Complications of Silicone Gel Sheeting for Burn Scar

使用矽膠片於燙傷疤痕的併發症

劉澄(Cheng Liu) ； 陳琮琳(Chung-Lin Chen) ； 李經維(Jing-Wei Lee) ； 邱浩遠(Haw-Yen Chiu)

《中華民國重建整形外科醫學會雜誌》 6卷3期 (1997/09) Pp. 185-189

https://doi.org/10.7096/JPRSA.199709.0185

摘要

矽膠片爲治療燙傷疤痕的方式之一，自1982年開始，即逐漸且廣泛使用於疤痕的治療。有關於使用矽膠片發生的併發症，文獻著墨不多，而且發生率低，這種情形，與在溫濕環境的南台灣病人的使用狀況有很大差異，因此我們從1995年1月至1996年12月門診使用矽膠片(Cica-Care, Smith & Nephew)治療燙傷疤痕的一百五十個病人中，問卷調查使用情況及副作用。有效回收率爲百分之四十二，包括二十九個男性，四十四個女性，平均年齡爲二十二歲。問卷結果，以癢最多，佔百分之六十七，其次臭味(29%)、紅斑點(24%)。脫皮破損(19%)、潮濕(16%)、過敏(10%)。缺點包括不能服貼(48%)、昂貴(44%)、缺乏伸張性(19%)、及容易沾污(13%)；就病人及家屬主觀性的治療效果來看，改善疤痕厚度(84%)最多，其次爲淡化疤痕顔色(78%)及質感改善(74%)；另外有65%的病人認爲對疤痕大小有幫助。就此結果，我們主觀地認爲矽膠片在治療燙傷疤痕上有其效果，但應謹慎地建議使用並在使用前詳細說明使用後可能發生的併發症。

並列摘要

Silicone gel sheet has been used to manage fresh burn scar for years. Some burn units have demonstrated improved scar maturaton with silicone gel sheets also. Rare author illustrates the complications of this sheeting.
In south Taiwan, it is warm and high humidity, many patients who used the silicone gel sheet complained discomforts and other drawbacks. For these reasons, we designed a questionnaire to survey the problems. The questionnaire including complications, drawbacks and efficacy of silicone gel sheets management is designed to 150 burn scar patients at outpatient clinics of our hospital from Jan. 1995 to Dec. 1996.
Sixty-three patients (42%) responded. They are 29 males and 44 females and 22 years old in mean age. The results showed itching (67%) is the most complaint, then foul odor (29%), rash (24%), maceration (19%), sweating (16%), and allergy (10%) in order.
About the drawbacks, poor attachment is the highest (48%), then expensive in cost (44%), poor durability (19%) and easy contamination (13%). Subjective improvements of scar after applying the silicone gel sheet are diminished scar thickness (84%), thinner colory (78%), improved scar texture (74%).
About 65% patients think that silicone gel sheet can reduce the scar. According to these results, we subjectively offer the good clinical response in using the sheet on burn scar snd, necessarily, explain in detail the high complications and drawbacks to patients in south Taiwan.

並列關鍵字

complication ； silicone sheet ； burn scar