目的:研究儿童烧伤的合理用药途径.方法:68例烧伤患儿,根据用药状况分为湿润暴露疗法(n=36)和非湿润暴露疗法(n=32),分析用药后患儿的一般状况、细菌感染情况、生化指标和C反应蛋白(CRP)的结果.结果:68例患儿均治愈出院.采用湿润暴露疗法在治疗过程中住院时间和住院费用低于非湿润暴露疗法组,t值分别为:2.33、2.43,且P值均小于0.05.烧伤总面积和Ⅱ度面积来看:治疗前两组的差异没有统计学意义,t值分别为0.23和0.14,P均大于0.05;治疗后的t值分别为:2.62、2.01,P均小于0.05.从两组的生化指标来看,湿润暴露疗法患儿的蛋白丢失的状态得以逐渐恢复、黄疸逐渐消失、应激反应逐渐降低,效果比非湿润暴露疗法更加显著(P＜0.05).结论:我们的湿润暴露疗法方法效果佳,优于非湿润暴露疗法,可以对烧伤患儿进行有效的治疗.%Objective:To study the way of children burn rational drug use. Methods:68 cases of burn patients in children, according to medication status into moist exposed therapy (n = 36) and non-moist exposed therapy (n = 32), analysis of the general condition of patients after treatment, bacterial infection, biochemical, and C-reactive protein (CRP). Results:68 cases of children were cured. The use of moist exposure therapy in the treatment process hospitalization and hospital costs than non-moist exposed therapy group, t=2.33, 2.43, and P< 0.05. II degree burns of the total area and area of view:the difference between the two groups before treatment was not statistically significant, t=0.23, 0.14, and P> 0.05. After treatment, t=2.62, 2.01, and P< 0.05. From the two sets of biochemical indicators, moist exposed therapy in children with protein-losing state can be gradually restored, the gradual disappearance of jaundice, decreased stress, effect of exposure therapy is more moist than the non-significant (P <0.05). Conclusion:The moist exposure therapy is better than the non-moist exposure therapy, can be effective for the treatment of burns in children.
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