局部氧疗促进烧伤患者残余难愈创面修复的有效性研究

Effective research about local oxygen therapy to promoting renovation of residual surface of burns wound

目的探讨局部氧疗促进烧伤患者残余难愈创面修复的临床有效性。方法将60例入选病例随机分为实验组和对照组，每组30例，局部氧疗小器具采用无菌一次性纸杯或人工肛门袋，底部用小刀刻一“＋”字，将氧气管接头插入杯或袋中待用。创面屏蔽氧疗组采用上述制作好的无菌一次性纸杯或袋扣在患处屏蔽创面，用流量8L/min的纯氧吹30min，2次／d，创面常规换药。对照组对残余创面予以临床常规处理。观察创面愈合时间，比较创面分泌物并进行细菌培养分析。结果实验组创面愈合时间为（5．87±3．29）d，显著短于对照组；实验组细菌种类及数量显著减少。结论局部氧疗具有促进烧伤残余创面修复，降低局部细菌感染率的作用。

Objective In order to know the effective of local oxygen therapy to promoting renovation of residual surface of burns wound. Methods Divided 60 patients with burns into the experimental group and the control group, there were 30 cases in the each group. Routine nursing cares were used in the control group, while the local oxygen therapy was used in the experimental group. Compare the condition of secretion of wound between the two groups. Results The wound healing time of experimental grou was （5.87±3.29）d,which significant shorten than that of in the control group, the kinds of bacteria in the control group was more than in the experimental group. Conclusions The local oxygen therapy can effective promote the healing of residual surface of burns wound, which can reduce the infection rate of bacteria.