水胶体敷料在四肢烧伤后压力疗法防治瘢痕中的应用效果

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摘要目的观察水胶体敷料+压力疗法运用于四肢烧伤后瘢痕防治的安全性和可行性。方法选择2017年5月—2018年12月赣南医学院第一附属医院收治的50 例深Ⅱ度烧伤创面患者作为研究对象，根据随机数字表法分为对照组和治疗组，每组各25 例。对照组采用普通纱布敷料+压力疗法，治疗组采用水胶体敷料+压力疗法。比较两组的换药疼痛程度、残余创面愈合时间、换药次数、温哥华瘢痕量表评分情况。结果治疗组的换药疼痛程度低于对照组，差异有统计学意义（P＜0.05）。治疗组的残余创面愈合时间短于对照组，换药次数少于对照组，差异有统计学意义（P＜0.05）。治疗组治疗后4、12 周的温哥华瘢痕量表评分低于对照组，差异有统计学意义（P＜0.05）。结论水胶体敷料运用于四肢烧伤后压力疗法有利于加快残余创面的愈合，提高患者舒适度，提高患者使用压力疗法依从性，疗效肯定。

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关键词 ：水胶体敷料, 四肢烧伤, 压力疗法, 瘢痕增生

Abstract：Objective To observe the safety and feasibility of hydrocolloid dressing+pressure therapy in the prevention and treatment of scar after extremities burn. Methods A total of 50 patients with deep Ⅱdegree burn wounds in the First Affiliated Hospital of Gannan Medical University from May 2017 to December 2018 were selected as the research objects, and they were divided into control group and treatment group by the random number table method, with 25 cases in each group. The control group was treated with ordinary gauze dressing+pressure therapy, while the treatment group was treated with hydrocolloid dressing+pressure therapy. The pain degree of dressing change, residual wound healing time, dressing change times and Vancouver scar scale score between the two groups were compared. Results The pain degree of dressing change in the treatment group was lower than that in the control group, the difference was statistically significant (P＜0.05). The residual wound healing time in the treatment group was shorter than that in the control group, and the dressing change times was less than that in the control group, the differences were statistically significant (P＜0.05). The scores of Vancouver scar scale in the treatment group at 4 and 12 weeks after treatment were lower than those in the control group, the differences were statistically significant (P＜0.05). Conclusion Hydrocolloid dressing applied to pressure therapy after extremities burn can accelerate the residual wound healing, improve the comfort of patients, and improve the compliance of patients with pressure therapy, the efficacy is positive.

Key words： Hydrocolloid dressing Extremities burn Pressure therapy Scar hyperplasia

收稿日期: 2020-10-26

基金资助:江西省赣州市指导性科技计划项目（GZ2017ZSF 074）

引用本文:

曾群英；刘华之；赖盛飞；何桂花；郭香兰；董丽；陈丹. 水胶体敷料在四肢烧伤后压力疗法防治瘢痕中的应用效果[J]. 中国当代医药, 2021, 28(19): 43-45转52.
ZENG Qun-ying LIU Hua-zhi▲ LAI Sheng-fei HE Gui-hua GUO Xiang-lan DONG Li CHEN Dan. Application effect of hydrocolloid dressing in prevention and treatment of scar by pressure therapy after extremities burn. 中国当代医药, 2021, 28(19): 43-45转52.

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http://dangdaiyiyao.com/CN/ 或 http://dangdaiyiyao.com/CN/Y2021/V28/I19/43

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