摘要
目的分析立止血与皮肤软组织扩张术在烧伤整形中的临床疗效及安全性。方法将2011年1月至2013年1月期间收治的120例烧伤患者随机分为两组,即观察组和对照组,各60例。观察组患者行术前静脉注射立止血措施和皮肤软组织扩张术治疗,对照组患者行术前常规静滴止血敏止血和复合皮移植术治疗。治疗后,分别对两组患者创面修复的临床治疗效果进行评价。同时,观察并统计两组患者的出血量、出血时间及术后并发症的发生率。结果观察组患者创面修复临床治疗的总有效率为93.33%,对照组为73.34%,两组比较,差异具有显著性(P<0.01)。观察组患者平均出血量及出血时间分别为(88.64±20.22)g、(118.23±42.23)s;对照组分别为(136.45±30.43)g、(153.46±55.52)s,两组比较差异具有显著性(P<0.01)。治疗后,观察组患者术后并发症的总发生率为13.33%,对照组为20.0%,两组比较,差异具有统计学意义(P<0.05)。结论在烧伤整形中,静脉注射立止血能有效减少患者创面的出血量,加快出血控制;皮肤软组织扩张术疗效显著,术后并发症少,安全有效,值得临床推广应用。
Objective To analysis the bleeding and skin soft tissue dilatation in burn plastic in the clinical efficacy and safety. Methods Our hospital from January 2011 to January 2011 admitted during the period of 120 cases of burn patients were randomly divided into 2 groups, the observation group of 60 cases, control group 60 cases. Observation group of patients with preoperative intravenous stand hemostatic measures and for the treatment of skin soft tissue expansion, control group patients preoperative conventional static drop dicynone hemostatic and composite skin grafting treatment. After treatment, respectively wound repair in 2 groups of patients to evaluate the clinical therapeutic effect. At the same time, observation and statistics of patients of two groups the bleeding, bleeding time and the incidence of postoperative complications. Results The observation group of patients with wound repair clinical total effective rate was 93.33%, control group was 73.34%, the comparison of two groups, with significant difference （ P 〈0.01 ）. Observation group of patients, on average, the bleeding and bleeding time was （88.64 ±20.22 g）, （118.23 ±42.23） s; Control group was （136.45 ±30.43 g）, （153.46±55.52） s, the comparison of two groups, with significant differ- ence （ P 〈0.01 ）. After treatment, the observation group of patients with postoperative complieations of the total ineidence was 13.33%, control group was 20%, compared two groups, difference have statistical significance （ P 〈 0.05）. Conclusion In burn plastic, intravenous bleeding can effectively reduce the bleeding wound, to speed up the bleeding control. Skin soft tissue dilatation curative effect is distinet, less postoperative complications, safe and effective, worthy of elinieal popularization and application.
出处
《临床和实验医学杂志》
2013年第24期1987-1989,共3页
Journal of Clinical and Experimental Medicine
关键词
烧伤整形
立止血
皮肤软组织扩张术
复合皮移植术
Burn plastie
Set up bleeding
Skin soft tissue dilatation
Composite skin grafting
