密闭湿性敷料、凡士林纱布在供皮区应用效果的研究
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摘要
目的比较密闭湿性敷料、凡士林纱布在皮片供皮区的应用效果。方法将手术治疗的60例供皮区创面(大腿外侧)患者随机分为湿性敷料组(30例)和凡士林纱布组(30例),比较2组方法对患者皮片供区的疼痛程度、渗出情况、愈合时间及切口的瘢痕程度的影响。结果湿性敷料组第4、7、10天患者疼痛程度较凡士林纱布组轻,差异有统计学意义(P<0.05);但术后15 d后疼痛程度比较差异无统计学意义(P>0.05)。湿性敷料组创面敷料渗出明显少于凡士林纱布组,创面愈合时间短于凡士林纱布组,色素沉着及瘢痕的比例低于凡士林纱布组,差异均有统计学意义(P<0.05)。结论密闭湿性敷料运用于供皮区能够减轻患者早期术后疼痛,减少创面渗出,缩短愈合时间,减少色素沉着和瘢痕增生。
Objective To compare the effect of closed wet dressing and vaseline gauze applied in donor site. Methods A total of 60 patients with donor site wound( lateral thigh) underwent surgery were divided into wet dressing group( 30 cases) and vaseline gauze group( 30 cases),and the pain degree of donor area,exudation,healing time and incision scar were compared. Results Pain degree at 4,7 and 10 days after operation in wet dressing group was lighter than that of vaseline gauze group,the difference was statistically significant( P < 0. 05); but pain at 15 d showed no statistically significant difference( P > 0. 05). Exudate in wet dressing group was obviously less,wound healing time was shorter,and scar as well as pigmentation ratio was lower than that in vaseline gauze group,and the differences were statistically significant( P < 0. 05). Conclusion Application of closed wet dressing in the donor site can relieve the pain of patients with early postoperative pain,reduce the leakage of the wound,shorten the healing time,and has less pigmentation and scar hyperplasia.
Objective To compare the effect of closed wet dressing and vaseline gauze applied in donor site. Methods A total of 60 patients with donor site wound( lateral thigh) underwent surgery were divided into wet dressing group( 30 cases) and vaseline gauze group( 30 cases),and the pain degree of donor area,exudation,healing time and incision scar were compared. Results Pain degree at 4,7 and 10 days after operation in wet dressing group was lighter than that of vaseline gauze group,the difference was statistically significant( P < 0. 05); but pain at 15 d showed no statistically significant difference( P > 0. 05). Exudate in wet dressing group was obviously less,wound healing time was shorter,and scar as well as pigmentation ratio was lower than that in vaseline gauze group,and the differences were statistically significant( P < 0. 05). Conclusion Application of closed wet dressing in the donor site can relieve the pain of patients with early postoperative pain,reduce the leakage of the wound,shorten the healing time,and has less pigmentation and scar hyperplasia.
引文
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[13]陈郑礼,伍国胜,朱世辉,等.藻酸盐敷料及聚氨酯泡沫敷料治疗大面积烧伤患者头部供皮区创面的疗效观察[J].中华烧伤杂志,2015,31(2):135-137.
[14]李学川,乔亮,黄晓琴,等.吸水性聚氨酯泡沫敷料促进皮肤移植供皮区愈合的疗效观察[J].上海交通大学学报:医学版,2013,33(5):663-666.
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[16]黄书鹏,刘林奇,李乐,等.湿性愈合敷料在皮片移植供区创面愈合中的应用[J].重庆医学,2014,43(21):2803-2805.
[17]张翠琴.藻酸盐及泡沫敷料联合用于供皮区创面的疗效观察[J].中国实用护理杂志,2012,28(10):58-59.
[18]代明盛,王李云,沈华强.湿性敷料与干性敷料在中厚供皮区上应用的对比研究[J].实用医学杂志,2011,27(1):58-60.
[2]卫牧娟.纳米银-活性炭纤维敷料抗菌及促进创面愈合作用的实验研究[D].上海:第二军医大学,2012.
[3]吴在德.外科学[M].第7版.北京:人民卫生出版社,2010:168-170.
[4]汪乐,林雪松,黄璐.痊愈妥敷料在烧伤患者刃厚皮供皮区的应用[J]实用医学杂志,2011,27(22):4178-4179.
[5]Valle M F,Maruthur N M,Wilson L M,et al.Comparative effectiveness of advanced wound dressings for patients with chronic venous leg ulcers:A systematic review[J].Wound Repair Regen,2014,22(2):577-581.
[6]王清华,苏秋妹.湿性敷料治疗皮肤Ⅱ度烧伤的比较[J].中国组织工程研究,2013,17(8):1513-1520.
[7]谢肖霞,吴丽萍,梁月英,等.液超妥联合痊愈妥应用于头部取皮区的临床观察和护理[J].中华普通外科学文献:电子版,2011,5(5):439-440.
[8]王清华,苏秋妹.湿性敷料治疗皮肤Ⅱ度烧伤的比较[J].中国组织工程研究,2013,17:1513-1520.
[9]周红菊,邓瑞文,饶忠,等.藻酸盐敷料治疗糖尿病足溃疡的临床观察和护理[J].护士进修杂志,2012,27(13):69-71
[10]王配合,杨建民,张轶,等.液超妥与痊愈妥复合敷料对烧伤创面的修复作用[J].疑难病杂志,2011,10(2):110-112.
[11]田彭,周业平.藻酸盐敷料对瘢痕皮肤供皮区创面愈合的临床效果研究[J].中国全科医学,2014,17(24):2871-2873.
[12]季邦菊,孙国芳.藻酸盐敷料治疗股前外侧供皮区脂肪液化的临床应用[J].中国基层医药,2013,20(24):3783-3785.
[13]陈郑礼,伍国胜,朱世辉,等.藻酸盐敷料及聚氨酯泡沫敷料治疗大面积烧伤患者头部供皮区创面的疗效观察[J].中华烧伤杂志,2015,31(2):135-137.
[14]李学川,乔亮,黄晓琴,等.吸水性聚氨酯泡沫敷料促进皮肤移植供皮区愈合的疗效观察[J].上海交通大学学报:医学版,2013,33(5):663-666.
[15]张宏峰,张雷,李明.不同敷料组合对烧伤患者供皮区创面微环境的影响[J].中国医刊,2014,49(12):49-51.
[16]黄书鹏,刘林奇,李乐,等.湿性愈合敷料在皮片移植供区创面愈合中的应用[J].重庆医学,2014,43(21):2803-2805.
[17]张翠琴.藻酸盐及泡沫敷料联合用于供皮区创面的疗效观察[J].中国实用护理杂志,2012,28(10):58-59.
[18]代明盛,王李云,沈华强.湿性敷料与干性敷料在中厚供皮区上应用的对比研究[J].实用医学杂志,2011,27(1):58-60.