美宝湿润烧伤膏联合皮肤牵张闭合器治疗骶尾部Ⅲ期压疮临床观察  

Clinical Observation on MEBO Combined with Skin Distraction Closure Device in the Treatment of Stage Ⅲ Pressure Sore

作　　者：高峰[1] 张博[1] 胥学冰[1] 佟妍[1] 陈冬梅[1] 王东亮[1] 梁久龙[2] GAO Feng;ZHANG Bo;XU Xuebing;TONG Yan;CHEN Dongmei;WANG Dongliang;LIANG Jiulong(Department of Bum and Plastic Surgery,Liaoning Provincial Armed Police Force Hospital,Liaoning Province,Shenyang 110034,China;Department of Plastic Surgery,China General Hospital of Shenyang Military Region,Liaoning Province,Shenyang 110034,China)

机构地区：[1]武警辽宁省总队医院烧伤整形科,辽宁沈阳110034 [2]沈阳军区总医院整形外科,辽宁沈阳110034

出　　处：《中国中医药现代远程教育》2020年第13期134-136,共3页Chinese Medicine Modern Distance Education of China

摘　　要：目的观察美宝湿润烧伤膏联合皮肤牵张闭合器治疗骶尾部Ⅲ期压疮的效果。方法将2014年1月—2018年5月收治的41例骶尾部Ⅲ期压疮患者,随机分为治疗组(21例)与对照组(20例),其中对照组患者利用传统珍石烧伤膏换药治疗,每日1次,治疗组患者采用皮肤牵张闭合器联合美宝湿润烧伤膏治疗。对比观察2组患者的临床效果、创面愈合时间,愈后远期疗效,各项炎性因子指标。结果治疗后,对照组与观察组总有效率分别为65.00%、95.24%,且治疗组显著高于对照组(P <0.05),有较显著性差异;2组患者均全部愈合,治疗组患者创面平均愈合时间为(14.7±3.2)d,对照组患者创面平均愈合时间为(54.6±6.3)d,治疗组平均愈合时间明显低于对照组(P <0.01),有较显著性差异;随访半年,治疗组瘢痕再次破溃率低于对照组(P <0.05),有显著性差异;治疗后,2组患者的各项炎性因子指标均明显下降,治疗组患者的各项炎性因子指标下降幅度与对照组均无统计学差异(P>0.05)。结论美宝湿润烧伤膏联合皮肤牵张闭合器治疗骶尾部Ⅲ期压疮操作简单、安全、疗效确切并可提高治疗效果,缩短患者住院时间,减少患者瘢痕形成,降低炎性因子,值得在基层医院推广应用。Objective To observe the effect of MEBO combined with skin distraction closure device in the treatment of stage Ⅲ pressure sore. Methods 41 patients with sacrococcygeal stage Ⅲ pressure ulcer admitted to our hospital from January 2014 to May 2018 were randomly divided into treatment group(21 cases) and control group(20 cases). The patients in control group were treated with traditional jewel burn plaster dressing change once a day. The patients in treatment group were treated with skin distraction closure device combined with MEBO. The wound healing time, scar morphology, long-term curative effect and levels of inflammatory factors was compared between the two groups. Results After treatment, the total effective rates of the control group and the observation group were 65.00% and 95.24%, respectively. The total effective rate of the treatment group was significantly higher than that of the control group(P<0.05). All the patients in the two groups healed. The average healing time of the wounds in the treatment group was(14.7±3.2) days, while that in the control group was(54.6± 6.3) days. The average healing time in the treatment group was significantly lower than that in the control group(P<0.01). After half a year’s follow-up, the rate of scar re-rupture in the treatment group was lower than that in the control group(P <0.05), and there had significant difference. After treatment, the inflammatory factors in both groups decreased significantly. And there was no significant difference between the treatment group and the control group(P >0.05).Conclusion MEBO combined with skin distraction closure device in the treatment of stage Ⅲ pressure sore in sacrococcygeal region is simple, safe and effective. It can shorten hospitalization time, reduce scar formation and reduce inflammatory factors. It is worthy of popularization and application in basic hospitals.

关 键 词：皮肤牵张闭合器 美宝湿润烧伤膏 压疮 

分 类 号：R632.1[医药卫生—外科学]