早期削痂促进深Ⅱ度烧伤创面愈合的临床研究

目的:探讨早期削痂促进深Ⅱ度烧伤创面愈合的临床疗效。方法:52例深Ⅱ度烧伤患者,分为实验组28例和对照组24例,实验组在伤后24小时内行削痂术,对照组则在伤后4~6日行削痂术,观察两组患者休克期静脉补液量及尿量、并发症以及治疗结果。结果:伤后第3天实验组尿量、实验组植皮区成活率明显高于对照组,术后创面基本愈合时间、平均住院时间及并发症发生率均明显低于对照组,差别均有统计学意义(P<0.05)。结论:早期切削痂是治疗深Ⅱ度烧伤安全、有效的方法,值得在临床上推广应用。

Clinical Research of Early Tangential Excision for Deep Burn Wound Healing

Objective: To study the clinical effect of early tangential excision for deep Ⅱ burn wound healing;Methods: There was a retrospective analysis of 52 degree Ⅱ burn patients,who were divided into two groups,the control group 24 cases and the experimental group 28 cases.All patients were treated by tangential excision.Their fluid volume in shock stage,urine volume,incidence rate of complication and treatment outcome was compared.Results: In comparison with the control group,the urine volume 3 days after wounded and the survival rate of skin-grafting area in the experimental group has significantly increased,but the wound healing time and the median length of hospital stay was shorter,the complication rate was significantly lower in the experimental group(P<0.05).Conclusion: Early tangential excision is an safe and effective method in treating the deep Ⅱ burn wound injury,it is worthy of clinical application.