摘要
目的观察自体微粒皮植皮术不同扩展比对大面积、严重烧伤患者的干预效果。方法选取66例大面积、严重烧伤患者,按随机数字表法分为对照组(33例)和观察组(33例)。两组患者均行自体微粒皮植皮术治疗,对照组患者采用1:12扩展比;观察组采用1:8扩展比。观察两组患者创面愈合优良情况,记录患者切痂创面愈合时间、住院时间、脓毒症发生率及病死率。结果全体患者均顺利度过围术期,无死亡病例。观察组切痂创面愈合时间、住院时间[(36.42±3.23)、(42.56±4.37)]d均短于对照组[(48.62±4.17)、(55.49±3.64)]d(P<0.05);观察组创面愈合优良率90.90%比对照组69.70%高,脓毒症发生率3.03%比对照组18.18%低,两组比较差异均有统计学意义(P<0.05)。结论 1:8扩展比自体微粒皮植皮术对大面积、严重烧伤患者的干预效果优于1:12扩展比,植皮创面愈合优良率高,切痂创面愈合快,脓毒症发生率低,能有效缩短康复时间。
Objective To observe the effect of autologous microskin grafting in different expansion ratio on patients with large area and severe burn. Methods 66 patients with large area and severe burn were randomly divided into control group（33 cases）and observation group（33 cases）according to the random number table method. Two groups of patients were treated with autologous microskin grafting treatment,the control group were treated with 1：12 expansion ratio. Observation group by 1 ：8 expansion ratio. The wound healing was observed in the two groups. The wound healing time,length of stay,incidence rate and mortality rate of the patients were recorded. Results All patients were successfully passed the perioperative period,no death cases. The observation group cut scab wound healing time,hospitalization time（[（36.42±3.23）、（42.56±4.37）]d were significantly shorter than that of the control group [（48.62±4.17）、（55.49±3.64）]d（P〈0.05）. Observation group of wound healing rate of 90.90% was higher than the control group 69.70%,sepsis rate of 3.03% was lower than 18.18%,two groups＇ differences were statistically significant（P〈0.05）. Conclusion 1 ：8 expansion ratio of autologous microskin grafting on large area and severe burn patients was significantly better than that of 1 ：12 expansion ratio. Skin wound healing rate was high,low incidence of sepsis, can effectively shorten the recovery time.
出处
《中国卫生标准管理》
2016年第6期55-56,共2页
China Health Standard Management
关键词
自体微粒皮植皮术
扩展比
严重烧伤
Autologous microskin grafting
Expansion ratio
Severe burns
