复方雪莲烧伤膏联合纳米银敷料治疗烧烫伤创面的临床效果研究  

Study on the Clinical Effect of Compound Xuelian Burn Ointment Combined with Nano-silver Dressing in Treating Burns and Scalds

作　　者：林财辉 LIN Caihui(Department of Burns and Plastic Surgery,Longyan People's Hospital,Longyan,Fujian Province,364000 China)

机构地区：[1]龙岩市人民医院烧伤整形科,福建龙岩364000

出　　处：《中外医疗》2021年第35期108-111,共4页China & Foreign Medical Treatment

摘　　要：目的探讨对烧烫伤创面患者采用复方雪莲烧伤膏+纳米银敷料进行治疗后的临床效果。方法便利选取2018年1月—2020年12月收治的68例烧烫伤创面患者进行治疗研究,随机分为参照组(采用传统磺胺嘧啶银进行外涂治疗)和研究组(采用复方雪莲烧伤膏+纳米银敷料进行外涂治疗),各34例;比较两组患者痊愈率、创面愈合时间、住院天数、瘢痕发生率、创面感染率、创面渗液量、不同时间发热比例以及治疗满意度(治疗态度、治疗技术、治疗效果、达到预期目标)评分。结果研究组痊愈率(94.12%)高于参照组(64.71%),两组对比差异有统计学意义(χ^(2)=8.994,P<0.05);研究组创面愈合时间(14.29±2.55)d、住院天数(16.19±3.89)d均短于参照组,两组对比差异有统计学意义(t=6.666、8.798,P<0.05);研究组瘢痕发生率、创面感染率均低于参照组,两组对比差异有统计学意义(χ^(2)=13.527、5.314,P<0.05);研究组创面少量渗出液比例高于参照组,大量渗出液比例低于参照组,两组对比差异有统计学意义(χ^(2)=6.227、5.100,P<0.05);研究组中量渗出液比例同参照组比较,差异无统计学意义(χ^(2)=1.208,P>0.05);研究组不同时间发热比例均低于参照组,两组对比差异有统计学意义(χ^(2)=7.503、7.432、7.503,P<0.05);研究组治疗态度(90.23±2.25)分、治疗技术(91.13±3.25)分、治疗效果(90.59±4.25)分、达到预期目标(90.33±5.33)分均高于参照组,两组对比差异有统计学意义(t=18.389、10.875、9.133、7.484,P<0.05)。结论复方雪莲烧伤膏+纳米银敷料有效应用后,观察患者痊愈率、创面愈合时间、住院天数、瘢痕发生率、创面感染率、创面渗液量、不同时间发热比例以及治疗满意度获得显著改善,可促进烧烫伤创面患者总体治疗水平、预后水平显著提升。Objective To explore the clinical effect of using compound snow lotus burn ointment+nano silver dressing on patients with burns and scalds.Methods A total of 68 patients with burns and scalds who were admitted from January 2018 to December 2020 were conveniently selected for treatment research.They were randomly divided into the reference group(using traditional silver sulfadiazine for external application treatment)and the study group(using compound snow lotus burn ointment+nano silver dressing for external application treatment),with 34 cases in each.Compared the two groups of patients'recovery rate,wound healing time,hospitalization days,scar incidence,wound infection rate,wound exudate volume,proportion of fever at different times,and treatment satisfaction(treatment attitude,treatment technique,treatment effect,achievement of expected goals)scores.Results The recovery rate of the study group(94.12%)was higher than that of the reference group(64.71%),the difference was statistically significant(χ^(2)=8.994,P<0.05).The wound healing time in the study group was(14.29±2.55)d and the hospital stay(16.19±3.89)d were shorter than those in the reference group,the difference was statistically significant(t=6.666,8.798,P<0.05).The scar incidence and wound infection rate in the study group were lower than those in the reference group,the difference was statistically significant(χ^(2)=13.527,5.314,P<0.05).The proportion of a small amount of exudate from the wound in the study group was higher than that of the reference group,and the proportion of a large amount of exudate was lower than that of the reference group,the difference was statistically significant(χ^(2)=6.227,5.100,P<0.05).Compared with the reference group,the proportion of exudate in the study group did not show a significant difference,the difference was not statistically significant(χ^(2)=1.208,P>0.05).The proportion of fever in the study group at different times was lower than that in the reference group,the difference was statistically significant(

关 键 词：复方雪莲烧伤膏 纳米银敷料 烧烫伤创面 治疗效果 

分 类 号：R644[医药卫生—外科学]