摘要
目的:分析水胶体敷料在面颈部浅Ⅱ度烧伤创面治疗中的应用效果。方法:选取2019年7月-2021年3月医院收治的浅Ⅱ度面颈部烧伤患者120例作为研究对象,按随机数字表法分为观察组和对照组,对照组60例患者进行常规清创处理,观察组60例患者在常规治疗基础上予以水胶体敷料。比较两组治疗前及治疗后7 d、14 d数字化疼痛分级法(Numerical rating scale,NRS),比较两组创面愈合时间、感染情况及不良反应发生情况。结果:治疗后7 d、14 d相较于治疗前,两组NRS评分均明显降低,且观察组显著低于对照组,差异具有统计学意义(P<0.05)。观察组创面愈合时间明显低于对照组,差异具有统计学意义(P<0.05)。与对照组相比,观察组的感染总发生率更低,差异有统计学意义(6.67%vs 20.00%,P<0.05)。观察组不良反应总发生率为3.33%,对照组为5.00%,组间比较差异无统计学意义(P>0.05)。结论:水胶体敷料应用于面颈部浅Ⅱ度烧伤治疗中能有效减轻患者疼痛反应,缩短愈合时间,安全性较高。
Objective To analyze the application effect of hydrocolloid dressing in the treatment of superficial second degree burn wounds of face and neck.Methods A total of 120 patients with superficial second degree face and neck burns admitted to the hospital from July 2019 to March 2021 were selected as the research objects,and divided into the observation group and the control group according to the random number table method.And 60 patients in the control group were treated with routine debridement.60 patients in the observation group were given hydrocolloid dressings on the basis of conventional treatment.The NRS before treatment and 7 days and 14 days after treatment were compared between the two groups.The wound healing time,infection and adverse reactions were compared between the two groups.Results Compared with before treatment,the NRS scores of the two groups were significantly lower at 7 d and 14 d after treatment,and the observation group were significantly lower than the control group,the differences were statistically significant(P<0.05).The wound healing time of the observation group was significantly lower than that of the control group(P<0.05).Compared with the control group,the overall incidence of infection in the observation group was lower(6.67%vs 20.00%,P<0.05).The total incidence of adverse reactions was 3.33%in the observation group and the control group was 5.00%,and there was no significant difference between the groups(P>0.05).Conclusion Hydrocolloid dressing can effectively reduce the pain response of patients and shorten the healing time in the treatment of superficial second degree burns of the face and neck,with high safety.
作者
宗声
刘涛
侯广振
孙晋磊
宋成
ZONG Sheng;LIU Tao;HOU Guangzhen;SUN Jinlei;SONG Cheng(Department of Burn and Plastic Surgery,Shandong Guoxin Yiyang Zaozhuang Central Hospital,Zaozhuang 277000,Shandong,China)
出处
《中国美容医学》
CAS
2022年第10期11-13,共3页
Chinese Journal of Aesthetic Medicine
关键词
烧伤
浅Ⅱ度
水胶体敷料
面颈部
创面修复
burn
superficial second degree
hydrocolloid dressing
face and neck
wound repair
