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康复新液治疗浅中度烧烫伤的90例临床分析(1)
http://www.100md.com 2016年7月25日 《中外医疗》2016年第21期
     [摘要] 目的 研究分析康复新液用于治疗浅中度烧烫伤的临床疗效。方法 方便选取该院2013年1月—2016年1月收治的90例浅中度烧烫伤患者随机分为观察组和对照组,观察组予以康复新液湿敷创面,对照组予以稀释碘伏湿敷创面,对比观察两组患者治疗前后疼痛改善情况及创面愈合时间。结果 观察组治愈率为97.78%,显著高于对照组的86.67%,观察组感染率为2.22%,显著低于对照组的13.33 %(P<0.05);研究组创面愈合时间为(8.89±2.14)d,显著少于对照组的(14.23±1.56)d(P<0.05);研究组分泌物消失时间为(5.89±1.45)d,显著少于对照组的(11.02±2.03)d(P<0.05)。结论 康复新液在治疗浅中度烧烫伤时,能有效减轻患者创面疼痛感,缩短创面愈合时间,且无明显不良反应,疗效肯定。

    [关键词] 康复新液;浅中度烧烫伤;临床疗效

    [中图分类号] R5 [文献标识码] A [文章编号] 1674-0742(2016)07(c)-0117-03

    [Abstract] Objective To analyze and probe on the clinical effect of new rehabilitation liquid in treating patients with shallow and moderate burns. Methods Convenient selection 90 patients with shallow and moderate burns treated in our hospital between January, 2013 and January, 2016 were randomly divided into the observation group and the control group. The observation group underwent treatment of hydropathic compress on the wound with new rehabilitation liquid; and the control group underwent treatment of hydropathic compress on the wound with dilute iodine. A comparison was made of the efficacy of the two. Results The cure rate of the observation group was 97.78%,which was obviously higher than that of the control group(86.67%), and its infection rate was 2.22%, which was also lower than that of the control group(13.33 %) (P<0.05); the wound healing time of the observation group was (8.89±2.14)d , which was obviously shorter than that of the control group which was(14.23±1.56)d (P<0.05). The secreta extinction time of the observation group was (5.89±1.45)d, which was conspicuously shorter than that of the control group (11.02±2.03)d (P<0.05). Conclusion New rehabilitation is very effective in reducing pains for patients with shallow and moderate burns, can shorten healing time with no obvious adverse effect.

    [Key words] New rehabilitation liquid; Shallow and moderate burns; Clinical efficacy

    烧烫伤是人们在日常生产、生活中较为常见的一种意外伤害,是由于各种致伤因子(比如热力、光、电、化学物质、放射性等)作用于人的体表而导致人体皮肤及黏膜的损伤,破坏其正常的防御功能,使机体组织、器官等功能受到的损伤[1]。比较多见的致伤原因有热水、滚粥、热油、热蒸气及火焰等。如果在患者烧烫伤后采取及时有效、科学正确的处理措施,能有效避免不良后果。但是处理不及时或是处理方法不当,都会导致较为严重的后果。将该院2013年1 月—2016年1月收治的90例浅中烧烫伤患者予以康复新液治疗,效果满意,现报道如下。

    1 资料与方法

    1.1 一般资料

    方便收集该院收治的浅中烧烫伤患者90例的临床资料。90例患者中,热液烫伤61例,热金属烧伤19例,火焰烧伤10例。所有患者均无显著影响痊愈的疾病。按照数字随机法将90例患者分为观察组和对照组各45例。其中观察组男30例, 女15例,年龄4~41岁,平均年龄(22.68±3.56)岁,烫伤面积1%~30%,平均面积12%;对照组45例,男31例,女14例,年龄5~31岁,平均年龄(21.09±4.32)岁,烫伤面积2%~28%,平均面积13%。两组患者在年龄、性别、病程等资料对比上差异无统计学意义(P>0.05),具有可比性。

    1.2 治疗方法

    1.2.1 常规治疗 所有烧烫伤患者均予以创面处理,清洁创面周围健康皮肤,移除异物,并予抗感染、预防并发症等常规治疗。 (赵云伟)
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