凝胶眼罩在眼袋整复术后康复中的应用
The Effect of Eye Gel on Wound Recovery after Pouch Plastic Surgery

目的：探讨凝胶眼罩在眼袋整复术后即刻冰敷，对于伤口恢复的效果影响。方法：2018年6月~2020年6月收治的112例眼袋整形者，随机分为实验组和对照组，每组56例。实验组在手术后10 min内，将2℃~4℃左右凝胶眼罩平铺于绷带上，于双眼正上方，冰敷30~40 min后拿掉，解开绷带，只留伤口处纱布，无不适后离开医院，嘱患者回家后每日冰敷4次，频率为每隔2 h敷一次，每次30 min，连敷3 d (天)。对照组不进行冷敷。根据术后淤血淤青和肿胀程度及下眼睑恢复状态所需时间观察疗效。结果：淤血与肿胀情况实验组42例，良14例，差0例；对照组优16例，良36例，差3例。术后恢复情况实验组满意44例，基本满意12例，不满意0例；对照组满意20例，基本满意33例，不满意3例。结论：凝胶眼罩冰敷可降低组织的创伤反应，减轻患者术后眼睑水肿，淤青和疼痛，缩短手术恢复期，推荐应用于临床实践。
Objective: To investigate the effect of immediate ice compress of gel eye mask on wound recovery after lower blepharoplasty. Methods: 112 cases of lower blepharo-plasty from June 2018 to June 2020 were randomly divided into experimental group and control group, with 56 cases in each group. In the experimental group, within 10 minutes after the opera-tion, the gel eye mask at about 2？C~4？C was spread on the patients’ bandage, put just above their eyes, iced for 30~40 minutes, then removed, and then the bandage was unwound, leaving only the gauze at the wound. After leaving the hospital, the patients were instructed to apply ice 4 times a day after returning home, with a frequency of once every 2 hours, 30 minutes each time, and 3 days in a row. The control group did not receive any cold compress. The curative effect was observed ac-cording to the degree of lower eyelids’ postoperative bruising and edema and the time required for their recovery to the natural state. Results: With regard to postoperative bruising and edema con-ditions: the experimental group had excellent in 42 cases, good in 14 cases, and none bad case; while the control group had excellent in 16 cases, good in 36 cases, and 3 in bad cases. With regard to postoperative recovery conditions: the experimental group had 44 cases got satisfied, 12 cases got basically satisfied, and none cases got dissatisfied; while the control group had 20 cases got sat-isfied, 33 cases got basically satisfied, and 3 cases got dissatisfied. Conclusion: The ice compress of Gel eye mask can reduce the trauma reaction of tissue, relieve postoperative eyelid edema, bruising and pain, and shorten the recovery period of surgery. It is recommended for clinical practice.