烧伤湿润暴露和切削痂植皮治疗Ⅱ度烧伤的临床效果对比  

Comparison on the clinical effect of moist exposed burn therapy and escharectomy and skin grafting in the treatment ofⅡdegree burn

作　　者：邓景蕊 DENG Jing-rui(Huludao Second People’s Hospital,Huludao 125003,China)

机构地区：[1]葫芦岛市第二人民医院,125003

出　　处：《中国实用医药》2022年第1期33-35,共3页China Practical Medicine

摘　　要：目的对比烧伤湿润暴露和切削痂植皮治疗Ⅱ度烧伤的临床效果。方法104例Ⅱ度烧伤患者,根据治疗方式不同分成实验组和对照组,每组52例。对照组采用切削痂植皮治疗,实验组采用烧伤湿润暴露治疗。对比两组患者临床疗效、瘢痕情况、创面渗出时间、日常生活能力及治疗前后焦虑、抑郁状况。结果实验组患者治疗总有效率为94.23%,高于对照组的80.77%,差异具有统计学意义(P<0.05)。治疗后,实验组患者温哥华瘢痕量表(VSS)评分为(5.96±1.47)分,低于对照组的(7.58±1.34)分,差异具有统计学意义(P<0.05)。治疗后,实验组患者焦虑自评量表(SAS)、抑郁自评量表(SDS)评分分别为(42.52±2.63)、(45.17±2.66)分,低于对照组的(50.47±3.01)、(48.24±2.03)分,差异具有统计学意义(P<0.05)。实验组患者创面渗出时间为(4.03±1.36)d,短于对照组的(5.92±1.72)d,差异具有统计学意义(P<0.05)。治疗后,实验组患者日常生活活动能力量表(ADL)评分为(80.96±3.65)分,高于对照组的(75.44±3.76)分,差异具有统计学意义(P<0.05)。结论Ⅱ度烧伤患者采用烧伤湿润暴露治疗临床疗效更加显著,创面渗出时间缩短,瘢痕形成率更低,且患者的心理状态得到有效改善,值得临床推广应用。Objective To compare the clinical effect of moist exposed burn therapy and escharectomy and skin grafting in the treatment ofⅡdegree burn.Methods A total of 104 patients withⅡdegree burn were divided into experimental group and control group according to different treatment methods,with 52 cases in each group.The control group was treated with escharectomy and skin grafting,and the experimental group was treated with moist exposed burn therapy.The clinical efficacy,scar condition,wound exudation time,activities of daily living,anxiety and depression before and after treatment were compared between the two groups.Results The total effective rate of treatment in the experimental group was 94.23%,which was higher than 80.77%in the control group,and the difference was statistically significant(P<0.05).After treatment,the Vancouver scar scale(VSS)score of the experimental group was(5.96±1.47)points,which was lower than(7.58±1.34)points of the control group,and the difference was statistically significant(P<0.05).After treatment,the self-rating anxiety scale(SAS)score and self-rating depression scale(SDS)score of the experimental group were(42.52±2.63)and(45.17±2.66)points,which were lower than(50.47±3.01)and(48.24±2.03)points of the control group,and the difference was statistically significant(P<0.05).The wound exudation time in the experimental group was(4.03±1.36)d,which was shorter than(5.92±1.72)d in the control group,and the difference was statistically significant(P<0.05).After treatment,the ADL score of the experimental group was(80.96±3.65)points,which was higher than(75.44±3.76)points of the control group,and the difference was statistically significant(P<0.05).Conclusion Moist exposed burn therapy has more remarkable clinical efficacy on patients withⅡdegree burn,with shorten wound exudation time and lower scar formation rate,and the psychological status of patients is effectively improved,which is worthy of clinical promotion and application.

关 键 词：烧伤湿润暴露 切削痂植皮 Ⅱ度烧伤 治疗效果 

分 类 号：R644[医药卫生—外科学]