综合护理干预在大面积深度烧伤患者残余创面中的应用  

Application of comprehensive nursing intervention in large area deep burn patients with residual wound

作　　者：袁丽敏[1] 方梅[1] 陈武鹏[1] 柳晖[1] 曾郎平 

机构地区：[1]广东省深圳市宝安区人民医院烧伤整形及神经外科,518101

出　　处：《护理实践与研究》2013年第8期60-61,共2页Nursing Practice and Research

摘　　要：目的:探讨综合护理干预在大面积深度烧伤患者残余创面中的应用效果。方法:将2009年5月～2011年5月我院收治的大面积深度烧伤残余创面患者48例随机分为对照组21例和试验组27例,对照组给予普通换药和常规护理,试验组采用局部浸浴疗法+红外线照射创面+外喷碱性成纤维细胞生长因子(bFGF)及表皮细胞生长因子(rhEGF)+烫疮油外敷联合治疗及综合护理干预,比较两组患者创面平均愈合时间,治疗后第7,14 d创面分泌物细菌培养阳性率。结果:试验组患者创面愈合时间短于对照组(P<0.01),治疗后第7,14 d创面分泌物细菌培养阳性率低于对照组(均P<0.01)。结论:多措施联合使用的综合护理干预措施能有效提高大面积深度烧伤残余创面患者的治疗效果。Objective ：To explore the application effect of comprehensive nursing intervention in large area deep burn patients with residual wounds. Meth- ods： In our hospital 48 patients with large area deep burn wounds were randomly divided into control group with 21 cases and experimental group with 27 ca- ses from May 2009 to May 2011, control group was given conventional treatment and routine nursing, the experiment group adopted the local bath therapy plus infrared irradiation plus injection of basic fibroblast growth factor （bFGF） and epidermal growth factor （rhEGF） ＋ Tangchuang oil topical treatment and comprehensive nursing intervention,two groups were compared the average wound healing time after treatment seventh, 14 d positive rate of bacterial cul- ture of wound exudate. Results： In the experimental group, the wound healing time was shorter than the control group （P 〈 0.01 ） ,after t^atment seventh, 14 d wound secretions bacterial culture positive rate was lower than that of control group （all P 〈0.01 ）. Conclusion：The comprehensive nursing interventions combined use of multiple measures can effectively improve the therapeutic effect of large area deep burn patients.

关 键 词：大面积深度烧伤 残余创面 浸浴 生长因子 红外线 烫疮油 护理干预 

分 类 号：R473.6[医药卫生—护理学]