摘要
目的分析负压创面技术在治疗烧伤及慢性溃疡创面方面的临床效果。方法将该院临床科室在2018年1—12月间所收治的70例烧伤及慢性溃疡创面患者作为该次研究的对象,将其随机划分为观察组和对照组,每组35例。两组患者均接受基础疾病和营养支持治疗方案,改善心肺功能,而对照组患者采取普通清创换药方案,观察组患者则采用负压创面进行治疗。治疗后对所有患者的恢复情况进行后续随访,比较两组患者的平均植皮时间与平均愈合时间,并比较疼痛评分值和并发症的发生情况,分析负压创面技术起到的效果。结果数据结果表明,观察组患者在平均植皮时间(17.8±2.2)d和平均愈合时间(25.6±3.4)d上均短于对照组的(25.0±2.4)d、(31.9±3.2)d,证明负压创面治疗技术能够更好地保障临床效果,数据差异有统计学意义(t=3.563、3.004,P<0.05);另外,观察组在疼痛评分(3.6±1.1)分上低于对照组的(5.6±0.7)分,并发症情况2(5.7%)于对照组的7(20.0%)说明治疗后的整体恢复情况良好。两项数据对比差异有统计学意义(t=3.602、6.445,P<0.05)。结论负压创面技术在烧伤与慢性溃疡创面的治疗方面具有显著的作用,不仅降低患者的整体治疗时间,而且促进患者更快恢复,同时保障治疗措施的安全性,减少并发症的出现,具有临床推广价值。
Objective To analyze the clinical effect of negative pressure wound technology in treating burns and chronic ulcer wounds.Methods 70 patients with burns and chronic ulcers treated by the clinical department from January to December 2018 were the subjects of this study.They were randomly divided into observation group and control group,with 35 cases in each group.Both groups of patients received basic disease and nutritional support treatment programs to improve cardiopulmonary function,while patients in the control group were treated with general debridement and dressing,and patients in the observation group were treated with negative pressure wounds.All patients were followed up after treatment.The average skin grafting time and average healing time were compared between the two groups.The pain score and the occurrence of complications were compared.The effect of negative pressure wound technology was analyzed.Results The results showed that the average skin grafting time(17.8±2.2)dand the average healing time(25.6±3.)d of the observation group were shorter than the(25.0±2.4)d and(31.9±3.2)d of the control group,which proved that the negative pressure wound surface treatment technology can better guarantee the clinical effect,and the data difference is statistically significant(t=3.563,3.004,P<0.05).In addition,the observation group has a lower pain score(3.6±1.1)points than the control group(5.6±0.7)points,complications 2(5.7%)in the control group 7(20.0%),indicating that the overall recovery after treatment was good.The comparison between the two data was significant,and the results were statistically significant(t=3.602,6.445,P<0.05).Conclusion Negative pressure wound technology has a significant effect in the treatment of burns and chronic ulcer wounds,which not only reduces the overall treatment time of the patient and promotes faster recovery of the patient,but also guarantees the safety of treatment measures and reduces the occurrence of complications,with clinical promotion value.
作者
任帅
尤阳
REN Shuai;YOU Yang(Department of Burn and Plastic Surgery Leling Traditional Chinese Medicine Hospital,Leling,Shandong Province,253600 China;Department of Orthopedics Leling Traditional Chinese Medicine Hospital,Leling,Shandong Province,253600 China)
出处
《系统医学》
2020年第2期68-70,共3页
Systems Medicine
关键词
负压创面技术
烧伤及慢性溃疡创面
临床效果
Negative pressure wound technology
Burn and chronic ulcer wound
Clinical effect