局部给氧、负压引流促进Ⅱ度烧伤创面愈合效果观察

发布时间：2018-05-26 02:37

本文选题：Ⅱ度烧伤 + 给氧负压治疗　；参考：《山东医药》2016年12期

【摘要】：目的探讨局部给氧联合负压引流疗法(给氧负压疗法)促进Ⅱ度烧伤创面愈合的临床效果。方法将75例烧伤患者(Ⅱ度烧伤创面92个)随机分为常规治疗组19例、局部氧疗组19例、负压治疗组15例、给氧负压组22例,Ⅱ度烧伤创面分别为20、22、23、27个。各组均给予常规治疗,在此基础上局部氧疗组给予局部氧疗,负压治疗组给予持续负压引流,给氧负压组给予局部氧疗联合负压引流,3周为一疗程。治疗1个疗程评价临床效果,包括创面愈合时间、创面治疗效果及瘢痕情况。结果治疗1个疗程,局部氧疗组、负压治疗组、给氧负压组创面愈合率均高于常规治疗组(P均0.05),但三组间两两比较差异均无统计学意义(P均0.05);给氧负压组创面愈合时间、温哥华瘢痕量表评分均低于常规治疗组、局部氧疗组、负压治疗组(P均0.05)。结论给氧负压疗法促进Ⅱ度烧伤创面愈合效果满意。
[Abstract]:Objective to investigate the clinical effect of local oxygen supply combined with negative pressure drainage therapy on the healing of second degree burn wounds. Methods Seventy-five burn patients (92 degree burn wounds) were randomly divided into routine treatment group (n = 19), local oxygen therapy group (n = 19), negative pressure group (n = 15) and oxygen negative pressure group (n = 22). All groups were given routine therapy, local oxygen therapy group was given local oxygen therapy, negative pressure treatment group was given continuous negative pressure drainage, and oxygen negative pressure group was given local oxygen therapy combined with negative pressure drainage for 3 weeks as a course of treatment. One course of treatment was used to evaluate the clinical effect, including wound healing time, wound healing effect and scar condition. Results for one course of treatment, the wound healing rate of local oxygen therapy group, negative pressure treatment group and oxygen negative pressure group was higher than that of routine treatment group (P 0.05), but there was no significant difference among the three groups (P 0.05), and the wound healing time of oxygen negative pressure group was 0.05%. The Vancouver scar scale score was lower than that in routine treatment group, local oxygen therapy group and negative pressure treatment group (P < 0.05). Conclusion the effect of oxygen negative pressure therapy on the healing of second degree burn wounds is satisfactory.
【作者单位】：成都医学院第一附属医院;
【基金】：四川省教育厅立项科研课题(12ZA206)
【分类号】：R644

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