摘要
目的 分析通过规范化的综合抗瘢痕护理对术后存在增生性瘢痕患者瘢痕厚度、瘙痒评分及外观满意度的影响。方法 选取我科60例术后增生性瘢痕患者，随机分为对照组与观察组各30例。对照组给予常规术后瘢痕护理，观察组采用分阶段规范化综合抗瘢痕护理，比较两组干预前后瘢痕厚度、瘢痕瘙痒视觉模拟（VAS）评分、瘢痕外观满意度评分。结果 干预前两组各项指标差异无统计学意义（P>0.05）；干预后两组瘢痕相关指标均显著改善，且观察组瘢痕厚度、瘙痒VAS评分更低，外观满意度评分更高（P<0.05）。结论 分阶段规范化综合抗瘢痕护理可有效抑制术后瘢痕增生，缓解瘙痒症状的同时改善瘢痕外观，具备临床推广价值。
关键词： 规范化护理；综合抗瘢痕护理；增生性瘢痕；瘢痕厚度；视觉模拟瘙痒评分；外观满意度
Abstract
Objective To investigate the effect of phased standardized anti-scar nursing on hypertrophic scars after surgery. Methods 60 patients were equally randomized to receive either routine scar nursing (control group) or phased standardized anti-scar nursing (observation group). Scar thickness, pruritus VAS score and cosmetic satisfaction were compared between groups. Results Baseline indicators were comparable in two groups (P>0.05). After intervention, all indicators improved in both groups; the observation group had better outcomes with thinner scars, less pruritus and higher satisfaction (P<0.05). Conclusion Phased standardized anti-scar nursing relieves scar hyperplasia and pruritus, improves scar appearance, and deserves clinical promotion.
Key words： Standardized nursing; Comprehensive anti scar nursing; Hypertrophic scar; Scar thickness; Visual analogue pruritus score; Appearance satisfaction
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