水胶体敷料治疗小面积Ⅱ度烧伤的临床研究

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1、水胶体敷料治疗小而积II度烧伤的临床研究【关键词】敷料ClinicalresearchofhydrocolloiddressingintreatingsmallareaseconddegreeburnYAOQingJun,HUDaHai,DONGMaoLongDepartmentofBumSurgery,XijingHospital,FourthMilitaryMedicalUniversity,Xian710033,China【Abstract]AIM:Toevaluatetheclinicaleffectsandfeasibil

2、ityofhydrocolloiddressingintreatingsmallareaseconddegreeburn.METHODS:Thirtycasesofseconddegreeburnwithlessthan10%oftotalbodybumarea(TBSA)wereobservedandtwoburnareaswithsimilarsizeanddepthineachcasewerepairedandcompared.Oneoftheareaswastreatedwithhydrocolloiddressingand

3、theotherwithvaselinegauzeascontrol.Thedifferencesintherateofwoundhealing,doctorsworkloadper1%TBSA,thecostofdressingmaterialsper1%TBSA,andthedegreeofpainduringdressingchangewerecomparedbetweenthetwogroups.RESULTS:Thereweresignificantdifferencesintheitemscomparedbetweent

4、hetwogroups.Thewoundhealinginthehydrocolloiddressinggroupwas4daysshorterthanthatinthevaselinegauzegroup,andthedoctorsworkloadandthecostofdressingmaterialsdecreasedinthehydrocolloiddressinggroup.Thepatientsinthehydrocolloiddressinggrouphadlesspainthanthoseinthevaselineg

5、auzegroup.CONCLUSION:Thehydrocolloiddressing,betterthanthetraditionaldressing(vaselinegauze),isanidealdressingintreatingsmallareaseconddegreeburn.【Keywords]dressing;hydrocolloid；seconddegreeburn；wound,healing【摘要】目的：评价水胶体敷料治疗小而积II度烧伤临床疗效及可行性•方法：烧伤而积(totalbodybumarea,TBS

6、A)<10%的II度烧伤患者30例，选择深度、而积相近的两处创而自身对照，实验组用水胶休敷料，对照组用凡士林油纱治疗，分别观察两组在创曲愈合时间、医师工作童、治疗费川、患者疼痛反应方面的差别.结果：两组间在4项观察指标上均有显著差别，实验组水胶体敷料比对照组凡士林油纱创血愈合时间平均快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II度烧伤的理想敷料.【关键词】敷料；水胶体；II度烧伤；创面，愈合0引言对于小而积II度烧伤创而，传统湿性治疗采用油纱覆盖，长期以來在临床上是治疗可自愈

7、烧伤创而的经典治疗方法，但与理想的创而愈合需要仍然有许多不足.水胶体敷料的出现，可能更接近II度烧伤创而愈合的需要，为观察其疗效及衣临床应用的可行性，我们采用自身对照的方法，在临床上对二者迓行了对比观察.1材料和方法1.1材料水胶体敷料为comfeeldressing(康惠尔透明贴)，由丹麦康乐•保公司生产;油纱、凡士林与石蜡汕按固定比例浸渍纱布；25g/L洗必泰生理盐水及外用生理盐水.1.2方法病例选择：伤后24h内，非化学烧伤及电击伤，TBSAvlO%II度烧伤，创而无感染，共3()名病例；在同一患者身上选择深度、面积相近的两处

8、创面作自身对照，随机将两处创面分别分入实验组与对照组，两处烧伤创面均用25g/L洗必泰生理盐水冲洗，实验组创面用水胶体敷料，对照组创曲用油纱.1.3观察指标①治愈时间：肉眼观察创面完全上皮化的时间.②工作量：治愈每1%烧伤创面所需换药