悬浮床在大面积烧伤患者救治中的应用价值

Application value of air-fluidized bed in treatment of severe burn patients

目的:探讨悬浮床在重度烧伤患者救治中的应用价值。方法:随机抽选烧伤重病隔离区清创后卧普通翻身床患者(普通翻身床组)与卧悬浮床患者(悬浮床组)各30例,对两组患者的创面干痂时间、愈合时间和创面感染情况进行比较。结果:普通翻身床组创面干痂时间和愈合时间为分别为(164.8±4.54)h和(55.17±0.88)d,悬浮床组创面干痂时间和愈合时间分别为(84.67±3.11)h和(28.62±0.58)d,两组间比较差异均有统计学意义(均P<0.01)。普通翻身床组和悬浮床组创面细茵培养阳性率分别为43.3%和16.7%,两组比较差异有统计学意义(P<0.01)。结论:悬浮床可以有效地保护重度烧伤患者创面,减轻其痛苦,降低护士的护理难度,在重度烧伤的救治中具有积极的应用价值。

[Abstract~ Objective： To investigate the application value of air-fluidized bed in treatment of severe burn patients. Methods： After debridement 30 patients with severe burn lying on common sickbed （common sickbed group） and 30 patients with severe burn lying on air-fluidized bed （air-fluidized bed group） were chosen randomdly. The scabbing time, concrescence time, burn wound infection and sheet bacterial content were compared between the two groups. Results： Scabbing time and concrescence time in common sickbed group were （ 164.8 ± 4.54 ） h and （55.17 ± 0.88 ） d respectively, and those in air- fluidized bed group were （84.67 ± 3.11 ） h and （28.62 ±0.58） d respectively. The differences had statistical significance （P 〈 0. O1 ）. Positive rate of bacterial culture was 43.3% in common sickbed gruop, which was much higher than that （ 16.7% ） in air- fluidized bed group （ P 〈0.01）. Conclusions： Application of air-fluidized bed could effectively protect bum wound, and relieve the suffering of severe burn patients, and cut down difficulty of nursing. Consequently, it has positive value in treatment severe burn patients.