摘要
作者单位自1989年以来,应用湿润暴露疗法(甲组),与传统干燥疗法(乙组)对烧伤病人体温进行系统观察比较,有显著差异。作者将患者随机分为干、湿两组各50名,面积及深度无明显差异。两组按1～5天,6～10天,11～15天三期分别观察体温变化。初期甲组较高,中期及后期乙组变高,均有显著差异。作者认为早期甲组体温高,系散热受影响所致;此外回收期提前,坏死组织提前液化,也导致体温较高。中、晚期则甲组液化已接近尾声,体温呈下降趋势,创面进入修复期,感染已被控制。乙组则因坏死组织干燥,焦痂不易脱落,痂下分泌物排出不畅,极易导致细菌感染,体温呈上升趋势。
Burn patients were treated respectively with moist exposed therapy (group A) and conventional dry therapy (group B) and changes in body temperature were observed. The difference between the results of the two groups was of statistical significance. Patients with no significant difference in burn area and depth were randomly divided into two groups. 50 cases in each group and were treated with moist exposed therapy and conventional dry therapy respectively. Changes in body temperature were observed for 15 days. On the first to fifth days, patients in group A had higher body temperature. On the llth to 15th days, patients in group B had higher body temperature. The difference was of significance. The authors suggested that patients in group A had higher body temperature at the early stage were due to difficulty in heat radiation. Early liquefaction of the necrotic tissue also caused elevation of body temperature. At the later stage, liquefaction was almost ending and infection was under control, therefore, the body temperature tended to lower. Patients in group B, at the laterstage, had dryness of necrotic tissue and scab had formed. The excretion underneath the scab could hardly be removed and bacterial infection became more serious, therefore, the body temperature of the patients in group B tended to elevate.
出处
《中国烧伤创疡杂志》
1993年第1期23-24,63-64,共4页
The Chinese Journal of Burns Wounds & Surface Ulcers
