摘要
目的探讨新型生物敷料Ⅱ型在治疗二度烧伤创面中的临床效果。方法选取2015年11月—2016年10月蚌埠市第三人民医院烧伤整形科收治的诊断为二度烧伤的患者36例,随机分为观察组和对照组。观察组运用新型生物敷料治疗,对照组采用银锌霜皮肤黏膜抗菌剂治疗。比较2组患者在换药次数、入院第7天患者发热率、创面愈合时间、住院时间、创面换药二次创伤程度、换药舒适度、敷料覆盖舒适度及出院后半年创面瘢痕增生情况等方面的差异。结果与对照组相比,观察组换药次数(4.39±1.14)次,明显少于对照组(10.72±3.39)次;观察组第7天患者发热率11.11%明显低于对照组50.00%;观察组创面愈合时间(15.67±5.05)d及住院时间(17.22±6.46)d明显小于对照组(21.94±5.47)d和(26.06±10.07)d;观察组在创面换药二次创伤程度、换药舒适度、敷料覆盖舒适度方面,均优于对照组,上述差异均具有统计学意义(P<0.05)。出院后半年创面瘢痕温哥华瘢痕量表评分,观察组(3.44±0.98)分明显好于对照组(4.94±1.55)分,差异具有统计学意义(P<0.05)。结论应用新型生物敷料Ⅱ型治疗二度烧伤创面能减少换药次数,加速创面愈合,减少住院时间,减轻患者痛苦,减少创面瘢痕增生,值得临床推广应用。
Objective To investigate the effect of New Biological Dressing Type II in the treatment of second degree burn wounds. Methods A total of 36 cases second degree burns in our hospital between November, 2015 and October, 2016 were enrolled into this study and randomly divided into observation group and control group. The observation group was treated with a new biological dressing typeⅡ, while the control group was treated with silver zinc cream skin and mucous membrane antibacterial agent. The number of dressing, wound healing time, hospitalization time, degree of secondary dressing wound, comfort during changing dressing, comfort to dressing and the wound scar within six months after the dis- charge were compared between the two groups. Results The number of dressing sessions in the observation group [ （4.39 ± 1.14） times ] was significantly less than that in the control group [ （ 10.72 ± 3.39 ） times ] ; the incidence of fever on day 7 in the observation group was 11. 11%, which was significantly lower than that in the control group （50.00%） ; the wound healing time [ （15.67 ± 5.05 ） days l and hospital stay [ （17.22 ± 6.46） days] in the observa- tion group were significantly lower than those in the control group [ （21.94 ±5.47） days and （26.06 ± 10.07） days）, respectively ~ ; the degree of secondary dressing wound, comfort during changing dressing and comfort to dressing in the observation group were significant better than those in the control group, the difference was statistically significant （ P 〈 O. 05 ） ; Vancouver Scar Scale scores were 3.44 ± 0. 98 in the observation group and 4.94 ± 1.55 in the control group, the difference was statistically significant （P 〈 0.05 ）. Conclusion The new biological dressing type II for second de- gree burn wounds can reduce the number of dressing, accelerate wound healing, reduce hospital stay, reduce the pain of patients, and reduce the wound scar hyperplasia, worthy of clinical application.
作者
刘继松
宋德恒
赵刚宏
李勇
章祥洲
程秀
LIU Ji-song;SONG De-heng;ZHAO Gang-hong(Department of Burn ＆ Plastic Surgery, the Third People＇s Hospital of Bengbu, Bengbu, Anhui 233000, Chin)
出处
《中华全科医学》
2018年第5期740-743,共4页
Chinese Journal of General Practice
基金
安徽省2016年公益性技术应用研究联动计划项目(1604f0804034)
关键词
生物敷料
烧伤
创面愈合
Biological dressings
Burns
Wound healing
