脂质水胶体敷料联合表皮生长因子治疗浅Ⅱ度烫伤的疗效观察
|
摘要
目的观察脂质水胶体敷料联合表皮生长因子治疗浅Ⅱ度烫伤的疗效,探求一种操作简单、安全有效容易被患者接受的烫伤换药新方法。方法将864例轻、中度烫伤的患者按单双号分为观察组和对照组。观察组采用脂质水胶体敷料联合表皮生长因子,对照组采用磺胺嘧啶银传统无菌包扎法。比较两组创面患者更换敷料时有无创面粘连发生、有无疼痛、出血及伤口换药次数、愈合时间。结果观察组患者更换敷料时无创面粘连发生,平均治愈时间明显少于对照组且患者疼痛较轻(P<0.05)。结论脂质水胶体敷料联合表皮生长因子治疗患者浅Ⅱ度烫伤,具有不粘连创面、换药无疼痛及出血、加速创面愈合等优点,值得在浅Ⅱ度烫伤患者中推广。
Objective To observe the curative effect of lipid hydrocolloid dressing combined with epidermal growth factor in treating superficial second degree scald, and to explore a new method of scald and dressing that is simple, safe, effective and easy to be accepted by patients. Methods 864 patients with mild and moderate scald were divided into the observation group and the control group according to the single and double number. The observation group was treated with lipid hydrocolloid dressing combined with epidermal growth factor, and the control group was treated with the traditional aseptic binding of sulfadiazine silver. The wound adhesion, pain, bleeding and the times of wound dressing and healing time were compared between the two groups of wound dressing. Results there was no wound adhesion in the observation group, and the average cure time was less than that of the control group and the pain was lighter in the patients.Conclusion lipid hydrocolloid dressings combined with epidermal growth factor treatment for patients with superficial second degree burns has the advantages of non adhesive wound, dressing change, no pain and bleeding, and accelerating wound healing. It is worth promoting in patients with superficial second degree scald.
Objective To observe the curative effect of lipid hydrocolloid dressing combined with epidermal growth factor in treating superficial second degree scald, and to explore a new method of scald and dressing that is simple, safe, effective and easy to be accepted by patients. Methods 864 patients with mild and moderate scald were divided into the observation group and the control group according to the single and double number. The observation group was treated with lipid hydrocolloid dressing combined with epidermal growth factor, and the control group was treated with the traditional aseptic binding of sulfadiazine silver. The wound adhesion, pain, bleeding and the times of wound dressing and healing time were compared between the two groups of wound dressing. Results there was no wound adhesion in the observation group, and the average cure time was less than that of the control group and the pain was lighter in the patients.Conclusion lipid hydrocolloid dressings combined with epidermal growth factor treatment for patients with superficial second degree burns has the advantages of non adhesive wound, dressing change, no pain and bleeding, and accelerating wound healing. It is worth promoting in patients with superficial second degree scald.
引文
[1]毛庆琳,韩冬,付吉东,等.MEBT/MEBO技术对儿童Ⅱ度烧伤的临床疗效[J].现代医学,2015,43(9):1137-1139.
[2]贾宏,龚海琴,刘远新.优拓用于拔甲术后伤口护理的临床观察[J].现代护理,2006,12(11):1057-1058.
[3]谭薇,郑碧霞,钟娟,等.优拓分层换药法在浅表软组织损伤创面的疗效观察[J].护士进修杂志,2012,27(15):1408-1409.
[4]邱云芝.优拓SSD联合藻酸盐敷料在肛周脓肿手术后创口换药中的应用[J].全科护理,2013,11(24):2238-2238.
[5]Tanaka K,Akita S,Yoshimoto H,et al.Lipid-colloid dressing shows improved reepithelialization,pain relief,and corneal barrier function in split-thickness skin-graft donor wound healing.[J].Int J Low Extrem Wounds,2014,13(3):220-225.
[6]陈锦凤,谢艳艳.表皮生长因子对大便失禁患者肛周皮肤损伤的效果观察[J].临床合理用药杂志,2017,10(11):48-49.
[7]高琼,邓凡.重组人表皮生长因子凝胶在烧伤创面中的应用效果[J].全科护理,2016,14(30):3187-3189.
[8]占卫兵.纳米银敷料与重组人表皮生长因子联合治疗Ⅱ度烧伤的疗效分析[J].中华全科医学,2015,13(6):926-928.
[9]Huang X G,Liang Z Q.Effect of recombinant human epidermal growth factor used at the early phase of wound healing on expression of epidermal growth factor receptor in deepⅡscald wound[J].Chinese Journal of Tissue Engineering Research,2012,16(42):7933-7939.
[10]段明华,黎萍.水胶体敷料与硫酸镁湿敷治疗静脉炎的疗效观察及护理[J].当代护士(上旬刊),2016,4,138-139.
[11]黄良通,袁海源,梁达荣.优拓敷料联合重组人表皮生长因子凝胶治疗儿童Ⅱ度烫伤效果观察[J].现代医学,2017,1(1):55-58.
[2]贾宏,龚海琴,刘远新.优拓用于拔甲术后伤口护理的临床观察[J].现代护理,2006,12(11):1057-1058.
[3]谭薇,郑碧霞,钟娟,等.优拓分层换药法在浅表软组织损伤创面的疗效观察[J].护士进修杂志,2012,27(15):1408-1409.
[4]邱云芝.优拓SSD联合藻酸盐敷料在肛周脓肿手术后创口换药中的应用[J].全科护理,2013,11(24):2238-2238.
[5]Tanaka K,Akita S,Yoshimoto H,et al.Lipid-colloid dressing shows improved reepithelialization,pain relief,and corneal barrier function in split-thickness skin-graft donor wound healing.[J].Int J Low Extrem Wounds,2014,13(3):220-225.
[6]陈锦凤,谢艳艳.表皮生长因子对大便失禁患者肛周皮肤损伤的效果观察[J].临床合理用药杂志,2017,10(11):48-49.
[7]高琼,邓凡.重组人表皮生长因子凝胶在烧伤创面中的应用效果[J].全科护理,2016,14(30):3187-3189.
[8]占卫兵.纳米银敷料与重组人表皮生长因子联合治疗Ⅱ度烧伤的疗效分析[J].中华全科医学,2015,13(6):926-928.
[9]Huang X G,Liang Z Q.Effect of recombinant human epidermal growth factor used at the early phase of wound healing on expression of epidermal growth factor receptor in deepⅡscald wound[J].Chinese Journal of Tissue Engineering Research,2012,16(42):7933-7939.
[10]段明华,黎萍.水胶体敷料与硫酸镁湿敷治疗静脉炎的疗效观察及护理[J].当代护士(上旬刊),2016,4,138-139.
[11]黄良通,袁海源,梁达荣.优拓敷料联合重组人表皮生长因子凝胶治疗儿童Ⅱ度烫伤效果观察[J].现代医学,2017,1(1):55-58.