点阵激光在烧伤增生性瘢痕治疗中的围手术期护理配合经验。方法：从2014年10月到2016年5月，采用剥脱性CO₂点阵激光手术治疗烧伤增生性瘢痕患者100例，实施围手术期护理，对该病例系列患者进行3个月的随访。结果：围手术期护理质量良好，手术时间平均为20分钟，出血2~5 ml,术中无任何并发症的发生，术后患者对瘢痕的治疗效果满意。结论：点阵激光微创瘢痕手术与传统手术的围手术期护理工作有明显区别，注意激光防护、熟悉手术系统操作、加强心理护理是手术成功的重要保证。

Abstract: Objective: To sum up the experiences of the perioperative period cooperation in the treatment of hypertrophic scar by using exfoliative burn CO₂ fractional laser. Methods: Nursing the 100 patients with hypertrophic scar by burn, which will be given CO₂ fractional laser treatment, during October, 2014 to May 2016. The patients are observed for 3 months after operation. Results: 1) The nursing quality of perioperative care is good. 2) The operations take 20 minutes on average, 2 ml~5 ml of bleeding, without complications during the procedure. 3) The patients are highly satisfied with treatment effect. Conclusion: When it comes to the nursing of perioperative care, there is a big difference between the traditional operation and CO₂ fractional laser treatment of hypertrophic scar by burn, in which laser protection technology, a better knowledge of the procedure of the operation, and psychological nursing of high quality are important guarantees for the success of the operation.