Objective To compare the influence of different dressings on the healing of deep burn wound after skin graft.Methods 69 patients with deep burn wound who came to our hospital from May,2011 ～ May,2012 were selected.Two surfaces of wound with the area of 1％ as the whole wound surface were used,one covered by polyester gauze as inner dressing were divided into the experimental group,and the other covered by vaseline oil gauze as inner dressing were divided into the control group.Compare the evaporation capacities,healing time,survival rate of skin sheet and degree of pain during dressing change of the two groups.Results 5 days after the surgery,evaporation capacities of the experimental group were statistically lower than those of the control group [(25.3±6.1) ml·h-1·m-2 vs (35.8±4.9) ml·h-1·m-2 t=1 1.147 P＜0.05].Evaporation capacities of the wound covered with gauze were lower than those of the nude wound (P＜0.05).10d,15d and 20d after the surgery,the survival rate of skin sheets of the experimental was higher than that of the control group [(81.2±19.5,95.3±9.4,99.8±0.4)％ vs (72.4±7.6,84.6±10.4,97.2±2.3)％ t=3.493,6.340,9.251 P＜0.05].The complete healing time of the experimental group was statistically shorter than that of the control group [(14.1±2.0)d vs (17.2±2.5)d t=8.043 P＜0.05].The VAS scores during dressing change 5 and 10 days after the surgery of the experimental group were statistically lower than those of the control group [(3.3±0.7,5.0±0.6) vs (4.9±0.4,7.9±0.5) t=16.485,30.843 P＜0.05].Conclusion Compared with the vaseline oil gauze,the polyester gauze is more conducive to the healing of deep burn wounds after skin grafting,which can relieve the pain during the dressing change.So it is worth promoting.%目的:对比分析不同敷料对深度烧伤创面植皮后愈合情况的影响.方法:选取我院于2011年5月～2012年5月收治的69例深度烧伤并接受创面植皮的患者,选择患者身上2处大小为1％的邻近创面,将创面内层覆盖物为聚酰胺薄纱的所有创面作为实验组,内层覆盖物为凡士林油纱的创面作为对照组.对比分析两组术后的创面蒸发量、不同时间点的创面愈合率、创面愈合时间及换药时的疼痛情况.结果:术后5天,实验组内层敷料表面的蒸发量要明显少于对照组[(25.3 ±6.1)ml·h-1·m-2 vs (35.8 ±4.9)ml·h-1·m-2 t=11.147 P＜0.05],所有患者内层敷料表面的蒸发量要显著少于裸露创面(P＜0.05),但高于正常皮肤表面(P＜0.05);实验组术后10天,15天及20天的创面愈合率均高于对照组[(81.2±19.5,95.3±9.4,99.8±0.4)％ vs (72.4±7.6,84.6±10.4,97.2±2.3)％ t=3.493,6.340,9.251 P＜0.05],且创面完全愈合时间要显著短于对照组[(14.1±2.0)天vs (17.2±2.5)天t=8.043 P＜0.05];实验组术后5天换药及揭除内层敷料时的VAS评分要明显低于对照组[(3.3±0.7,5.0±0.6)vs (4.9±0.4,7.9±0.5),t=16.485,30.843 P＜0.05].结论:相比与传统的凡士林油纱,聚酰胺薄纱更有利于深度烧伤创面植皮后的愈合,且减轻了患者换药时的疼痛,值得推广.
展开▼
