PDF(Pubmed)
Abstract：
The purpose of this study was to evaluate the effects of wet dressing with 50% magnesium sulfate (MgSO4) solution on decreasing eyelid swelling and bruising after blepharoplasty. Fifty-eight patients (23 male and 35 female) who underwent bilateral blepharoplasty were enrolled in our randomized clinical trial. One side of the periorbital area (upper and lower eyelids) per patient received a wet dressing with 50% MgSO4 solution randomly, and the other side was cooled with an ice pack from the first postoperative day for two consecutive days (30 minutes per time and twice a day). The eyelid edema and ecchymosis were evaluated and classified using respective graded scales. Degrees of eyelid edema were similar after surgery in both groups (p > 0.05) and were significantly decreased with time. Compared with the cooled ones, less swelling was observed in the eyelids treated by MgSO4 wet compress on postoperative day 5 (p < 0.01). Both the incidence and area of ecchymosis were lower in the MgSO4 group than those in the cooling group (p < 0.01 and p < 0.05, respectively). Moreover, the majority of patients (39/58, 67.2%) indicated a preference for MgSO4 wet dressing over ice cooling. MgSO4 wet dressing can be conveniently applied to alleviate eyelid swelling and reduce recovery time after blepharoplasty.
摘要：
这项研究的目的是评估50％硫酸镁（MgSO4）溶液湿敷料对减轻眼睑成形术后眼睑肿胀和瘀伤的影响。我们的随机临床试验招募了58例接受双侧眼睑成形术的患者（男性23例，女性35例）。每位患者的眶周区域（上眼睑和下眼睑）的一侧随机接受含50％MgSO4溶液的湿敷料，从术后第一天开始，用冰袋冷却另一侧，连续两天（每次30分钟，每天两次）。使用相应的分级量表对眼睑水肿和瘀斑进行评估和分类。两组患者术后眼睑水肿程度相似(p>0.05),且随时间延长明显下降。与冷却的相比，术后第5天经硫酸镁湿敷处理的眼睑肿胀较少(p<0.01).MgSO4组瘀斑的发生率和面积均低于降温组（分别为p<0.01和p<0.05）。此外，大多数患者(39/58,67.2%)表示首选MgSO4湿敷,而不是冰冷却.硫酸镁湿敷可以方便地减轻眼睑肿胀，减少眼睑成形术后的恢复时间。
