CAJ | 학술논문

目的：探讨面部烧伤中五官具体部位的细节护理，为面部烧伤的护理提供依据。方法选取本院2012年3月~2014年3月的100例面部烧伤患者，按照临床试验数字法随机分为对照组和观察组，每组50例。对照组采用常规的护理模式进行护理，观察组在对照组基础上给予五官具体部位的细节护理，观察两组患者的预后情况及并发症发生情况。结果观察组患者创面愈合时间及住院天数分别为(9.7±1.3)和(14.2±2.8)d，显著短于对照组的(13.2±1.8)和(18.4±2.6)d，差异有统计学意义(P<0.05)。观察组患者烧伤部位色素沉着和瘢痕增生的发生率分别为22.00%和20.00%，均低于对照组的48.00%和44.00%，差异有统计学意义(P<0.05)。观察组并发症发生率为2.00%，显著低于对照组的10.00%，差异有统计学意义(P<0.05)。结论加强五官具体部位的细节护理可以减少并发症发生，值得临床推广。
목적：탐토면부소상중오관구체부위적세절호리，위면부소상적호리제공의거。방법선취본원2012년3월~2014년3월적100례면부소상환자，안조림상시험수자법수궤분위대조조화관찰조，매조50례。대조조채용상규적호리모식진행호리，관찰조재대조조기출상급여오관구체부위적세절호리，관찰량조환자적예후정황급병발증발생정황。결과관찰조환자창면유합시간급주원천수분별위(9.7±1.3)화(14.2±2.8)d，현저단우대조조적(13.2±1.8)화(18.4±2.6)d，차이유통계학의의(P<0.05)。관찰조환자소상부위색소침착화반흔증생적발생솔분별위22.00%화20.00%，균저우대조조적48.00%화44.00%，차이유통계학의의(P<0.05)。관찰조병발증발생솔위2.00%，현저저우대조조적10.00%，차이유통계학의의(P<0.05)。결론가강오관구체부위적세절호리가이감소병발증발생，치득림상추엄。
Objective To explore the detail nursing observation on the specific parts of the five sense organs in facial burn in order to provide theoretical basis for nursing in facial burn. Methods 100 patients with facial burn in our hos-pital from March 2012 to March 2014 were selected.According to random number table in clinical trial,they were even-ly divided into control group and observation group,50 cases in each group.In the control group,conventional nursing mode was applied,while in observation group,on the basis of the control group,detail nursing on the specific parts of the five sense organs was provided. The prognosis and occurrence of complications in two groups was observed. Results The healing time and hospital stay in observation group were respectively (9.7±1.3) and (14.2±2.8) d,which were shorter than those in the control group[(13.2±1.8),(18.4±2.6) d] in turn,the difference was significant(P<0.05).Incidences of hy-perpigmentation and scar hyperplasia in burnt parts in observation group were 22.00% and 20.00%,which were lower than those in the control group(48.00% and 44.00%),the difference was significant (P<0.05).The incidence of complica-tions in observation group was 2.00%,greatly lower than 10.00% of control group,the difference was significant(P<0.05). Conclusion Intensification of detail nursing on specific parts of the five sense organs can reduce the occurrence of complications,which is worthy of clinical promotion.