老年烧伤后瘢痕整形患者中皮肤软组织扩张术联合止血敏的临床疗效及安全性影响分析  

Clinical Efficacy and Safety of Skin and Soft Tissue Dilatation Combined with Hemostasis in Elderly Patients with Hypertrophic Scar After Burn

作　　者：周为军[1] 纪郁郁[1] Zhou Weijun;Ji Yuyu(People＇s Hospital of Xinjiang Uygur Autonomous Region,Urumqi 830001,China)

机构地区：[1]新疆维吾尔自治区人民医院,新疆乌鲁木齐830001

出　　处：《中国中西医结合皮肤性病学杂志》2018年第3期233-236,共4页Chinese Journal of Dermatovenereology of Integrated Traditional and Western Medicine

摘　　要：目的探究皮肤软组织扩张术联合止血敏用于治疗老年烧伤后瘢痕整形患者中的临床疗效及安全性。方法研究对象选取我院2013年1月—2016年6月收治的老年烧伤整形患者88例,根据治疗方式分为对照组和观察组,其中对照组40例,观察组48例。观察组患者予以皮肤软组织扩张术治疗,对照组患者予以游离植皮联合软化瘢痕乳膏治疗。治疗完成后对患者进行12个月随访,评估其创面修复效果、止血效果、不良反应发生率及患者满意度。结果观察组创面修复总有效率(89.58%)明显高于对照组(57.50%),且差异有统计学意义(χ~2=11.98,P=0.00);观察组创面出血量及出血时间均明显低于对照组,且差异有统计学意义(P<0.05);观察组不良反应发生率(14.58%)明显低于对照组(32.50%),且差异有统计学意义(χ~2=3.99,P=0.04);观察组患者满意度(75.00%)明显高于对照组(55.00%),且差异有统计学意义(χ~2=3.88,P=0.04)。结论皮肤组织扩张术联合止血敏在老年烧伤患者的瘢痕整形中疗效显著,且安全性更好,值得在临床推广。Objective In order to explore the clinical efficacy and safety of skin and soft tissue dilatation combined with hemostasis in treating elderly patients with hypertrophic scar after burn. Methods Eighty-eight elderly patients with burns shaping in our hospital from January 2013 to 2016 June were selected as research objects. The patients were divided into control group and observation group according to the treatment methods. Forty cases in the control group and 48 cases in the observation group. The patients in the observation group were treated with skin and soft tissue dilatation, and the control group patients were treated only with free skin grafting combined with softening scar cream. After treatment, the patients were followed up for 12 months. The effects of wound healing effect, hemostatic effect, incidence of adverse reactions and satisfaction of the patients were evaluated. Results The total effective rate（89.58%） in observation group was higher than that in control group（57.50%）, and the difference was statistically significant（χ~2=11.98, P=0.00）; the bleeding volume and bleeding time in observation group were significantly lower than those in control group, and the differences were statistically significant（P0.05）; the adverse reaction rate of observation group（14.58%） was significantly lower than that of control group（32.50%）, and the difference was statistically significant（χ~2=3.99, P=0.04）. Patient satisfaction of observation group（75%）was significantly higher than that of control group（55%）, and the difference was statistically significant（χ~2=3.88, P=0.04）.Conclusion Skin and soft tissue dilatation combined with hemostasis in elderly patients with burns scar shaping, due to its significant healing effect and better safety, it is worthy of clinical promotion.

关 键 词：老年烧伤 皮肤组织扩张术 止血敏 临床疗效 瘢痕整形 

分 类 号：R726[医药卫生—儿科]