浸浴结合银离子敷料治疗大面积烧伤感染患者残余创面的疗效分析

发布时间：2018-09-09 13:51

【摘要】：目的探究浸浴结合银离子敷料治疗大面积烧伤感染患者残余创面的疗效。方法选取2014年5月-2016年11月医院收治的69例烧伤患者作为研究对象,根据随机数字表法将患者分成试验组35例和对照组34例,对照组患者采用浸浴治疗,试验组患者采用浸浴联合纳米银敷料治疗,比较两组患者残余创面愈合速度、创面愈合时间、换药次数、单次换药时间、以及残余创面细菌培养结果。结果试验组患者创面愈合时间明显短于对照组,两组比较差异有统计学意义(P0.05);治疗21d后,试验组患者残余创面愈合率平均(96.85±2.33)%左右,与对照组患者的(90.74±2.82)%比较,差异有统计学意义(P0.05);试验组患者平均残余创面愈合时间为(15.35±3.10)d,与对照组患者的(19.82±4.46)d比较,差异有统计学意义(P0.05);治疗前两组患者创面细菌阳性率均为100.00%,治疗21d后,试验组患者创面细菌阳性率为17.14%,对照组为47.06%,两组比较差异有统计学意义(P0.05)。结论浸浴结合银离子敷料治疗大面积烧伤患者疗效较好,残余创面愈合速度快,愈合时间短,换药次数明显降低,创面细菌感染情况得到有效控制,减轻创面炎症,促进局部微循环,进一步促进残余创面愈合,提高愈合质量和患者生活质量,有利于预后。
[Abstract]:Objective to explore the therapeutic effect of immersion bath combined with silver ion dressing on residual wounds in large area burn infected patients. Methods 69 burn patients admitted in our hospital from May 2014 to November 2016 were selected as the study subjects. According to the method of random number table, the patients were divided into the experimental group (35 cases) and the control group (34 cases). The patients in the control group were treated by immersion therapy. The patients in the experimental group were treated with immersion bath combined with nano-silver dressing. The healing speed, wound healing time, times of dressing change, time of single dressing change and the result of bacterial culture of residual wound were compared between the two groups. Results the healing time of the patients in the experimental group was significantly shorter than that in the control group (P0.05), the average healing rate of residual wound in the experimental group was (96.85 卤2.33)% after 21 days of treatment, and that in the control group was (90.74 卤2.82)%. The average healing time of residual wound in the trial group was (15.35 卤3.10) days, which was significantly higher than that in the control group (19.82 卤4.46) days (P0.05). The positive rate of bacteria in the experimental group was 17.14 and that in the control group was 47.06. The difference between the two groups was statistically significant (P0.05). Conclusion the combination of immersion bath and silver dressing is effective in treating large area burn patients. The healing speed of residual wounds is fast, the healing time is short, the times of dressing change are obviously reduced, the bacterial infection of wound surface is effectively controlled, and the inflammation of wound surface is alleviated. Promote local microcirculation, further promote residual wound healing, improve the quality of healing and quality of life of patients, which is beneficial to prognosis.
【作者单位】：浙江省台州医院烧伤科;
【基金】：浙江省卫生厅基金资助项目(2009B167)
【分类号】：R644

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