早期浸浴清创治疗重度烧伤创面外搽食盐患儿的疗效观察  

Clinical Efficacies of Early Stage Bathing Therapy for Severely Burned Children with External use of Salt

作　　者：宋知仁[1] 郑建锋[1] 成路[1] 陈明衡[1] 罗友云[1] 何忠亮[1] 侯强[1] 

机构地区：[1]中国人民解放军第169医院烧伤整形科,湖南衡阳421002

出　　处：《医学临床研究》2015年第3期536-538,共3页Journal of Clinical Research

摘　　要：【目的】探讨早期浸浴清创治疗重度烧伤创面外搽食盐患儿的疗效。【方法】收集本院1994年1月至2014年1月重度烧伤后8 h内入院并创面外搽食盐的患儿41例，烧伤面积＞15％，搽盐量＞200 g ，根据治疗方法不同分为两组：浸浴组19例，入院后即将患儿放入清洁消毒的水疗槽中浸浴清创一次；对照组22例，入院后即使用温热的0．05％新洁尔灭溶液冲洗创面一次。比较两组患儿入院时、入院6 h、入院10 h、入院14 h血钠正常率；入院14 h内高热发生率、抽搐发生率；住院期间创面愈合时间和死亡率。【结果】两组入院时血钠正常率均为零；浸浴组入院6 h、入院10 h、入院14 h血钠正常率均显著高于对照组，差异有统计学意义（ P ＜0．05）；浸浴组高热发生率、抽搐发生率、病死率分别为52．63％、42．11％、26．32％，均显著低于对照组（81．82％、72．73％、59．09％），浸浴组创面愈合时间（28．16 ± 2．31）d短于对照组（39．98±3．37）d ，差异均有统计学意义（ P ＜0．05）。【结论】早期浸浴治疗烧伤后创面外搽食盐的患儿，可降低血钠，减少高热、抽搐发生率，降低病死率，加快创面愈合。[Objective] To explore the clinical efficacies of early stage bathing therapy for severely burned children with external use of salt .[Methods]From January 1994 to January 2014 ,41 burned children with to‐tal body surface area （TBSA） 〉15% and external use of salt over 200 g were admitted within 8 hours after burns .They were divided into bathing （ n=19） and contrast （ n=22） groups .The blood levels of sodium at 6 ,10 and 14 h post‐admission were recorded and compared .And high‐fever rates and spasm at 14 h ,mortality rate and healing time were also compared .[Results]No significant inter‐group difference existed in blood sodi‐um （ P 〉0 .05） .And significant inter‐group differences existed after admission in 6 ,10 ,14 h （ P 〈0 .05） . For high‐fever rate at 14 h post‐admission ,there was significant inter‐group difference （52 .63% vs 81 .82% , P 〈0 .05） .Significant inter‐group difference existed in spasm rate （42 .11% vs 72 .73% ,P〈0 .05） .No sig‐nificant inter‐group difference existed in mortality rate （26 .32% vs 59 .09% , P 〈 0 .05 ） or healing time （28 .16 ± 2 .31 vs 39 .98 ± 3 .37 days ,P 〈0 .01） .[Conclusion] Early stage bathing with external use of salt can lower the blood level of sodium ,reduce the incidence of high fever ,spasm and death and promote healing for severely burned children .

关 键 词：烧伤/治疗 氯化钠 膳食 高钠血症 清创术/方法 

分 类 号：R726.44[医药卫生—儿科]