中国医药导刊
中國醫藥導刊
중국의약도간
CHINESE JOURNAL OF MEDICAL GUIDE
2014年
2期
233-234
,共2页
浅Ⅱ度烫伤%负压封闭引流技术%小儿%创面愈合
淺Ⅱ度燙傷%負壓封閉引流技術%小兒%創麵愈閤
천Ⅱ도탕상%부압봉폐인류기술%소인%창면유합
Superficial partial-thickness scald%Negative pressure therapy%Children%Wound healing
目的：探讨负压封闭引流技术对小儿浅Ⅱ度烫伤创面的疗效。方法：选取2010年1月~2012年12月期间我科收治的浅Ⅱ度烫伤患儿134例,随机分为试验组和对照组。试验组68例,行负压封闭引流技术；对照组66例,行常规换药方法。记录比较两组患儿治疗期间出现体温升高的例数,体温升高维持时间,创面愈合时间及换药次数。结果：试验组治疗期间共18例(26.47%)患儿出现发热,从记录看,最高超过了40°C,持续时间为(18.3±2.7)h。试验组在负压治疗后,有3例患儿的创面局部未完全上皮化,碘伏消毒换药后48h愈合。其他均正常愈合。创面愈合时间为(9.4±0.4)d。换药次数为(2.23±0.19)次。各项指标和对照组相比,差异显著,有统计学意义(P<0.05)。结论：负压治疗能减少换药次数,促进创面更快愈合,减轻患儿痛苦,值得推广。
目的：探討負壓封閉引流技術對小兒淺Ⅱ度燙傷創麵的療效。方法：選取2010年1月~2012年12月期間我科收治的淺Ⅱ度燙傷患兒134例,隨機分為試驗組和對照組。試驗組68例,行負壓封閉引流技術；對照組66例,行常規換藥方法。記錄比較兩組患兒治療期間齣現體溫升高的例數,體溫升高維持時間,創麵愈閤時間及換藥次數。結果：試驗組治療期間共18例(26.47%)患兒齣現髮熱,從記錄看,最高超過瞭40°C,持續時間為(18.3±2.7)h。試驗組在負壓治療後,有3例患兒的創麵跼部未完全上皮化,碘伏消毒換藥後48h愈閤。其他均正常愈閤。創麵愈閤時間為(9.4±0.4)d。換藥次數為(2.23±0.19)次。各項指標和對照組相比,差異顯著,有統計學意義(P<0.05)。結論：負壓治療能減少換藥次數,促進創麵更快愈閤,減輕患兒痛苦,值得推廣。
목적：탐토부압봉폐인류기술대소인천Ⅱ도탕상창면적료효。방법：선취2010년1월~2012년12월기간아과수치적천Ⅱ도탕상환인134례,수궤분위시험조화대조조。시험조68례,행부압봉폐인류기술；대조조66례,행상규환약방법。기록비교량조환인치료기간출현체온승고적례수,체온승고유지시간,창면유합시간급환약차수。결과：시험조치료기간공18례(26.47%)환인출현발열,종기록간,최고초과료40°C,지속시간위(18.3±2.7)h。시험조재부압치료후,유3례환인적창면국부미완전상피화,전복소독환약후48h유합。기타균정상유합。창면유합시간위(9.4±0.4)d。환약차수위(2.23±0.19)차。각항지표화대조조상비,차이현저,유통계학의의(P<0.05)。결론：부압치료능감소환약차수,촉진창면경쾌유합,감경환인통고,치득추엄。
Objective:To investigate the effect of negative pressure therapy in the treatment of superficial partial-thickness scald in children.Methods:Selected 134 children with superficial partial-thickness scald hospitalized from January 2010 to December 2012,randomly divided into test group and control group.68 cases in test group recieved negative pressure therapy;66 cases in the control group recieved the conventional dressing method.Recorded and compared the number of children whose body temperature increased during treatment between the two groups,the body temperature maintenance time,wound healing time and frequency of changing dressings. Results:18 children (26.47%) in test group had a fever during the treatment,the highest more than 40°C, the duration was (18.3±2.7) h.After the negative pressure treatment,there were 3 children with local wound incomplete epithelialization,and healed when 48hs later with iodophor disinfection dressing.The Others were normal healing.The wound healing time was (9.4±0.4)d.The bandage times was (2.23±0.19) times.Compared the index with the control group,there was significant differences,with statistical significance (P<0.05). Conclusion:Negative pressure therapy can reduce the bandage times faster,promote wound healing,reduce the pain of children,is worthy of promotion.
