银离子抗菌敷料联合负压封闭引流术在深Ⅱ度烧伤创面修复中的应用及护理观察(1)
[摘要]目的：分析銀离子抗菌敷料联合负压封闭引流技术(Vacuum sealing drainage， VSD)在深Ⅱ度烧伤创面修复的效果。方法：选取笔者医院2016年1月-2018年1月深Ⅱ度烧伤患者150例，按照随机数字表将患者随机分为A、B、C三组；三组患者采用不同方法对创面进行治疗：A组采用银离子抗菌敷料进行治疗，B组为采用磺胺嘧啶银软膏+VSD治疗，C组采用银离子抗菌敷料+VSD治疗，观察并比较三组患者创面愈合时间、创面愈合率、换药次数、疼痛评分、住院时间、住院费用和并发症发生情况。结果：C组创面愈合时间明显少于A组、B组，创面愈合率高于A组、B组，差异有统计学意义(P<0.05)；B组与A组比较差异亦有统计学意义(P<0.05)。C组并发症发生率低于A组、B组，差异有统计学意义(P<0.05)，B组与A组比较差异无统计学意义(P>0.05)。C组换药次数及住院时间明显低于A组、B组，差异有统计学意义(P<0.05)；三组间住院费用比较，差异无统计学意义(P>0.05)。治疗后C组、B组疼痛程度较A组明显降低，差异有统计学意义(P<0.05)；B组和C组组间比较，差异无统计学意义(P>0.05)。结论：VSD联合银离子抗菌敷料治疗深Ⅱ度烧伤患者创面能缩短创面平均愈合时间、提高创面愈合率、减少换药次数、缩短住院时间、减少疼痛及并发症的发生，且不明显增加患者住院费用，值得在临床推广。
, 百拇医药
[关键词]银离子抗菌敷料；负压封闭引流术；深Ⅱ度烧伤；创面修复；护理配合
[中图分类号]R622 [文献标志码]A [文章编号]1008-6455(2018)11-0100-04
Abstract： Objective To observe the clinical effects of silver ion antibacterial dressing combined with vacuum sealing drainage (VSD) on deep second degree burn wounds. Methods 150 patients with deep second degree burns in our hospital from January 2016 to January 2018 were selected and divided randomly into A，B and C groups，each with 50 cases. Patients in group A were treated with silver ion antibacterial dressing， group B were treated with silver sulfadiazine ointment and VSD，group C were treated with silver ion antibacterial dressing and VSD，then wound healing time， wound healing rate， dressing changes， pain scores， hospitalization time， hospitalization cost and complications were compared between three groups. Results The wound healing time of group C was significantly shorter than that of group A and group B， and the wound healing rate was higher than that of group A and group B， the differences were statistically significant(P<0.05). The difference between group B and group A was also statistically significant(P<0.05). The incidence of complications in group C was lower than that in group A and group B(P<0.05). There was no significant difference between group B and group A(P>0.05). The frequency of dressing change and length of stay in group C were significantly lower than those in group A and group B(P<0.05). There was no significant difference in hospitalization expenses between the three groups(P>0.05). After treatment， the pain level of group C and group B was significantly lower than that of group A(P<0.05). There was no significant difference between group B and group C(P>0.05). Conclusion Silver ion antibacterial dressing combined with vacuum sealing drainage for deep second-degree burn wounds can reduce dressing times， improve healing rate， shorten healing time and hospitalization time， reduce pain scores and complication rates， and do not increase patients hospitalization costs., 百拇医药(季瑶瑶 吴杨炀 王冬)
, 百拇医药
[关键词]银离子抗菌敷料；负压封闭引流术；深Ⅱ度烧伤；创面修复；护理配合
[中图分类号]R622 [文献标志码]A [文章编号]1008-6455(2018)11-0100-04
Abstract： Objective To observe the clinical effects of silver ion antibacterial dressing combined with vacuum sealing drainage (VSD) on deep second degree burn wounds. Methods 150 patients with deep second degree burns in our hospital from January 2016 to January 2018 were selected and divided randomly into A，B and C groups，each with 50 cases. Patients in group A were treated with silver ion antibacterial dressing， group B were treated with silver sulfadiazine ointment and VSD，group C were treated with silver ion antibacterial dressing and VSD，then wound healing time， wound healing rate， dressing changes， pain scores， hospitalization time， hospitalization cost and complications were compared between three groups. Results The wound healing time of group C was significantly shorter than that of group A and group B， and the wound healing rate was higher than that of group A and group B， the differences were statistically significant(P<0.05). The difference between group B and group A was also statistically significant(P<0.05). The incidence of complications in group C was lower than that in group A and group B(P<0.05). There was no significant difference between group B and group A(P>0.05). The frequency of dressing change and length of stay in group C were significantly lower than those in group A and group B(P<0.05). There was no significant difference in hospitalization expenses between the three groups(P>0.05). After treatment， the pain level of group C and group B was significantly lower than that of group A(P<0.05). There was no significant difference between group B and group C(P>0.05). Conclusion Silver ion antibacterial dressing combined with vacuum sealing drainage for deep second-degree burn wounds can reduce dressing times， improve healing rate， shorten healing time and hospitalization time， reduce pain scores and complication rates， and do not increase patients hospitalization costs., 百拇医药(季瑶瑶 吴杨炀 王冬)
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