切削痂植皮术联合纳米银敷料在面部深度烧伤创面修复中的应用

The Clinical Effect of Scab Cutting and Skin Grafting Combined with Nano Silver Dressing in the Treatment of Severe Burns in Face

目的:探讨切削痂植皮术联合纳米银敷料在面部深度烧伤患者中的应用效果。方法:选取2017年1月-2018年1月笔者医院烧伤外科收治的面部深Ⅱ度、Ⅲ度烧伤患者84例,随机分为2组,每组42例。实验组切削痂植皮术后应用纳米银敷料覆盖创面,对照组应用传统无菌凡士林敷料覆盖。比较两组患者治疗效果、创面愈合时间、发热持续时间、术后VAS疼痛评分及第7、14天创面病原菌感染情况。结果:实验组治疗总有效率为97.62%高于对照组的80.95%,差异有统计学意义(P<0.05)。实验组创面愈合时间、发热持续时间及VAS评分均低于对照组,差异有统计学意义(P<0.05)。术后第7、14天实验组感染例数均少于对照组,差异有统计学意义(P<0.05)。结论:切削痂植皮术后联合应用纳米银敷料治疗面部深度烧伤创面,可提高治疗有效率,降低感染率,效果较好。

Objective To explore the clinical effects of scab cutting and skin grafting combined with nano silver dressing in the treatment of severe burns in face. Methods 84 patients with facial deep second degree and third degree burn admitted to our hospital from January 2017 to January 2018 were randomly divided into 2 groups, 42 cases in each group. In the experimental group, the wound was covered with nano silver dressing after scab cutting and skin grafting. The control group were covered with traditional sterile vaseline dressing. The treatment effect, wound healing time, duration of fever, postoperative VAS pain score and pathogen infection on the 7 and 14 days were compared between the two groups. Results The total effective rate of the experimental group was 97.62%, which was higher than that of the control group（80.95%）, the difference was statistically significant（P〈0.05）. The wound healing time, duration of fever and VAS score in the experimental group were lower than those in the control group（P〈0.05）. On the 7 d and 14 d after operation, the number of infection cases in the experimental group was less than that in the control group（P〈0.05）. Conclusion The application of scab cutting and skin grafting combined with nano silver dressing in the treatment of deep facial burns can improve the effective rate and reduce the infection rate, has a good clinical effect.