摘要
目的探讨聚维酮碘乳膏联合可见光治疗小儿烧/烫伤的临床疗效。方法收集2015年10月至2017年10月期间我院胸外烧伤科收治的144例Ⅱ度的烧/烫伤儿童,将患儿随机分成两组,分别为观察组72例,对照组72例,随访观察2周~2个月。观察组采用聚维酮碘乳膏联合可见光治疗;对照组单用聚维酮碘乳膏治疗。比较两组患者创面愈合率、临床疗效、疼痛情况、过敏发热情况、创面愈合时间及瘢痕情况,将结果进行对比分析。结果两组患者创面愈合率比较,治疗7 d时比较差异无统计学意义(P>0.05);治疗14 d时两组患者比较差异有统计学意义(P <0.05),观察组的创面愈合时间明显短于对照组(P <0.05)。观察组临床疗效优于对照组(P <0.05)。治疗后第7、14天观察组VAS评分明显<对照组,差异有统计学意义(P <0.05)。观察组瘢痕指数低于对照组,(P <0.05)。两组治疗期间过敏反应情况(局部瘙痒、红肿等)比较差异无统计学意义(P> 0.05)。住院期间两组发热情况比较差异有统计学意义(P <0.05)。结论聚维酮碘乳膏联合可见光治疗小儿烧/烫伤能有效提高创面愈合率,缩短愈合时间,尽快减少疼痛,减少瘢痕,未增加不良反应,安全性较高,费用低廉等优点,适用于临床推广。
Objective To investigate the clinical efficacy of Povidone iodine cream combined with visible light in the treatment of pediatric light burn or scald injuries.Methods From October 1,2015 to October 1,2017,One hundred and forty-four children suffering from superficial burns were collected.The patients were randomly divided into observation group and control group.The patients in the control group were treated with MEBO.The observation group received povidone iodine cream and visible light,but another group was only treated with povidone iodine cream.The wound healing time was observed.Wound healing rate,the clinical treatment,pain situation,allergy and fever situation,the wound healing time,wound scar situation,of the patients in the two groups were compared and analyzed.Results There was no significant difference in wound healing rate between the two groups at 7 days(P>0.05).On the 14 day of treatment,the difference between the two groups was statistically significant(P<0.05).The wound healing time in the observation group was significantly shorter than that in the control group(P<0.05).The clinical effect of the observation group was better than that of the control group(P<0.05).After treatment,the VAS scores in the observation group 7 d and 14 d were significantly lower than those in the control group(P<0.05).The scar index of the observation group was lower than that of the control group(P<0.05).No significant difference in the incidence of allergic reactions(local pruritus,redness,etc.)was between the two groups during treatment(P>0.05).There was a significant difference in fever between the two groups during hospitalization(P<0.05).Conclusion Povidone Iodine Cream combined with visible light in the treatment of pediatric burn or scald injuries can effectively improve wound healing rate,shorten healing time,reduce pain as soon as possible,reduce scar,increase adverse reactions,high safety and low cost.Therefore,it is suitable for clinical promotion.
作者
陈天庆
梁国仲
CHEN Tianqing;LIANG Guozhong(Affiliated Xiaolan Hospital,Southern Medical University,Zhongshan 528415,China)
出处
《实用医学杂志》
CAS
北大核心
2018年第17期2925-2929,共5页
The Journal of Practical Medicine
