摘要
目的 讨论负压封闭引流术联合冲洗液持续冲洗在深Ⅱ度烧伤中的应用价值.方法 选择齐齐哈尔医学院附属第三医院烧伤科收治的深Ⅱ度烧伤患者33例作为研究对象,将采用负压封闭引流术联合冲洗液持续冲洗治疗的患者15例作为观察组,将采用传统治疗方法的患者18例作为对照组,比较2组患者的创面愈合率、创面愈合时间和创面疼痛情况.结果 观察组在治疗3d后,便有坏死组织溶解脱落后被引流媛负压瓶,在治疗第7天后,更换VSD敷料时,创面的坏死组织已经基本溶解脱落,在治疗14 d后,创面出现大量新生上皮组织.患者在7d后的创面愈合率、14 d愈合率、总愈合时间、创面疼痛方面比较差异均有统计学意义.结论 VSD负压封闭引流联合冲洗液持续冲洗,能够有效改善烧伤创面的局部微循环,增加局部血流量,保持创面湿润环境,加快渗液引流,利于减轻局部炎性损害,多角度促进上皮细胞再生,促进创伤愈合,并且能够改善局部疼痛症状,有效提高了患者的生活质量.
Objective To discuss the value of vacuum sealing drainage combined with continuous fluid irrigation in deep second degree burn. Methods 33 patients with deep second degree burns in burn department of the Third Affiliated Hospital of Qiqihar Medical College were selected as study object. The observation group used vacuum sealing drainage combined with continuous fluid irrigation, while the control group used the traditional method of treatment. The rate of wound healing, wound healing time and pain conditions were compared between the two groups of patients. Results After 3 days in the observation group, there was dissolved necrotic tissue which were drained into the negative pressure bottles, wound necrosis dropped off and dissolved when changing VSD dressings after seven days, a large number of new- born epithelial tissue appeared on the wound after 14 days of treatment. The healing rate after 7 days and 14 days, total healing time and wound pain showed statistically significant differences between two groups. Conclusions VSD combined with continuous fluid irrigation can effectively improve local micro- circulation of burn wounds, increase local blood flow, keep the wound stay at a moist environment, acceler- ate the exudate drainage, which will help reduce the damage caused by local inflammation, promote epithe- lial cell regeneration from multiple perspectives, promote wound healing, and improve local pain symptoms and the quality of life of patients.
出处
《中国实用护理杂志》
北大核心
2014年第13期48-50,共3页
Chinese Journal of Practical Nursing
关键词
烧伤创面
负压封闭引流术
持续冲洗
Burn wound
Vacuum sealing drainage
Continuous irrigation
