慷舒灵凝胶在治疗Ⅱ度烧伤创面和防治感染中的作用

发布时间：2018-10-15 07:27

【摘要】：目的:探讨慷舒灵凝胶在治疗Ⅱ度烧伤创面和防治感染中的作用。方法:60例Ⅱ度烧伤确诊患者按随机数字表法分为观察组和对照组,各30例。在常规治疗(清洁、消毒、清除坏死组织、使用抗生素等)基础上,观察组患者采用慷舒灵凝胶治疗,对照组患者采用磺胺嘧啶治疗。观察两组患者的平均愈合率及愈合时间、敷料渗液情况及创伤周围炎性反应、创面换药次数及内层纱布更换次数、创面感染率等情况,并对两组患者进行满意度调查。结果:治疗后第14、18天,观察组患者的创面平均愈合率明显高于对照组;创面愈合时间明显短于对照组,差异均有统计学意义(P0.05)。治疗后2周内,观察组患者的敷料渗湿纱布层数明显少于对照组,且创伤周围发生炎性反应的病例数明显少于对照组,组间比较差异具有统计学意义(P0.05)。治疗过程中,观察组患者的创面换药次数及内层纱布更换次数明显少于对照组,创面感染率明显低于对照组,组间比较差异均有统计学意义(P0.05)。观察组患者对治疗效果的满意度高于对照组,差异有统计学意义(P0.05)。结论:慷舒灵凝胶治疗Ⅱ度烧伤创面患者,可以有效防治创面的感染,降低创面感染率,减少创面换药次数,缩短创面愈合时间,提高创面愈合率,因而患者满意度高。
[Abstract]:Objective: to explore the role of Kang Shuling gel in treating second degree burn wound and preventing infection. Methods: 60 patients with second degree burn were randomly divided into observation group and control group, 30 cases in each group. On the basis of routine treatment (cleaning, disinfecting, removing necrotic tissue and using antibiotics), the patients in the observation group were treated with Kang Shu Ling gel, while the patients in the control group were treated with sulfadiazine. The average healing rate and healing time, dressing exudation and peritraumatic inflammatory reaction, dressing changing times, changing times of inner gauze, wound infection rate and so on were observed in the two groups. The satisfaction of the two groups was investigated. Results: the average wound healing rate in the observation group was significantly higher than that in the control group on the 14th day after treatment, and the wound healing time was significantly shorter than that in the control group (P0.05). Within 2 weeks after treatment, the number of gauze layers in the observation group was significantly less than that in the control group, and the number of cases with inflammatory reaction around the trauma was significantly less than that in the control group. The difference between the two groups was statistically significant (P0.05). In the course of treatment, the times of dressing change and change of inner gauze in the observation group were significantly less than those in the control group, and the wound infection rate was significantly lower than that in the control group, and the difference between the two groups was statistically significant (P0.05). The satisfaction of the patients in the observation group was higher than that in the control group, and the difference was statistically significant (P0.05). Conclusion: Kangshuling gel can effectively prevent and cure the infection, reduce the infection rate, reduce the times of dressing change, shorten the time of wound healing and improve the rate of wound healing.
【作者单位】：温岭市第一人民医院烧伤科;
【分类号】：R644

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