全身浸润配合综合性康复管理对大面积重度烧伤患者预后的影响(1)
[摘要]目的：研究全身浸潤配合综合性康复管理措施在ICU大面积重度烧伤患者中的应用及对预后的影响。方法：选择2015年4月-2016年6月笔者医院ICU收治的128例大面积重度烧伤患者作为研究对象，根据随机数字表法分为对照组和观察组，各64例。对照组在术后应用全身浸润疗法和常规护理，观察组应用全身浸润疗法配合综合性康复管理措施。观察治疗前后两组患者心理健康程度，并于治疗后对两组治疗效果及术后外形美观效果进行评估。结果：治疗后，两组SAS、SDS评分均降低，且观察组低于对照组，差异有统计学意义(P<0.05)；观察组治疗总有效率为85.94%(55/64)高于对照组的70.31%(45/64)，差异有统计学意义(P<0.05)；观察组术后美观效果较对照组更佳，差异有统计学意义(P<0.05)。结论：在ICU大面积重度烧伤患者术后应用全身浸润配合综合性康复管理措施效果显著，可增强临床治疗效果，调整患者心理状态，促进烧伤残余创面愈合，利于皮肤组织修复再生，改善患者术后美观效果，提高预后身心健康程度。
[关键词]大面积重度烧伤；全身浸润；综合性康复管理；美观效果
, 百拇医药
[中图分类号]R47 [文献标志码]B [文章编号]1008-6455(2018)05-0135-04
The Effect of Systemic Infiltration Combined with Comprehensive Rehabilitation Management on the Prognosis of Severe Burn Patients
SHI Yi
(Department of Ear-nose-throat，the No.81 Hospital of Nanjing Liberation Army，Nanjing 210002，Jiangsu，China)
Abstract： Objective To study the use of systemic infiltrates combined with comprehensive rehabilitation management measures in severely burned ICU patients and its impact on prognosis. Methods 128 cases of severe burn patients who were treated in our hospital from April 2015 to June 2016 were selected as the research subject. All the patients were divided into the control group and the observation group according to random number table method， 64 cases in each group. The patients in the control group were given general nursing such as systemic infiltration therapy after operation， and the patients in the observation group were given systemic infiltration therapy combined with comprehensive rehabilitation management interventions. Before and after treatment， the mental health， the therapeutic effect and the aesthetic appearance of the two groups were evaluated. Results After treatment， the scores of SAS and SDS in the two groups decreased， and the observation group was lower than that of the control group， the differences were statistically significant(P<0.05). The total effective rate of the observation group was 85.94% (55/64)， which was higher than that of the control group (70.31%，45/64)，the difference was statistically significant(P<0.05). The aesthetic effect of the observation group was better than that of the control group(P<0.05). Conclusion The application of systemic infiltration combined with comprehensive rehabilitation management in patients with extensive severe burn in ICU has significant effect， which can enhance the clinical effect， adjust the psychological status of patients， promote the healing of residual burn wounds， facilitate the repair and regeneration of skin tissue， and improve the aesthetic appearance of postoperative patients， improve physical and mental health., http://www.100md.com(石怡)
[关键词]大面积重度烧伤；全身浸润；综合性康复管理；美观效果
, 百拇医药
[中图分类号]R47 [文献标志码]B [文章编号]1008-6455(2018)05-0135-04
The Effect of Systemic Infiltration Combined with Comprehensive Rehabilitation Management on the Prognosis of Severe Burn Patients
SHI Yi
(Department of Ear-nose-throat，the No.81 Hospital of Nanjing Liberation Army，Nanjing 210002，Jiangsu，China)
Abstract： Objective To study the use of systemic infiltrates combined with comprehensive rehabilitation management measures in severely burned ICU patients and its impact on prognosis. Methods 128 cases of severe burn patients who were treated in our hospital from April 2015 to June 2016 were selected as the research subject. All the patients were divided into the control group and the observation group according to random number table method， 64 cases in each group. The patients in the control group were given general nursing such as systemic infiltration therapy after operation， and the patients in the observation group were given systemic infiltration therapy combined with comprehensive rehabilitation management interventions. Before and after treatment， the mental health， the therapeutic effect and the aesthetic appearance of the two groups were evaluated. Results After treatment， the scores of SAS and SDS in the two groups decreased， and the observation group was lower than that of the control group， the differences were statistically significant(P<0.05). The total effective rate of the observation group was 85.94% (55/64)， which was higher than that of the control group (70.31%，45/64)，the difference was statistically significant(P<0.05). The aesthetic effect of the observation group was better than that of the control group(P<0.05). Conclusion The application of systemic infiltration combined with comprehensive rehabilitation management in patients with extensive severe burn in ICU has significant effect， which can enhance the clinical effect， adjust the psychological status of patients， promote the healing of residual burn wounds， facilitate the repair and regeneration of skin tissue， and improve the aesthetic appearance of postoperative patients， improve physical and mental health., http://www.100md.com(石怡)
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