浸浴联合小块异体皮贴植在烧伤残余创面治疗的对照观察

Application of replanting variant cutis after immersion bath to residual burn wounds

目的观察浸浴联合小块异体皮贴植治疗烧伤后期残余小创面的疗效。方法将有烧伤后残余创面的112例患者分为试验组(56例)和对照组(56例)。试验组患者创面浸浴后贴植异体皮、包扎治疗,隔日换药;对照组创面消毒后内衬凡士林纱布包扎治疗。1个疗程(10 d)后,比较两组患者的治愈率、有效率、创面细菌学情况及相关安全性指标。结果 试验组患者的治愈率、有效率、创面细菌清除率分别为66.1%、89.3%、88.2%,均高于对照组的30.4%、69.7%、70.0%,差异均有统计学意义(P<0.01)。两组患者未发生不良反应。结论局部浸浴清洗联合小块异体皮反复贴植治疗烧伤残余小创面安全、有效,可控制创面感染、提高治愈率。

Objective To observe the application of replanting variant cutis after immersion bath to residual burn wounds.Methods One hundred and twelve patients with residual post-burn wounds were enrolled in the study,and divided into Group A(n=56) and Group B(n=56).After treated with immersion bath,the wounds in Group A were replanted size-suitable variant cutis,and dressed with dressing(changed every 2 days).The wounds in Group B were enswathed with vaseline gauze after disinfected.The clinical results,the bacteriological findings and the corresponding safety indexes were determined 10 days after treatment.Results The rates of wound healing,efficacy and bacterial clearance in Group A were 66.1%,89.3% and 88.2%,respectively,obviously higher than that(30.4%,69.7% and 70.0%) in Group B(P<0.01).No side-effects were observed in either group.Conclusion Application of replanting variant cutis after immersion bath is safe and effective on residual burn wounds,for it is beneficial to the control of wound infection and to the promotion of wound healing.