多功能清创机在烧伤创面及合并皮肤溃疡中的应用效果研究  

Study on the application value of multifunctional debridement machine in surgical burn wounds and skin ulcers

作　　者：刘鹏 韩晓蕾[2] 王丰艳 潘巍巍[2] Liu Peng;Han Xiaolei;Wang Fengyan;Pan Weiwei(Department of Emergency,West Branch,Qingdao Municipal Hospital,Qingdao 266071,China;Health Care Center of Cadre,East Branch,Qingdao Municipal Hospital,Qingdao 266071,China)

机构地区：[1]青岛市市立医院西院区急诊科,青岛266071 [2]青岛市市立医院东院区干保中心,青岛266071

出　　处：《中国医学装备》2025年第4期169-173,共5页China Medical Equipment

基　　金：山东省重点研发项目(2022GSF118057)。

摘　　要：目的:基于多功能清创机的应用便捷性,将其应用到烧伤创面及合并皮肤溃疡治疗中,分析其应用价值。方法:多功能清创机实现硬件系统设计、手柄智能化设计以及频率跟踪系统设计等一体化设计,快速准确对创面进行处理。选取2022年1月至2024年1月青岛市市立医院西院区收治的156例烧伤创面合并皮肤溃疡患者,采取随机数表法分为对照组(78例)和观察组(78例),对照组患者采用床旁清创和隔日换药方式进行治疗,观察组患者采用多功能清创机进行治疗,比较两组治疗后效果。结果:观察组创面愈合率为93.59%,高于对照组的73.08%,差异有统计学意义(x^(2)=11.815,P<0.05),观察组愈合时间短于对照组,差异有统计学意义(t=10.701,P<0.05);观察组的创面深度、伤口损伤范围及组织坏死程度各项评分低于对照组,肉芽组织生长速度评分高于对照组,差异有统计学意义(t=5.617、7.993、4.781、5.133,P<0.05);观察组在治疗后第1、7和14天的疼痛评分均低于对照组,差异有统计学意义(t=19.898、11.801、10.191,P<0.05);观察组治疗后的第3、7和10天创面除菌率均高于对照组,差异有统计学意义(t=15.168、13.476、6.785,P<0.05)。结论:多功能清创机的硬件系统输出功率大、效率高且清创效果明显,在治疗烧伤创面及合并皮肤溃疡中优势显著,可减轻创口疼痛程度,提高清洗效果,促进伤口快速恢复。Objective:To apply multifunctional debridement machine in burn wounds and complicated skin ulcers of wound surgery on the basis of its convenience in application,and analyze its application value.Methods:The multi-functional debridement machine realized the design of hardware system,the design of intelligent handle,the design of frequency tracking system and other integration design,so as to deal with wound quickly and accurately.A total of 156 patients with burn wounds and complicated skin ulcers who admitted to West Branch of Qingdao Municipal Hospital from January 2022 to January 2024 were selected,and they were divided into control group(78 cases)and observation group(78 cases)by random number method.Patients in the control group were treated by using the mode with bedhead and bedside debridement and dressing change every other day,while patients in the observation group were treated by multi-functional debridement machine.The effect was analyzed after treatment.Results:The healing rate of the observation group was 93.59%,which was significantly higher than that of the control group(73.08%)(x^(2)=11.815,P<0.05),and the healing time of the observation group was significantly shorter than that of the control group,and the difference was statistically significant(t=10.701,P<0.05).The scores of wound depth,range of wound injury and degree of tissue necrosis in the observation group were lower than those in the control group,and the score of growth speed of granulation tissue was significantly higher than that in the control group,and the differences were statistical significance(t=5.617,7.993,4.781,5.133,P<0.05).The pain scores on 1st day,7th day and 14th day after dressing change in the observation group were all lower than those in the control group,and the differences were statistical significance(t=19.898,11.801,10.191,P<0.05).The sterilization rates of wound on the 3rd day,7th day and 10th day after treatment in the observation group were all higher than these in the control group,and the differences were st

关 键 词：多功能清创机 烧伤创面 皮肤溃疡 应用价值 

分 类 号：R197.39[医药卫生—卫生事业管理]