负压创面治疗技术在烧伤创面患者治疗中的临床应用  

A clinical application of Negative Pressure Wound Therapy in the treatment of patients with burn wound

作　　者：方鸿 FANG Hong(Department of Plastic,Burns and Hand Surgery,the Fifth Affiliated(Zhuhai)Hospital of Zunyi Medical University,Guangdong,Zhuhai 519100,China)

机构地区：[1]遵义医科大学第五附属(珠海)医院整形烧伤手外科,广东珠海519100

出　　处：《中国医药科学》2020年第15期220-222,236,共4页China Medicine And Pharmacy

基　　金：广东省珠海市医学科研基金项目(20191208A010075)。

摘　　要：目的以中度烧伤创面患者为研究对象,评价患者应用负压创面治疗技术的效果。方法随机抽取66例2019年1~6月进行治疗的中度烧伤患者并通过简单随机抽样中随机数字表法分成两组,参考组(n=33)患者采用常规治疗,治疗组(n=33)患者应用负压引流治疗,比较两组临床疗效及并发症情况。结果治疗组临床总有效率为96.97%,参考组总有效率为81.82%,治疗组临床疗效显著优于参考组,差异有统计学意义(P<0.05)。治疗组柔软度、血管分布、厚度及色泽等创面瘢痕评分均较参考组低,差异有统计学意义(P<0.05)。治疗组出现创面感染等并发症总发生率达6.06%,参考组并发症总发生率达21.21%,差异有统计学意义(P<0.05)。结论烧伤创面患者应用负压创面治疗技术可提高临床治疗效果并能够有效抑制创面感染风险。Objective To evaluate the efficacy of Negative Pressure Wound Therapy(NPWT)by taking patients with moderate burn wounds as research subjects.Methods 66 patients with moderate burns treated from January to June 2019 were randomly selected and divided into two groups by random number table method of simple random sampling.The patients in the reference group(n=33)were treated with conventional therapy and the patients in the treatment group(n=33)received the treatment of negative pressure drainage.The clinical efficacy and complications of the two groups were compared.Results The total clinical effective rate of the treatment group was 96.97%,and that of the reference group was 81.82%.The clinical efficacy of the treatment group was significantly better than that of the reference group,with statistically significant difference(P<0.05).The wound scar scores of the treatment group such as softness,vascular distribution,thickness and color were lower than those of the reference group,and the differences were statistically significant(P<0.05).The overall incidence of complications such as wound infection,etc.in the treatment group was 6.06%,while that in the reference group reached 21.21%,with statistically significant difference(P<0.05).Conclusion The application of NPWT to patients with burn wound can improve the efficacy of clinical treatment and effectively inhibit the risk of wound infection.

关 键 词：负压创面治疗技术 中度烧伤 创面瘢痕 创面感染 

分 类 号：R644[医药卫生—外科学]