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慷舒灵凝胶在治疗Ⅱ度烧伤创面和防治感染中的作用
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| 篇名： | 慷舒灵凝胶在治疗Ⅱ度烧伤创面和防治感染中的作用 |
| TITLE： | |
| 摘要： | 目的：探讨慷舒灵凝胶在治疗Ⅱ度烧伤创面和防治感染中的作用。方法：60例Ⅱ度烧伤确诊患者按随机数字表法分为观察组和对照组，各30例。在常规治疗（清洁、消毒、清除坏死组织、使用抗生素等）基础上，观察组患者采用慷舒灵凝胶治疗，对照组患者采用磺胺嘧啶治疗。观察两组患者的平均愈合率及愈合时间、敷料渗液情况及创伤周围炎性反应、创面换药次数及内层纱布更换次数、创面感染率等情况，并对两组患者进行满意度调查。结果：治疗后第14、18天，观察组患者的创面平均愈合率明显高于对照组；创面愈合时间明显短于对照组，差异均有统计学意义（P＜0.05）。治疗后2周内，观察组患者的敷料渗湿纱布层数明显少于对照组，且创伤周围发生炎性反应的病例数明显少于对照组，组间比较差异具有统计学意义（P＜0.05）。治疗过程中，观察组患者的创面换药次数及内层纱布更换次数明显少于对照组，创面感染率明显低于对照组，组间比较差异均有统计学意义（P＜0.05）。观察组患者对治疗效果的满意度高于对照组，差异有统计学意义（P＜0.05）。结论：慷舒灵凝胶治疗Ⅱ度烧伤创面患者，可以有效防治创面的感染，降低创面感染率，减少创面换药次数，缩短创面愈合时间，提高创面愈合率，因而患者满意度高。 |
| ABSTRACT： | OBJECTIVE： To discuss the effects of Kangshuling gel on wound treatment and infection prevention inⅡdegree burns. METHODS： 60 patients with Ⅱ degree burns were randomized intro observation group and control group， with 30 cases in each group. Based on routine treatment （cleaning， disinfection， necrotic tissue removal， antibiotics use）， observation group was given Kangshuling gel， and control group was treated with sulfadiazine. The average healing rate， healing time， surgical dressing exudate， inflammatory reaction around wound， the times of dressing change and inner layer gauze change， and wound infection rate were observed in 2 groups， and satisfaction survey was conducted in 2 groups. RESULTS： On 14th and 18th day after treatment， average rate of wound healing in observation group was significantly higher than in control group； the time of wound healing was significantly shorter than control group， with statistical significance （P＜0.05）. Within 2 weeks after treatment， the number of gauze layer wetted by surgical dressing in observation group was significantly less than in control group， and case number of inflammatory reaction around wound was significantly less than control， with statistical significance （P＜0.05）. The times of dressing change and inner layer gauze change in observation group was significantly less than in control group， and the rate of wound infection was significantly less than control group， with statistical significance （P＜0.05）； the satisfaction of observation group was better than that of control group， with statistical significance （P＜0.05）. CONCLUSIONS： Kangshuling gel in the treatment of Ⅱ degree burns can effectively prevent and treat wound infection， reduce the rate of wound infection and the times of dressing change， shorten the time of wound healing and improve the rate of wound healing so， high satisfaction degree is obtained. |
| 期刊： | 2016年第27卷第5期 |
| 作者： | 蔡海军，孙韬 |
| AUTHORS： | CAI Haijun，SUN Tao |
| 关键字： | Ⅱ度烧伤；慷舒灵凝胶；创面；感染 |
| KEYWORDS： | Ⅱ degree burns； Kangshuling gel； Wound； Infection |
| 阅读数： | 1173 次 |
| 本月下载数： | 4 次 |
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