烧伤止痛膏治疗浅Ⅱ度烧伤创面疗效观察

摘要

目的：观察应用烧伤止痛膏治疗浅Ⅱ度烧伤创面的临床有效性与安全性。方法84例浅Ⅱ度烧伤患者随机分为试验组和对照组,各42例。试验组创面选用烧伤止痛膏纱布敷料包扎治疗,对照组选用凡士林油纱布包扎治疗,观察用药后的疗效和安全性指标。并采用视觉模拟评分法(VAS)对患者创面总体疼痛感觉进行评价。结果试验组和对照组的7d创面愈合率分别为(65.39±22.86)%和(41.06±23.10)%,创面愈合时间分别为(10.03±2.38)d和(12.54±2.30)d,两组相比差异有统计学意义(P<0.01)。试验组创面换药27例患者感轻微疼痛, VAS评分为≤3分；对照组30例创面换药时感到明显疼痛, VAS评分3~6分(P<0.01)。试验组未见毒副作用和不良反应。结论烧伤止痛膏治疗浅Ⅱ度烧伤创面安全有效,明显减轻患者的疼痛。%Objective To observe the clinical effect and safety of the burn analgesic ointment in the treatment of patients with superficial second-degree burn wounds. Methods A total of 84 cases of superficial second-degree burn wounds were randomly divided into experimental group and control group, and each group contained 42 cases. The experimental group received burn analgesic ointment mullauflage bandage, and the control group received petrolatum mullauflage bandage. The curative effects and safety were observed, and visual analogue scales (VAS) was applied to evaluate the wound pain scores. Results The 7 d healing rates of the two groups were (65.39±22.86)%and (41.06±23.10)%, and the wound healing time of the two groups were (10.03±2.38) d and (12.54±2.30) d, the differences between the two groups had statistical significant (P<0.01). There were 27 cases with slight pain in the experimental group and the VAS score was≤3 point. There were 30 cases with obvious pain in the control group and the VAS score was 3~6 point (P<0.01). There were no toxic and side effects or adverse reactions in the experimental group. Conclusion The application of burn analgesic ointment in the treatment of burn wounds of patients with superficial second-degree burn is safe and effective and can relieve pain sensation during dressing change.