红外线烤灯照射对头部供皮区烧伤患者创面愈合的疗效观察
|
摘要
目的了解红外线烤灯照射对头部供皮区烧伤患者创面愈合的影响。方法便利抽样法选择2014年8月至2016年8月全军某烧伤中心收治的96例头部供皮区患者为研究对象,按入院先后将其分为观察组和对照组各48例,观察组患者在传统包扎法治疗的基础上采用红外线烤灯照射治疗,对照组患者采用常规加压包扎治疗,分别记录并比较两组患者供皮区的创面渗出情况、疼痛情况及创面愈合时间。结果两组患者手术均取得成功,观察组患者术后3d的创面渗出情况、疼痛评分及创面愈合时间均优于对照组患者,差异均有统计学意义(均P<0.05)。结论红外线烤灯照射能促进供皮区创面干燥、结痂、缓解疼痛,促进创面愈合。
Objective To observe the healing effect of infrared lamp on wound healing in patients with burn injury on scalp donor areas.Methods By convenience sampling method,96 burn patients who received a skin graft from the scalp during August 2014 to August 2016 were selected and divided into observation group and control group,with 48 cases in each group.The patients in the observation group were treated with infrared lamp on the basis of bandaging treatment,while the patients in the control group received the compression bandage treatment.The wound exudation,pain and wound healing time were recorded.Results Surgery was successful in both groups.Three days after operation,the wound exudation,pain and wound healing time in observation group were better than that of control group(all P<0.05).Conclusions Infrared lamp can promote dry scab and relieve pain in the scalp donor site,therefore,to promote wound healing.
Objective To observe the healing effect of infrared lamp on wound healing in patients with burn injury on scalp donor areas.Methods By convenience sampling method,96 burn patients who received a skin graft from the scalp during August 2014 to August 2016 were selected and divided into observation group and control group,with 48 cases in each group.The patients in the observation group were treated with infrared lamp on the basis of bandaging treatment,while the patients in the control group received the compression bandage treatment.The wound exudation,pain and wound healing time were recorded.Results Surgery was successful in both groups.Three days after operation,the wound exudation,pain and wound healing time in observation group were better than that of control group(all P<0.05).Conclusions Infrared lamp can promote dry scab and relieve pain in the scalp donor site,therefore,to promote wound healing.
引文
[1]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.
[2]温俊,郑春兰,李顺英.红外线在医学中的应用[J].国外医学:放射医学核医学分册,2004,28(5):237-241.
[3]Mofazzal Jahromi M A,Sahandi Zangabad P,Moosavi Basri S M,et al.Nanomedicine and advanced technologies for burns:Preventing infection and facilitating wound healing[J].Adv Drug Deliv Rev,2018(123):33-64.
[4]Roodbergen D T,Vloemans A F,Rashaan Z M,et al.The scalp as a donor site for skin grafting in burns:Retrospective study on complications[J].Burns Trauma,2016(4):20.
[5]张洁,牛星焘,李东.密闭液性环境、干燥环境下供皮区创面愈合的比较观察[J].中国修复重建外科学杂志,2004,18(2):84-86.
[6]盛志勇,郭振荣.危重烧伤治疗与康复学[M].北京:科学出版社,2000:364
[7]林冬梅,康群军.红外线灯烤照对头部供皮区创面愈合的临床疗效观察[J].中国现代药物应用,2012,6(24):126-127.
[8]中华烧伤杂志编辑委员会.成人烧伤疼痛管理指南(2013版)[J].中华烧伤杂志,2013,29(3):225-231.
[9]Summer G J,Puntillo K A,Miaskowski C,et al.Burn injury pain:the continuing challenge[J].J Pain,2007,8(7):533-548.
[10]Richardson P,Mustard L.The management of pain in the burns unit[J].Burns,2009,35(7):921-936.
[11]Patterson D R,Hofland H W,Espey K,et al.Pain management[J].Burns,2004,30(8):A10-15.
[2]温俊,郑春兰,李顺英.红外线在医学中的应用[J].国外医学:放射医学核医学分册,2004,28(5):237-241.
[3]Mofazzal Jahromi M A,Sahandi Zangabad P,Moosavi Basri S M,et al.Nanomedicine and advanced technologies for burns:Preventing infection and facilitating wound healing[J].Adv Drug Deliv Rev,2018(123):33-64.
[4]Roodbergen D T,Vloemans A F,Rashaan Z M,et al.The scalp as a donor site for skin grafting in burns:Retrospective study on complications[J].Burns Trauma,2016(4):20.
[5]张洁,牛星焘,李东.密闭液性环境、干燥环境下供皮区创面愈合的比较观察[J].中国修复重建外科学杂志,2004,18(2):84-86.
[6]盛志勇,郭振荣.危重烧伤治疗与康复学[M].北京:科学出版社,2000:364
[7]林冬梅,康群军.红外线灯烤照对头部供皮区创面愈合的临床疗效观察[J].中国现代药物应用,2012,6(24):126-127.
[8]中华烧伤杂志编辑委员会.成人烧伤疼痛管理指南(2013版)[J].中华烧伤杂志,2013,29(3):225-231.
[9]Summer G J,Puntillo K A,Miaskowski C,et al.Burn injury pain:the continuing challenge[J].J Pain,2007,8(7):533-548.
[10]Richardson P,Mustard L.The management of pain in the burns unit[J].Burns,2009,35(7):921-936.
[11]Patterson D R,Hofland H W,Espey K,et al.Pain management[J].Burns,2004,30(8):A10-15.