CAJ | 학술논문

目的：：探讨重度烧伤患者植皮术后最好的治疗卧具。方法：将48例重度烧伤后行植皮术的患者按知情自愿的原则分为观察组和对照组,观察组22例,植皮术复苏后置于悬浮床；对照组26例,植皮术复苏后置于烧伤专用翻身床。收集比较两组皮瓣移位、皮瓣成活率、供皮区愈合平均天数和重回普通床平均时间。结果：观察组皮瓣移位例数为0,低于对照组的8例,皮瓣成活率比对照组提高15.4%,P=0.036,供皮区平均愈合天数较对照组提高了约2 d,P=0.041,重回普通床的平均住：天数较对照组缩短约4 d,P=0.015,差异均有统计学意义。结论：对重度烧伤患者植皮术后应用悬浮床在防止皮瓣移位,提高皮瓣存活率,促进供皮区愈合,缩短重回普通床平均住：天数等方面优于烧伤专用翻身床,可减轻患者痛苦,利于烧伤创面的修复。
목적：：탐토중도소상환자식피술후최호적치료와구。방법：장48례중도소상후행식피술적환자안지정자원적원칙분위관찰조화대조조,관찰조22례,식피술복소후치우현부상；대조조26례,식피술복소후치우소상전용번신상。수집비교량조피판이위、피판성활솔、공피구유합평균천수화중회보통상평균시간。결과：관찰조피판이위례수위0,저우대조조적8례,피판성활솔비대조조제고15.4%,P=0.036,공피구평균유합천수교대조조제고료약2 d,P=0.041,중회보통상적평균주：천수교대조조축단약4 d,P=0.015,차이균유통계학의의。결론：대중도소상환자식피술후응용현부상재방지피판이위,제고피판존활솔,촉진공피구유합,축단중회보통상평균주：천수등방면우우소상전용번신상,가감경환자통고,리우소상창면적수복。
Objective: To find the best treatment bedding for severe burn patient after skin grafting operation. Methods: 48 cases of severe burn after skin grafting operation were randomly divided into observation group and control group. After skin grafting operation recovery, 22 cases in the observation group were placed in fluid beds,while 26 cases in the control group in turn over beds,which were specially designed for burn. The data of the two groups including flap translocation rate, the skin flap survival rate, the average days of the donor site wound healing, and the average time before patients returning to the ordinary bed were collected and compared. Results:The flap translocation case was 0 in observation group, and 8 in control group. The survival rate of skin flap of observation group is 15.4% higher than that of control group (P = 0.036). The average days of the donor site wound healing of observation group is 2 days less than that of control group (P= 0.041); the average time before patient returning to the ordinary bed of observation group was about 4 days shorter than that of the control group(P=0.015). There were significant differences (P< 0.05). Conclusion For severe burn patients after skin grafting operation, the fluid bed performs better than turn over bed in many aspects, including preventing flap translocation, improving flap survival rates, promoting skin donor site healing, and shortening the average hospitalization days to return to normal bed. And it can also reduce the suffering of patients and help burn wound recovery.