分层换药法在大面积深度烧伤后残余创面患者康复中的价值探讨  

Exploration of the Value of Layered Dressing Change Method in the Rehabilitation of Patients with Residual Wounds After Extensive Deep Burns

作　　者：贾贺培 赵永健 梁彦辉 JIA Hepei;ZHAO Yongjian;LIANG Yanhui(Department of General Burns,The Affiliated Hospital of Nankai University(Tianjin Fourth Hospital),Tianjin 300222,China)

机构地区：[1]南开大学附属医院(天津市第四医院)综合烧伤科,天津300222

出　　处：《中国伤残医学》2024年第17期61-64,共4页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的:探讨分层换药法在大面积深度烧伤后残余创面愈合患者康复中的价值。方法:选择2020年1月—2023年12月南开大学附属医院诊治的89例大面积深度烧伤后残余创面患者作为研究对象,根据随机信封抽签原则将其分为研究组(n=45)与对照组(n=44)。对照组采用常规换药法,研究组采用分层换药法,比较两组创面愈合时间、疗效、疼痛程度及生活质量评分。结果:研究组四肢、躯干、颜面部的创面愈合时间均短于对照组,差异有统计学意义(P<0.05)。治疗3、6、9 d后,研究组疼痛视觉模拟评分均低于对照组,差异均有统计学意义(P<0.05)。治疗第14天,研究组的治疗优良率为97.78%,高于对照组的84.09%,研究组健康调查简表各维度评分均高于对照组,差异均有统计学意义(P<0.05)。结论:分层换药法应用于大面积深度烧伤后残余创面患者康复中的应用,有助于缓解疼痛,缩短创面愈合时间,改善疗效,提高生活质量。Objective:To investigate the value of layering dressed change method in the rebabilitation of patients with residual wounds after extensive deep burn.Methods:A total of 89 patients with residual wounds after extensive deep burn treated and treated in the Affiliated Hospital of Nankai University(Tianjin Fourth Hospital)from January 2020 to December 2023 were selected as the study objects,and were divided into a study group(n=45)and a control group(n=44)according to the principle of random envelope drawing.The control group was treated with routine dressing change method,the study group was treated with layered dressing change method,the wound healing time,curative effect,pain degree and quality of life were compared between the two groups.Results:The wound healing time of limbs,trunk and face of the study group were shorter than that of the control group,the differences were statistically significant(P<0.05).After 3,6 and 9 days of treatment,the VAS scores pain Visual Analogue Scale scores of the study group were lower than those of the control group,with statistical significance(P<0.05).Day 14 of treatment,the efficacy rate of the study group was 97.78%,which was higher than 84.09%of the control group,and the MOS item short form health survey scores in all dimensions of the study group were higher than those of the control group,with statistical significances(P<0.05).Conclusion:The application of layered dressing change method in the rehabilitation of patients with residual wound after extencive deep burn is helpful to relieve pain,shorten the healing time of the wound,improve the curative effect and improve the quality of life.

关 键 词：大面积深度烧伤 残余创面 分层换药法 创面愈合时间 生活质量 

分 类 号：R644[医药卫生—外科学]