| 皮片移植修复联合负压封闭引流技术对深度烧伤患者创面愈合的影响 |
| 投稿时间：2015-10-29 修订日期：2015-11-20 点此下载全文 |
| 引用本文：刘本立,于仁义,卞东会,刘顺利,陈铭锐.皮片移植修复联合负压封闭引流技术对深度烧伤患者创面愈合的影响[J].医学研究杂志,2016,45(6):129-132,8 |
| DOI：
10.11969/j.issn.1673-548X.2016.06.033 |
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| 中文摘要:目的 探讨皮片移植修复联合负压封闭引流技术对深度烧伤患者创面愈合的影响。方法 选取2013年3月～2015年3月笔者医院收治的深度烧伤患者60例，采用随机数字表法分为对照组和观察组，各30例，对照组采用传统换药方法，去除坏死组织并控制感染，促进肉芽组织生长；观察组采用负压封闭引流技术。两组患者创面新鲜后，分别采用皮片移植技术修复创面。结果 观察组创面完全愈合时间为20.1±2.5天、肉芽生长时间为8.9±2.6天、住院时间为21.5±4.6天、疼痛评分为3.2±1.3分，均明显低于对照组24.3±3.8天、12.8±3.5天、30.6±6.8天、5.9±1.2分，同时观察组患者治疗14天后创面愈合率73.3%，皮片成活率为96.7%，明显高于对照组（50.0%和63.3%），两组比较差异有统计学意义（P均<0.05），观察组无并发症发生，对照组并发症发生率为20.0%，两组比较差异有统计学意义（P<0.05）。结论 皮片移植修复联合负压封闭引流技术治疗深度烧伤患者疗效显著，创面愈合时间短、愈合率高且并发症低，值的临床推广使用。 |
| 中文关键词:皮片移植修复 负压封闭引流技术 深度烧伤 创面愈合 |
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| Effect of Wound Healing of Skin Graft Prosthetics Combined Vacuum Sealing Drainage Treatment of Deep Burn Patients |
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| Abstract:Objective To discuss the effect of wound healing of skin graft prosthetics combined vacuum sealing drainage treatment of deep burn patients. Methods Sixty cases of deep burn treated in our hospital from March 2013 to March 2015 were divided into control group and observation group(30 cases in each group) according to odd and even numbers,and patients in the control group were given traditional treatment, were removed dead tissue and were given infection control,promoted the growth of granulation tissue,while those in the observation group were given vacuum sealing drainage. When the wound was fresh, Patients in the two groups were given skin graft techniques to repair wound. Results Wound healing time (20.1±2.5 days),granulation growth time(8.9±2.6 days),length of stay(21.5±4.6 days),pain scores(3.2±1.3 points) of the observation group were significantly lower than (24.3±3.8 days, 12.8±3.5 days, 30.6±6.8 days, 5.9±1.2 points) points of the control group.Wound healing rate of the observation group 14d after treatment was 73.3% and skin graft survival rate was 96.7%,which was significantly higher than 50.0% and 63.3% of the control group, and the differences were statistically significant (P<0.05). There was no complication in the observation group.Complication rate of the control group was 20.0% and the differences were statistically significant (P<0.05). Conclusion Skin graft prosthetics combined vacuum sealing drainage treatment of deep burn patients has significant effect. The wound healing time is short,healing rate is high and complications were low,and is worthy of popularization. |
| keywords:Skin graft prosthetics Vacuum sealing drainage Deep burn Wound healing |
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