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1、548第四军医大学学报(JFourthMilMedUniv)2005;26(6)http://journa.lfmmu.edu.cn研究原著文章编号:10002790(2005)06054803水胶体敷料治疗小面积度烧伤的临床研究姚庆君,胡大海,董茂龙(第四军医大学西京医院烧伤外科,陕西西安710033)Clinicalresearchofhydrocolloiddress时间平均快4d;医师工作量明显减少;医疗费用下降;患者较舒适.结论:水胶体敷料优于传统敷料,是目前治疗小面积ingintreatingsmallareasecondd
2、egree度烧伤的理想敷料.burn!关键词∀敷料;水胶体;度烧伤;创面,愈合YAOQingJun,HUDaHai,DONGMaoLong!中图号∀R644!文献标识码∀ADepartmentofBurnSurgery,XijingHospita,lFourthMilitaryMedicalUniversity,Xian710033,China0引言对于小面积度烧伤创面,传统湿性治疗采用油!Abstract∀AIM:Toevaluatetheclinicaleffectsandfeasi纱覆盖,长期以来在临床上是治疗可自愈烧伤创面的bi
3、lityofhydrocolloiddressingintreatingsmalareasecond经典治疗方法,但与理想的创面愈合需要仍然有许多degreeburn.METHODS:Thirtycasesofseconddegree不足.水胶体敷料的出现,可能更接近度烧伤创面burnwithlessthan10%oftotalbodyburnarea(TBSA)wereobservedandtwoburnareaswithsmiilarsizeand愈合的需要,为观察其疗效及在临床应用的可行性,depthineachcasewerepaired
4、andcompared.Oneofthe我们采用自身对照的方法,在临床上对二者进行了对areaswastreatedwithhydrocolloiddressingandtheother比观察.withvaselinegauzeascontro.lThedifferencesintherateofwoundhealing,doctorsworkloadper1%TBSA,thecostof1材料和方法dressingmaterialsper1%TBSA,andthedegreeofpain1.1材料水胶体敷料为comfeeldressing(康惠尔d
5、uringdressingchangewerecomparedbetweenthetwo透明贴),由丹麦康乐保公司生产;油纱、凡士林与石groups.RESULTS:Thereweresignificantdifferencesinthe蜡油按固定比例浸渍纱布;25g/L洗必泰生理盐水itemscomparedbetweenthetwogroups.Thewoundheal及外用生理盐水.inginthehydrocolloiddressinggroupwas4daysshorterthanthatinthevaselinegauzegroup,a
6、ndthedoctors1.2方法病例选择:伤后24h内,非化学烧伤及workloadandthecostofdressingmaterialsdecreasedin电击伤,TBSA<10%度烧伤,创面无感染,共30名thehydrocolloiddressinggroup.Thepatientsinthehydro病例;在同一患者身上选择深度、面积相近的两处创coloiddressinggrouphadlesspainthanthoseinthevase面作自身对照,随机将两处创面分别分入实验组与对linegauzegroup.CONCLUS
7、ION:Thehydrocolloiddress照组,两处烧伤创面均用25g/L洗必泰生理盐水冲ing,betterthanthetraditionaldressing(vaselinegauze),is洗,实验组创面用水胶体敷料,对照组创面用油纱.anidealdressingintreatingsmallareaseconddegreeburn.1.3观察指标#治愈时间:肉眼观察创面完全!Keywords∀dressing;hydrocolloid;seconddegreeburn;上皮化的时间.∃工作量:治愈每1%烧伤创面所需wound,h
8、ealing换药时间.%治疗费:治愈每1%烧伤创面所需敷料费用.&换药疼痛度:两组在首次治疗后
