湿性敷料在小儿深Ⅱ度烧伤护理中的效果观察  

Effect of Moist Dressings in Nursing of Children with Deep Ⅱ Degree Burns

作　　者：林光燕[1] 张学兵[1] 罗宁[1] 

机构地区：[1]重庆医科大学附属儿童医院,重庆400014

出　　处：《儿科药学杂志》2013年第12期30-33,共4页Journal of Pediatric Pharmacy

摘　　要：目的：观察使用湿性敷料换药对小儿深Ⅱ度烧伤的愈合时间、是否粘连创面、换药次数、有无疼痛、疤痕轻重的影响。方法：将58例深Ⅱ度烧伤患儿按照烧伤部位、烧伤范围基本条件相当的原则分为观察组和对照组各29例,观察组中急性体液渗出期后选择清得佳凝胶填充创面,外敷优拓和拧干的无菌生理盐水纱布,安舒妥薄膜封闭固定;对照组应患儿家属要求按常规方法治疗,外敷1%聚维酮碘和紫草油无菌纱布,外层根据创面大小覆盖4~10层无菌纱布后绷带包扎,直至创面愈合。对两组创面愈合时间及换药次数,是否粘连创面、有无疼痛、疤痕情况进行比较。结果：观察组较对照组创面愈合时间短、不粘连创面、换药次数少、疼痛率低、瘢痕增生轻,两组之间比较差异均有统计学意义（P〈0.05）。结论：使用湿性敷料换药可缩短深Ⅱ度烧伤创面的愈合时间,减少换药次数,减轻疼痛及瘢痕增生。Objective： To observe the healing time, wound adhesions, the number of dressing changes, pain and the severity of scarring by using of moist dressings for pediatric deep Ⅱ degree bums. Methods： Fifty-eight cases with deep Ⅱ degree burns weredivided into an observation group and a control group based on the principle of basic condition equivalence on burn areas. After acute humoral exudation the observation group received Qingdejia gel filling the wound, Uptop and dry sterile saline gauze for external application, and Anshutuo film for close and fix. The control group received topical 1% povidone-iodine and Lithospermum oil sterile gauze for external application, and 4 - 10 layers of sterile gauze bandage according to the size of the wound until the wound healed. The healing time, the number of dressing change, wound adhesions, pain, and scarring severity of the two groups were compared. Results ： Compared with the control group, in the observation group the healing time was short, and dressing changes were few. Patients in the observation group recovered with bladder pain, light scar and without adhesion. The differences between the two groups were significant （ P〈0. 05 ）. Conclusions： Moist dressing can reduce the healing time of deep Ⅱ degree burn wound, the number of dressing changes, pain, and hyperplasic scar.

关 键 词：湿性敷料 深Ⅱ度烧伤 伤口 护理 

分 类 号：R64[医药卫生—外科学]