大面积烧伤后期残余创面浸浴疗法的效果观察及护理  

The observation and nursing of the dipping bath treamtment on the large burning surface of wound in later period.

作　　者：林雪虹 姚琼宝 吕炎英 冼爱华 严建红 廖倩芳 Lin Xuehong, Yao Qiongbao ,Lv Yanying,et al. （ The first people＇s hospital of Zhaoqing, Guangdong 526021 China）

机构地区：肇庆市第一人民医院,广东肇庆526021

出　　处：《中国保健》2008年第29期1432-1433,共2页Chinese Health Care

摘　　要：目的：探讨浸浴疗法在烧伤后期残余创面中的效果观察及护理。方法：对44例大面积烧伤患者随机分为治疗组24例和对照组20例，治疗组24例患者在行浸浴疗法时，医护人员将患者缓慢放入盛放1：5000高锰酸钾液的浸浴缸里，水温保持在38—39℃，室温保持在30～32℃，首次浸浴时间不超过30min，后期浸浴时间可延长1～2h，与对照组20例未作浸浴疗法患者比较疗效。结果：治疗组与对照组的残余创面平均愈合时间分别为（22．0±5．2）d和（35．5±9．4）d，组间比较差异有统计学意义（P〈0．05）；组间第1w、第2w创面细菌培养阳性，治疗组分别为7例和4例，对照组为14例和12例，例数差异有统计学意义（P〈0．05）。治疗组残余创面愈合时间明显短于对照组。结论：通过浸浴疗法及精心的护理，能够有效地清洁创面、减少菌量、促进上皮生长，而且使患者肢体活动锻炼不受限制，软化瘢痕，最终使烧伤患者残余创面愈合，促进患者康复。Objective：To investigate the dipping bath treatment on the burning surface of wound in later period. Methods：At random We separate 44 patients into two groups. Observation group （24 cases） and control group （20 cases）. The observation group are treated the dipping bath. In the dipping bath treatment, the nurses slowly put the patients into the bathtub filled of dipping liquid （ 1 ： 5000pp ）. Keep the temperature of liquid at 38 - 39℃ and the temperature of room at 30 - 32℃ at the first time. The bath can not exceed 30 mintues. Later it can extent to 1 - 2h. Comparing the curative effects to the control group. Results：The healing time of the surface of wound at average are （22.0 ±5.2）d and（35.5 ±9. 4） d. The statistical difference between these two groups is at P 〈 0. 05. In surface bacterial culture at first week, there are 7 cases in the observation group proved to be positive additionally 4 cases in control group. At the second week separately 14 cases and 12 cases. The statistical difference between these two group is at P 〈 0.05. On the heal effect, the observation group is much better than the control group. Conclusion： The bath .dipping treatment enables effectively to clear the surface of the wound, decrease the bacteria, increase blood circulation and help epithelium growth. Furthermore it enables the patients to practice physcically, soften the scar so to heal the surface of wound.

关 键 词：烧伤患者 浸浴疗法 护理 效果 

分 类 号：R473.6[医药卫生—护理学;医药卫生—临床医学]