水胶体敷料联合清创凝胶治疗深Ⅱ度烧伤创面的临床疗效
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摘要
目的探讨水胶体敷料联合清创凝胶治疗深Ⅱ度烧伤创面的临床疗效。方法选取自贡市第四人民医院烧伤科2015年1月—2018年1月收治的深Ⅱ度烧伤患者64例,根据治疗方案分为对照组30例与治疗组34例。对照组于深Ⅱ度创面涂抹美宝湿润烧伤膏,治疗组于深Ⅱ度创面涂抹清创凝胶和水胶体敷料。比较两组患者创面愈合率、创面细菌定量、创面愈合时间及温哥华瘢痕量表(VSS)评分。结果治疗后治疗组创面愈合率高于对照组,创面细菌定量、VSS评分低于对照组,创面愈合时间短于对照组(P<0.05)。结论水胶体敷料联合清创凝胶治疗深Ⅱ度烧伤创面的临床疗效确切,其创面愈合速度快,创面细菌感染率低,可减轻创面瘢痕增生。
Objective To investigate the clinical effect of hydrocolloid dressings combined with debridement gel in treating deep second degree burn wounds.Methods A total of 64 cases of deep second degree burn wounds patients were selected from January 2015 to January 2018 in Department of Burn,the Fourth People's Hospital of Zigong,which were divided into 30 cases in control group and 34 cases in treatment group according to treatment plan.The control group,MEBO was applied to the deep second degree wounds,and the treatment group was treated with debridement gel and hydrocolloid dressing on deep second degree wounds. The wound healing rate,bacterial quantification,wound healing time and VSS score were compared between the two groups after treatment.Results After treatment,the treatment group of wound healing rate was higher than control group,the bacterial quantification and VSS score of wound were lower than control group,and the wound healing time was shorter than control group(P<0.05).Conclusion Hydrocolloid dressings combined with debridement gel are effective in treating deep second degree burn wounds,with fast wound healing and low bacterial infection rate.
Objective To investigate the clinical effect of hydrocolloid dressings combined with debridement gel in treating deep second degree burn wounds.Methods A total of 64 cases of deep second degree burn wounds patients were selected from January 2015 to January 2018 in Department of Burn,the Fourth People's Hospital of Zigong,which were divided into 30 cases in control group and 34 cases in treatment group according to treatment plan.The control group,MEBO was applied to the deep second degree wounds,and the treatment group was treated with debridement gel and hydrocolloid dressing on deep second degree wounds. The wound healing rate,bacterial quantification,wound healing time and VSS score were compared between the two groups after treatment.Results After treatment,the treatment group of wound healing rate was higher than control group,the bacterial quantification and VSS score of wound were lower than control group,and the wound healing time was shorter than control group(P<0.05).Conclusion Hydrocolloid dressings combined with debridement gel are effective in treating deep second degree burn wounds,with fast wound healing and low bacterial infection rate.
引文
[1]李云青,柏雪.皮生长因子与纳米银烧烫伤贴联合应用治疗深Ⅱ度烧伤创面的疗效观察[J].医学信息,2015,28(45):109-110.
[2]孙秀锋,梁自乾,黎洪棉,等.电动磨痂治疗深22度烧伤创面的疗效观察[J].中国临床医学,2006,13(3):507-509.
[3]蒋重阳.面部深Ⅱ度烧伤82例临床治疗分析[J].中国实用医药,2008,3(33):99-100.
[4]田建广,夏照帆.创面敷料的研究进展[J].解放军医学杂志,2003,28(5):470-471.
[5]胡碧花,何玉珍,李慧,等.自制负压引流联合新型水胶敷料治疗重度压力性损伤的临床效果观察[J].中国实用护理杂志,2017,33(11):810-814.
[6]王配合,彭毅志.烧伤创面痂下活组织细菌定量培养与植皮存活率分析[J].中华烧伤杂志,2004,20(1):45-46.
[7]CONNOHY K L,CHAFFINS M,OZOG D.Vascular patterns in mature hypertrophic burn scars treated with fractional CO2 laser[J].Lasers Surg Med,2014,46(8):597-600.
