老年深度烧伤行负压引流对创面修复的影响

发布时间：2018-11-08 16:50

【摘要】：目的探讨老年深度烧伤行负压引流对创面修复的影响。方法收集老年深度烧伤患者56例作为研究对象,随机分为负压引流组和对照组,对照组采用传统的换药治疗,负压引流组采用负压封闭引流技术治疗。观察负压引流组和对照组细菌培养阳性率和术后白细胞值情况、首次植皮存活率和平均愈合时间、住院时间和住院费用、疼痛评分情况。结果负压引流组的细菌培养阳性率明显低于对照组(P0.05),负压引流组术后白细胞值明显低于对照组(P0.05),负压引流组的首次植皮存活率明显高于对照组(P0.05),负压引流组术后平均愈合时间明显低于对照组(P0.05)。负压引流组的住院时间明显短于对照组(P0.05),负压引流组的住院费用高于对照组,但两者之间比较差异无统计学意义(P0.05)。负压引流组的疼痛评分明显低于对照组(P0.05)。结论负压封闭引流治疗老年深度烧伤可以降低细菌感染率和术后白细胞值,提高首次植皮存活率,降低愈合时间,缩短住院时间,降低患者疼痛,促进深度烧伤患者的创面愈合,住院费用虽有所增加,但和传统换药治疗没有差异。
[Abstract]:Objective to investigate the effect of negative pressure drainage on wound repair in aged patients with deep burn. Methods 56 elderly patients with deep burn were randomly divided into negative pressure drainage group and control group. The control group was treated with traditional dressing change and the negative pressure drainage group was treated with negative pressure sealing drainage technique. The positive rate of bacterial culture and the number of white blood cells after operation, the survival rate and average healing time, hospitalization cost and pain score were observed in the negative pressure drainage group and control group. Results the positive rate of bacteria culture in the negative pressure drainage group was significantly lower than that in the control group (P0.05), and the leukocyte value in the negative pressure drainage group was significantly lower than that in the control group (P0.05). The survival rate of skin graft in the negative pressure drainage group was significantly higher than that in the control group (P0.05), and the average healing time in the negative pressure drainage group was significantly lower than that in the control group (P0.05). The hospitalization time of the negative pressure drainage group was significantly shorter than that of the control group (P0.05), the hospitalization cost of the negative pressure drainage group was higher than that of the control group, but there was no significant difference between the two groups (P0.05). The pain score in the negative pressure drainage group was significantly lower than that in the control group (P0.05). Conclusion the treatment of deep burn with negative pressure and drainage can reduce the infection rate of bacteria and white blood cell after operation, increase the survival rate of skin graft, reduce the healing time, shorten the hospitalization time, and reduce the pain of the patients. Although the cost of hospitalization increased, there was no difference between the traditional dressing change treatment and the traditional dressing change treatment.
【作者单位】：杭州市江干区人民医院烧伤科;宁波市第二医院烧伤科;
【基金】：2013年浙江省医药卫生一般研究计划(No.2013KYB234)
【分类号】：R644

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