摘要
目的探讨削痂植皮手术结合康复路径措施对深度烧伤患者预后效果。方法方便选取2019年1月—2020年12月期间在该院接受削痂植皮手术治疗的80例深度烧伤患者纳入该研究,行数字双盲法分为对照组和研究组,每组各40例,对照组治疗期间接受常规护理,研究组在常规护理基础上实施康复路径措施干预,对比患者预后效果。结果两组患者干预前生活质量对比,差异无统计学意义(t=0.217、1.178、0.195、0.188,P=0.829、0.242、0.846、0.815);干预后研究组患者生活质量各项评分高于对照组,差异有统计学意义(t=14.047、8.581、9.813、1.621,P<0.001)。研究组患者创面愈合时间(20.21±3.18)d短于对照组,差异有统计学意义(t=16.871,P<0.001);生活活动能力评分(42.18±8.23)分高于对照组,差异有统计学意义(t=5.737,P<0.001)。研究组并发症发生率5.00%,对照组并发症发生率为27.50%,两组间差异有统计学意义(χ^(2)=7.440,P<0.001)。结论深度烧伤患者接受削痂植皮手术治疗期间结合康复路径措施干预,可缩短患者的愈合时间,改善患者生活活动能力,减少并发症的发生概率,该联合干预疗法在临床上应加大推广力度。
Objective To investigate the prognostic effect of scabbing and skin grafting combined with rehabilitation path measures on patients with deep burns.Methods A total of 80 patients with deep burns who received scabbing and skin grafting in the hospital from January 2019 to December 2020 were conveniently selected and included in this study.They were divided into a control group and a study group by digital double-blind method,with 40 patients in each group.The control group received routine nursing during the treatment period,while the study group imple⁃mented rehabilitation pathway intervention on the basis of routine nursing to compare the prognosis effect of the pa⁃tients.Results There was no statistically significant difference in the quality of life between the two groups before the intervention(t=0.217,1.178,0.195,0.188;P=0.829,0.242,0.846,0.815);after the intervention,the quality of life scores of the patients in the study group were higher than those in the control group,the difference was statistically significant(t=14.047,8.581,9.813,1.621,P<0.001).The wound healing time of the patients in the study group(20.21±3.18)days was shoter than that in the control group,the difference was statistically significant(t=16.871,P<0.001);the score of life activity(42.18±8.23)points was higher than that in the control group,the difference was statis⁃tically significant(t=5.737,P<0.001).The complication rate of the study group was 5.00%,and the complication rate of the control group was 27.50%,and the difference between the two groups was statistically significant(χ^(2)=7.440,P<0.001).Conclusion Combining the intervention with rehabilitation pathway measures during the treatment of deep burn patients undergoing escharectomy and skin grafting can shorten the healing time of the patients,im⁃prove the patients'living activities,and reduce the incidence of complications.This combined intervention therapy should be promoted in clinical practice.
作者
戴林玲
黄美霞
冯凤环
DAI Linling;HUANG Meixia;FENG Fenghuan(Department of Burn and Plastic Surgery,No.909 Hospital of Joint Logistics Support Force(Southeast Hospital Affili-ated to Xiamen University),Zhangzhou,Fujian Province,363000 China)
出处
《中外医疗》
2022年第16期158-162,共5页
China & Foreign Medical Treatment
关键词
削痂植皮手术
康复路径措施
深度烧伤
预后效果
Scabbing and skin grafting
Rehabilitation pathway measures
Deep burns
Prognostic effect
