综合疗法治疗住院患者小面积Ⅱ度烫伤的疗效及安全性

Curative effect and security of comprehensive therapy for hospitalized patients with small area Ⅱ degree scalds

目的探讨运用综合疗法治疗住院患者小面积Ⅱ度烫伤的疗效及安全性。方法将93例(112处)符合条件的小面积Ⅱ度烫伤住院患者按随机数字表法分为综合疗法组48例(56处)和对照组45例(56处)。综合疗法组采用络合碘(聚维酮碘)消毒创面,外涂莫匹罗星软膏并配合微波治疗;对照组在常规护理基础上外涂湿润烧伤膏治疗。结果综合疗法组创面疼痛程度分级、临床治疗总有效率明显高于对照组,且创面愈合时间较对照组短,差异均有统计学意义(P<0.05),两组均无不良反应发生。结论聚维酮碘与莫匹罗星软膏配合微波治疗住院患者小面积Ⅱ度烫伤疗效明显,创面愈合时间短,安全性高,值得在临床上推广应用。

Objective To explore the curative effect and security of comprehensive therapy for hospitalized patients with small area II degree scald. Methods Totally 93 hospitalized patients （112 scalds） accordance with small area II degree scald were divided into the comprehensive therapy group 48 cases （56 scalds） and the control group 45 cases （56 scalds） according to random number table, the comprehensive therapy group were disinfected with iodine on the wound surface, and externally applied with mupirocin ointment and microwave ,while the control group was treated with moisture exposed burn ointment （MEBO） on the basis of routine care. Results The pain degree classification of scald and total effective rate of clinical treatment in the compre- hensive therapy group were significantly higher than those in the control group. The healing time of wound was shorter than that of the control group, and the difference was statistically significant （P〈0.05）. No adverse reaction occurred in both groups. Conclusion Complexing iodine and mupirocin ointment with microwave treatment for hospitalized patients with small area II degree scald has obvious curative effect, shorter healing time and high safety, and it is worthy of clinical popularization and application.