银离子凝胶联合康复护理对手部深度烧伤术后患者创面愈合的影响  

Effect of Silver Ion Gel Combined with Rehabilitation Nursing on Wound Healing in Patients After Hand Deep Burn

作　　者：任胜男 赵启彧 郑鹃[2] 高坤范 高胜男 REN Shengnan;ZHAO Qiyu;ZHENG Juan;GAO Kunfan;GAO Shengnan(Department of Intensive Medicine,Qingdao Municipal Hospital,Qingdao 266011,Shandong,China;Department of Burn and Plastic Surgery,Qingdao Municipal Hospital,Qingdao 266011,Shandong,China)

机构地区：[1]青岛市市立医院重症医学科,山东青岛266011 [2]青岛市市立医院烧伤整形科,山东青岛266011

出　　处：《中国美容医学》2023年第12期184-186,共3页Chinese Journal of Aesthetic Medicine

摘　　要：目的:分析银离子凝胶联合康复护理对手部深度烧伤术后患者创面愈合的影响。方法:选取2019年9月-2022年9月在笔者医院行早期切削痂植皮术的104例手部深度烧伤患者为研究对象,按随机数字表法分为对照组与研究组各52例,对照组给予常规抗感染敷料贴敷联合康复护理干预,观察组给予银离子凝胶外敷联合康复护理干预。比较两组患者瘢痕[温哥华瘢痕量表(Vancouver scar scale,VSS)]、手部功能[密歇根手部功能量表(Michigan hand outcomes questionnaire,MHQ)]、疼痛情况[疼痛视觉模拟评分(Visual analogue scale,VAS)]、创面愈合率、创面愈合时间及并发症发生情况。结果:护理后,研究组患者VSS、VAS评分均低于对照组,MHQ评分高于对照组,创面愈合率高于对照组,愈合时间短于对照组,并发症发生率低于对照组,差异均有统计学意义(P<0.05)。结论:手部深度烧伤术后患者采用银离子凝胶联合康复护理干预,可有效提高患者创面愈合效果,加快患者手部功能恢复,减少创面瘢痕形成,并减少并发症发生,值得临床推广应用。Objective To analyze the effect of silver ion gel combined with rehabilitation nursing on wound healing of patients with deep hand burn.Methods A total of 104 patients with deep hand burn who underwent early scab cutting and skin grafting in the author's hospital from September 2019 to September 2022 were selected as the study subjects,and were divided into control group and study group with 52 cases,respectively,according to random number table method.The control group was given routine anti-infection dressing combined with rehabilitation nursing intervention,and the observation group was given silver ion gel external application combined with rehabilitation nursing intervention.Scar[vancouver scar scale(VSS)],hand function[michigan scale of hand function(MHQ)],pain[visual analogue scale of pain(VAS)],wound healing rate,wound healing time and complications were compared between the two groups.Results After nursing,the VSS and VAS scores of the study group were lower than those of the control group,the MHQ scores were higher than those of the control group,the wound healing rate was higher,the healing time was shorter than that of the control group,and the complication rate was lower,with statistical significance(P<0.05).Conclusion The combination of silver ion gel and rehabilitation nursing intervention in patients with deep hand burn after surgery can effectively improve the wound healing effect,accelerate the functional recovery of the hands,reduce the formation of wound scars and reduce the occurrence of complications,which is worthy of clinical promotion and application.

关 键 词：银离子凝胶 康复护理 手部 深度烧伤 创面愈合 影响 

分 类 号：R473.6[医药卫生—护理学]