[摘要]目的：探究银离子抗菌凝胶联合精细面部护理对面部烧伤后瘢痕整形患者色素沉着、瘢痕及心理弹性的影响。方法：选取2020年1月-2022年1月笔者医院收治的82例面部烧伤后瘢痕整形患者为研究对象，按随机数字表法分为联合组和常规组各41例。常规组进行一般治疗并实行精细面部护理，联合组在此基础上加用银离子抗菌凝胶治疗，比较两组术前、术后3个月面部色素沉着面积及严重程度评分、瘢痕增生情况、焦虑自评量表(SAS)、抑郁自评量表(SDS)及心理弹性量表(CD-RISC)评分。结果：术后3个月两组面部色素沉着面积及严重程度评分均下降，且联合组低于常规组(P<0.05)；术后3个月联合组温哥华烧伤瘢痕评定量表(VSS)评分低于常规组(P<0.05)；术后3个月两组SAS、SDS评分均下降，且联合组低于常规组(P<0.05)；术后3个月两组坚韧度、力量性、乐观性3个维度评分及CD-RISC总评分均升高，且联合组高于常规组(P<0.05)。结论：银离子凝胶联合精细面部护理有利于缓解面部烧伤后瘢痕整形患者色素沉着症状，减少瘢痕形成，改善患者消极心理状态，提升心理弹性，促进患者身心健康。

    [关键词]银离子抗菌凝胶；精细面部护理；面部；烧伤；色素沉着；瘢痕；心理弹性

    [中图分类号]R473.6 [文献标志码]A [文章编号]1008-6455(2024)09-0175-04

    Effect of Silver Ion Antibacterial Gel Combined with Fine Nursing on Postoperative Recovery of Scar Plastic Patients after Facial Burn

    SUN Zhiqing， XU Zhenlei， CHENG Jinmei

    ( Department of Burns and Plastic Surgery， Huai'an First People's Hospital， Huai'an 223300， Jiangsu， China )

    Abstract： Objective To explore the effect of silver ion antibacterial gel combined with fine facial nursing on pigmentation， scar and psychological resilience in patients with scar plastic surgery after facial burn. Methods A total of 82 patients with facial scar reconstruction after burn treated in the author's hospital from January 2020 to January 2022 were selected as the study objects ......