[8]宋德恒,李勇,刘继松,等.银离子藻酸盐敷料在儿童四肢深Ⅱ度烧伤创面中的应用效果观察[J].感染、炎症、修复,2016,17(4):199-202.
[9]WIECHULA R.The use of moist wound healing dressings in the management of split-thickness skin graft donor sites:a systematic review[J].Int J Nurse Pract,2003,9(2):9-17.
[10]KARYAKIN N N,KLEMENOVA I A,LUZAN A S.The outcomes of lower extremities burn wounds management by using of controlled moist environment[J].Khirurgiia(Mosk),2017,(7):40-43.
[11]DRIVERV R,REYZELMANA,KAWALECJ,etal.A prospective,randomized,blinded,controlled trial comparing transdermal continuous oxygen delivery to moist wound therapy for the treatment of diabetic foot ulcers[J].Ostomy Wound Manage,2017,63(4):12-28.
[12]邱美华.“安普贴”敷料用于头颈部Ⅱ度放射性皮肤损伤的疗效观察[J].苏州大学学报(医学版),2006,26(1):98-99.
[13]胡玉琴.水胶体敷料安普贴治疗压疮的效果观察[J].现代医院,2010,10(7):104-105.
[14]沈敏平.湿润烧伤膏在烧烫伤治疗中的应用[J].现代中西医结合杂志,2007,16(25):3693-3694.
[15]刘菊香.湿润烧伤膏与贝复济联合应用于面部烧伤创面护理的观察[J].国际护理杂志,2015,(10):1423-1425.
[2]孙秀锋,梁自乾,黎洪棉,等.电动磨痂治疗深22度烧伤创面的疗效观察[J].中国临床医学,2006,13(3):507-509.
[3]蒋重阳.面部深Ⅱ度烧伤82例临床治疗分析[J].中国实用医药,2008,3(33):99-100.
[4]田建广,夏照帆.创面敷料的研究进展[J].解放军医学杂志,2003,28(5):470-471.
[5]胡碧花,何玉珍,李慧,等.自制负压引流联合新型水胶敷料治疗重度压力性损伤的临床效果观察[J].中国实用护理杂志,2017,33(11):810-814.
[6]王配合,彭毅志.烧伤创面痂下活组织细菌定量培养与植皮存活率分析[J].中华烧伤杂志,2004,20(1):45-46.
[7]CONNOHY K L,CHAFFINS M,OZOG D.Vascular patterns in mature hypertrophic burn scars treated with fractional CO2 laser[J].Lasers Surg Med,2014,46(8):597-600.
[8]宋德恒,李勇,刘继松,等.银离子藻酸盐敷料在儿童四肢深Ⅱ度烧伤创面中的应用效果观察[J].感染、炎症、修复,2016,17(4):199-202.
[9]WIECHULA R.The use of moist wound healing dressings in the management of split-thickness skin graft donor sites:a systematic review[J].Int J Nurse Pract,2003,9(2):9-17.
[10]KARYAKIN N N,KLEMENOVA I A,LUZAN A S.The outcomes of lower extremities burn wounds management by using of controlled moist environment[J].Khirurgiia(Mosk),2017,(7):40-43.
[11]DRIVERV R,REYZELMANA,KAWALECJ,etal.A prospective,randomized,blinded,controlled trial comparing transdermal continuous oxygen delivery to moist wound therapy for the treatment of diabetic foot ulcers[J].Ostomy Wound Manage,2017,63(4):12-28.
[12]邱美华.“安普贴”敷料用于头颈部Ⅱ度放射性皮肤损伤的疗效观察[J].苏州大学学报(医学版),2006,26(1):98-99.
[13]胡玉琴.水胶体敷料安普贴治疗压疮的效果观察[J].现代医院,2010,10(7):104-105.
[14]沈敏平.湿润烧伤膏在烧烫伤治疗中的应用[J].现代中西医结合杂志,2007,16(25):3693-3694.
[15]刘菊香.湿润烧伤膏与贝复济联合应用于面部烧伤创面护理的观察[J].国际护理杂志,2015,(10):1423-1425.