局部氧疗合并可调节负压创面治疗技术治疗深Ⅱ度烧伤创面的效果观察  

Observation on the therapeutic efficacy of local oxygen therapy combined with adjustable negative pressure wound therapy on deep degreeⅡburn wounds

作　　者：张倩 ZHANG Qian(Department of Burn Plastic Surgery,Linyi Central Hospital,Shandong,Linyi 276499,China)

机构地区：[1]山东省临沂市中心医院烧伤整形外科,山东临沂276499

出　　处：《中国医药科学》2024年第22期114-117,170,共5页China Medicine And Pharmacy

摘　　要：目的探讨局部氧疗合并可调节负压创面治疗技术(ANPWT)治疗深Ⅱ度烧伤创面的效果。方法从2017年1月至2022年12月临沂市中心医院收治的深Ⅱ度烧伤创面病例中选取80例符合纳入排除标准的患者作为研究样本,采用随机数表法分成对照组(n=40)和研究组(n=40)。对照组实施常规换药治疗,研究组实施局部氧疗合并ANPWT。对创面愈合时间、愈合效果作组间比较,另对相关血清炎症因子指标、疼痛评分、舒适度评分、睡眠状况指标、生活质量评分作组间和组内比较。结果研究组创面愈合时间比对照组短、创面甲级愈合率比对照组高,差异有统计学意义(P<0.05)。血清炎症因子:对照组和研究组各项指标治疗后均明显降低,且研究组低于对照组,差异有统计学意义(P<0.05)。疼痛评分:对照组和研究组治疗后评分均较前明显降低,且研究组低于对照组;舒适度评分:对照组和研究组治疗后评分均较前明显增高,且研究组高于对照组,差异有统计学意义(P<0.05)。夜间入睡潜伏期、实际睡眠时长、睡眠质量指标:对照组和研究组治疗后评分均较前明显改善,且研究组入睡潜伏期短于对照组;研究组实际睡眠时间长于对照组,研究组睡眠质量评分低于对照组,差异有统计学意义(P<0.05)。生活质量4个维度评分:对照组和研究组治疗后均显著增高,且研究组高于对照组,差异有统计学意义(P<0.05)。结论局部氧疗合并ANPWT治疗深Ⅱ度烧伤创面的疗效显著,有利于减轻创面炎症反应,减轻疼痛感,提升舒适度,改善睡眠及生活质量,使患者创面更好、更快地愈合。Objective To investigate the therapeutic efficacy of local oxygen therapy combined with adjustable negative pressure wound therapy(ANPWT)on deep degreeⅡburn wounds.Methods A total of 80 cases of deep degreeⅡburn wounds admitted to Linyi Central Hospital from January 2017 to December 2022 were selected as research samples,and they were divided into the control group(n=40)and the study group(n=40)according to the random number table method.The control group was treated with conventional dressing change,while the study group was treated with local oxygen therapy combined with ANPWT.The wound healing time and healing efficacy were compared between groups,and the related serum inflammatory factors,pain score,comfort score,sleep status index and quality of life(QoL)score were compared between groups and within groups.Results The wound healing time of the study group was shorter than that in thecontrol group,and wound Grade A healing rate:the study group was higher than thecontrol group,with statistically significant differences(P<0.05).Serum inflammatory factor:the indicators of both groups were obviously lower after treatment than those before,while the study group was lower than the control group,with statistically significant differences(P<0.05).Pain scores:the scores were decreased significantly in both groups after treatment compared with before treatment,and the study group was lower than that of the control group.Comfort score:the scores of both groups were obviously higher after treatment than those before;and the study group was higher than the control group,with statistically significant differences(P<0.05).Night time sleep latency,actual sleep duration and sleep quality indicators:both groups improved obviously after treatment compared with those before,and sleep latency of the study group was shorter than that of the control group,actual sleep duration of the study group was longer than the control group,while sleep quality score of the study group was lower than the control group,with statistically sig

关 键 词：烧伤 深Ⅱ度 局部氧疗 可调节负压创面治疗技术 

分 类 号：R644[医药卫生—外科学]