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水凝胶敷料爱康肤银在浅Ⅱ度烧伤创面治疗中的应用
作者:刁永力  王书军  陈濛 
单位:盐城市第一人民医院 烧伤整形科, 江苏 盐城 224001
关键词:烧伤 浅Ⅱ度 水凝胶敷料 创面愈合 
分类号:R459.9
出版年·卷·期(页码):2012·31·第六期(729-731)
摘要:

目的:探讨水凝胶敷料爱康肤银在浅Ⅱ度烧伤创面治疗中的作用。方法:采用随机抽选法,选择2年内在我科接受水凝胶敷料爱康肤银换药(爱康肤银换药组)及磺胺嘧啶银乳膏换药(磺胺嘧啶银组)治疗的浅Ⅱ度烧伤患者各30例,分别统计两组创面的愈合时间、换药次数、换药时疼痛评分。取创面分泌物进行细菌培养,同时监测两组患者在治疗期间血常规、血生化及不良反应。结果:爱康肤银换药组较磺胺嘧啶银组创面愈合时间缩短(P<0.05)、换药次数减少(P<0.05),换药时疼痛评分降低(P<0.05)。两组创面细菌培养阳性率差异无统计学意义(P>0.05)。另外,治疗期间两组患者出现的实验室检测指标差异与所用药物无直接相关性,绝大多数患者无不适主诉。结论:应用水凝胶敷料爱康肤银治疗患者浅Ⅱ度烧伤能有效缩短创面愈合时间,明显减少创面换药次数,显著降低患者换药时疼痛感,其抑菌效果与浅Ⅱ度烧伤的经典创面外用药磺胺嘧啶银乳膏相比无明显差异,且在治疗期间绝大多数患者未出现不良反应,值得在临床上进一步推广应用。

Objective: To evaluate the clinical effects of hydrogel dressing Aquacel-Ag in treatment of superficial Ⅱ burns. Methods: Using random select method, 30 patients whose burn areas covered with hydrogel dressing Aquacel-Ag(hydrogel dressing Aquacel-Ag group) and 30 patients whose burn areas coped with SD-Ag(SD-Ag group) were picked as research objects. The healing time, the frequency of dressing changes and the dressing pain score were compared between the two groups. Meanwhile, the wound secretion was taken for bacteria culturing, blood routine test, blood biochemical test and adverse effect were closely monitered during the treatment. Results: Compared with SD-Ag group, hydrogel dressing Aquacel-Ag group exhibited a significantly shorter healing time (P<0.05);moreover, hydrogel dressing Aquacel-Ag also resulted in significantly lessen dressing changes (P<0.01) and reduced dressing pain score(P<0.05). However, the outcomes of bacterial culture were not significantly different between the two groups (P>0.05). There was no direct relationship between the laboratory abnormalities and the therapeutic measures, and most patients had no uncomfortable chief complaint. Conclusions: Hydrogel dressing Aquacel-Ag could shorten the healing time, decrease frequency of dressing change and reduce dressing pain score for superficial Ⅱ burns. It has an antimicrobial property similar to SD-Ag for superficial Ⅱ burns and shows no noticeable adverse effect. So, it is worth clinical further application.

参考文献:

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