悬浮床治疗背臀部烧伤205例临床分析

Clinical analysis on suspension bed in treating 205 cases of hip and back burn

目的观察流体悬浮床在治疗臀背部烧伤患者的临床效果。方法临床使用6张悬浮床治疗臀背部烧伤患者205例,其中包括中小面积烧伤患者,创面简单清创后仰卧于悬浮床上。结果<50%TBSA患者全部治愈,>50%死亡8例,均因脓毒症、肺部感染等导致多器官功能障碍综合征死亡。背臀部创面结痂时间为伤后1～4 d,创面愈合时间缩短,浅Ⅱ度为(9±2)d,深Ⅱ度为(14±2)d,Ⅲ度创面焦痂完整,无明显溶痂现象。结论 卧悬浮床可以使创面愈合加速,减少感染及各种并发症发生,减轻工作量,降低患者的住院成本,可以进一步推广应用到中小面积臀背部烧伤的患者。

Objective To observe the clinical effect of fluid suspension bed in treating patients with hip and back burn.Methods 6 suspension beds were using for treatment of 205 hip and back burn patients,including patients with medium and small area burn.Patients supine on the suspension bed after simple debridement.Results Patients were cured whose TBSA50%,and 8 patients with TBSA50% died because of sepsis,pulmonary infection and multiple organ dysfunction syndrome.Wound scabby time of hip and back burn was 1～4d,Wound healing time was shorter,superficial second degree burn was（9±2）d,deep second degree burn was（14±2）d.Third degree eschar was complete and no obvious dissolved scab.Conclusion Suspension bed is conducive to wound healing,reduce infection and complications,ease workload and reduce the cost of hospitalization.It is worth popularizing in treatment for patients with medium and small area hip and back burn.