切削痂植皮手术联合纳米银敷料及光子治疗仪辅助治疗大面积中重度烧伤的疗效

发布时间：2018-05-08 12:09

本文选题：烧伤 + 皮肤移植　；参考：《中国全科医学》2017年S1期

【摘要】：目的研究大面积中重度烧伤患者给予切削痂植皮手术联合纳米银敷料及光子治疗仪辅助治疗的疗效。方法从2014年10月—2016年10月三峡大学仁和医院烧伤整形科就诊的大面积中重度烧伤患者中选取90例为研究对象,常规组45例行切削痂植皮手术,研究组45例行切削痂植皮手术联合纳米银敷料、光子治疗仪辅助治疗。比较两组治疗后创面愈合时间、发热持续时间、血小板计数下降天数、治疗效果、并发症及死亡情况。结果治疗后研究组创面愈合时间、发热持续时间、血小板计数下降天数均比常规组短;研究组治疗总有效率97.78%(44/45)高于常规组中的84.44%(38/45);研究组的创面侵袭性感染、脓毒症、多器官功能障碍综合征(MODS)、死亡率低于常规组,差异有统计学意义(P0.05)。结论切削痂植皮手术联合纳米银敷料、光子治疗仪辅助治疗用于大面积中重度烧伤患者可缩短患者恢复时间,降低并发症发生率。
[Abstract]:Objective to study the efficacy of escharectomy combined with nanometer silver dressing and photon therapy in large area moderate and severe burn patients. Methods from October 2014 to October 2016, 90 patients with moderate and severe burn were selected from Department of Burn and plastic surgery, Renhe Hospital, three Gorges University. 45 cases of routine group were treated with escharectomy and skin grafting. In the study group, 45 cases were treated with scab cutting and skin grafting combined with nano-silver dressing and photon therapy instrument. The wound healing time, fever duration, platelet count decreased days, therapeutic effect, complications and death were compared between the two groups. Results after treatment, the wound healing time, fever duration and platelet count in the study group were shorter than those in the routine group, the total effective rate of the study group was 97.78 / 44 / 45, which was higher than that in the conventional group (84.44 / 45), and the wound invasive infection and sepsis in the study group. The mortality of multiple organ dysfunction syndrome was lower than that of routine group (P 0.05). Conclusion cutting eschar skin grafting combined with nano-silver dressing and photon therapy can shorten the recovery time and reduce the incidence of complications in large area moderate and severe burn patients.
【作者单位】：三峡大学仁和医院烧伤整形科;
【分类号】：R644

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