摘要
目的观察应用微动力负压技术(MDNPWT)在婴幼儿深Ⅱ度烧伤创面的临床疗效。方法回顾分析第二军医大学长海医院烧伤科病房2014年1月至2015年6月采用MDNPWT治疗的7例婴幼儿深Ⅱ度烧伤患者(MDNPWT组)和同期采用常规换药治疗的14例婴幼儿深Ⅱ度烧伤患者(对照组)的临床资料,对两组创面愈合时间、换药次数及费用、手术干预率及疼痛评分进行比较。结果 MDNPWT组和对照组开始治疗至创面愈合时间分别为(25.3±13.3)d和(19.6±18.9)d,1%TBSA愈合时间分别为(9.8±4.3)d和(13.2±10.8)d,1%TBSA治疗费用分别为(11141.4±7233.2)元和(15545.6±9422.8)元,以上指标两组之间差异均无统计学意义(P值均大于0.05);MDNPWT组换药次数、换药时疼痛评分及手术干预率分别为(7.3±5.6)次、(4.07±0.64)分、0,对照组分别为(20.8±6.3)次、(7.05±0.37)分、64.29%,两组比较差异均有统计学意义(P值均小于0.05)。结论 MDNPWT具有减少换药次数、减轻换药时疼痛及降低婴幼儿深Ⅱ度烧伤创面手术率等优点。与常规换药法比较,在愈合时间及治疗费用上无明显差异,可作为婴幼儿患者深Ⅱ度烧伤创面治疗安全有效的新方法。
Objective To summarize the clinical experience in repair deep partial burn wounds with micro-dynamic negative pressure wound technique( MDNPWT) in infants and young children. Methods Clinical data of 21 infants or young children with deep partial burn wounds from Jan,2014 to June,2015 in burn unit of Changhai hospital were collected. Patients were divided into 2 groups while MDNPWT group( 7 cases) were treated with MDNPWT and control group( 14 cases) were treated with routine dressing change. Healing time,frequency of dressing change,total costs,surgery rates and pain intensity scores of the 2 groups were compared. Results The average healing time of MDNPWT group and control group were( 25. 3 ± 13. 3) d and( 19. 6 ± 18. 9) d,1% TBSA healing time were( 9. 8 ± 4. 3) d and( 13. 2 ± 10. 8) d,1% TBSA costs were( 11141. 4 ± 7233. 2) CNY and( 15545. 6 ± 9422. 8) CNY. No significant difference were found in those parameters. However,MDNPWT group showed significantly better than control group in dressing change frequency,surgery rate and pain intensity score. The average dressing change frequency were( 7. 3 ± 5. 6) times and( 20. 8 ± 6. 3) times,pain intensity score were( 4. 07 ± 0. 64) points and( 7. 05 ± 0. 37) points while surgery rate were 0% and 64. 29%. Conclusion MDNPWT can be used as a new method to treat deep partial burn wounds in infants and young children as it shows advantages in lowing dressing change frequency and surgery rate while reducing pain intensity score. Meanwhile there are no difference in healing time and total costs.
出处
《中华损伤与修复杂志（电子版）》
CAS
2016年第5期346-349,共4页
Chinese Journal of Injury Repair and Wound Healing(Electronic Edition)
基金
上海市卫计委"新优青"项目(XYQ2013079)
关键词
负压伤口疗法
烧伤
伤口愈合
婴幼儿
Negative-pressure wound therapy
Burns
Wound healing
Infants and young children
