负压封闭引流技术在小儿浅Ⅱ度烫伤中的应用

Application of Negative Pressure Therapy in the Treatment of Superficial Partial-thickness Scald in Children

目的：探讨负压封闭引流技术对小儿浅Ⅱ度烫伤创面的疗效。方法：选取2010年1月-2012年12月期间我科收治的浅Ⅱ度烫伤患儿134例,随机分为试验组和对照组。试验组68例,行负压封闭引流技术；对照组66例,行常规换药方法。记录比较两组患儿治疗期间出现体温升高的例数,体温升高维持时间,创面愈合时间及换药次数。结果：试验组治疗期间共18例（26.47%）患儿出现发热,从记录看,最高超过了40°C,持续时间为（18.3±2.7）h。试验组在负压治疗后,有3例患儿的创面局部未完全上皮化,碘伏消毒换药后48h愈合。其他均正常愈合。创面愈合时间为（9.4±0.4）d。换药次数为（2.23±0.19）次。各项指标和对照组相比,差异显著,有统计学意义（P〈0.05）。结论：负压治疗能减少换药次数,促进创面更快愈合,减轻患儿痛苦,值得推广。

Objective：To investigate the effect of negative pressure therapy in the treatment of superficial partial-thickness scald in children.Methods：Selected 134 children with superficial partial-thickness scald hospitalized from January 2010 to December 2012,randomly divided into test group and control group.68 cases in test group recieved negative pressure therapy;66 cases in the control group recieved the conventional dressing method.Recorded and compared the number of children whose body temperature increased during treatment between the two groups,the body temperature maintenance time,wound healing time and frequency of changing dressings. Results：18 children （26.47%） in test group had a fever during the treatment,the highest more than 40°C, the duration was （18.3±2.7） h.After the negative pressure treatment,there were 3 children with local wound incomplete epithelialization,and healed when 48hs later with iodophor disinfection dressing.The Others were normal healing.The wound healing time was （9.4±0.4）d.The bandage times was （2.23±0.19） times.Compared the index with the control group,there was significant differences,with statistical significance （P〈0.05）. Conclusion：Negative pressure therapy can reduce the bandage times faster,promote wound healing,reduce the pain of children,is worthy of promotion.