生物敷料联合自体皮移植修复老年患者深度烧伤创面效果探讨(1)
[摘要]目的：探討生物敷料联合自体皮移植修复老年患者深度烧伤创面效果。方法：选择2012年6月-2016年8月笔者医院收治的80例老年深度烧伤患者为研究对象，随机分为观察组和对照组，每组40例。观察组采用生物敷料加自体皮移植进行治疗，对照组直接采用自体皮移植进行治疗。比较两组患者治疗效果、创面愈合时间、术后换药次数、上皮组织完全覆盖创面时间、住院时间、疼痛评分及并发症发生情况。结果：观察组治疗总有效率为97.50%高于对照组的80.00%，差异有统计学意义(P<0.05)；观察组患者创面愈合时间、术后换药次数、上皮组织完全覆盖创面时间、住院时间及疼痛评分均明显低于对照组，差异有统计学意义(P<0.05)；观察组患者并发症发生率为10.00%显著低于对照组的45.00%，差异有统计学意义(P<0.05)。结论：将生物敷料联合自体皮移植术应用于老年患者深度烧伤创面修复，可以有效促进创面愈合，提高疗效，减少并发症发生，值得临床推广应用。
[关键词]生物敷料；自体皮移植；修复；深度烧伤；创面；老年患者
, 百拇医药
[中图分类号]R622 [文献标志码]A [文章编号]1008-6455(2018)05-0039-03
Curative Efficacy of Biological Dressings Combined with Autogenous Skin Grafts in Treatment of Deep Burn Wound in Elderly Patients
LI Yun-jian，WEI Jing-yu，SHI Qiang，LIU Yue
(Department of Burns and Plastic Surgery，Changzhou Second People’s Hospital of Nanjing Medical University，Changzhou 213000，Jiangsu，China)
, 百拇医药 Abstract： Objective To study curative efficacy of biological dressings combined with autogenous skin grafts in treatment of deep burn wound in elderly patients. Methods 80 patients who have been treated by our hospital from June 2012 to August 2016 for the research object， randomly divided into the observation group and the control group， 40 cases in each group. The observation group was treated with biological dressings and self-skin grafts， and the control group was treated with direct self-skin transplantation. The efficacy， the time of wound healing， the number of postoperative changes， the total coverage time of the epithelial tissue， the length of hospital stay， the pain score and the complications of the two groups were compared. Results The total effective rate of the observation group was 97.50%， higher than that of the control group(80.00%)， the difference was statistically significant(P<0.05). The wound healing time， the frequency of dressing change， the time of covering the wound completely， the length of hospital stay and the pain score of the observation group were significantly lower than those of the control group(P<0.05). The incidence of complications in the observation group was 10.00%， which was significantly lower than that in the control group (45.00%，P<0.05). Conclusion The application of biological dressing combined with self-skin grafting in deep burn wound can effectively promote wound healing， improve curative effect， reduce complications， and is worthy of clinical application.
Key words： biological dressing； autologous skin graft； repair； deep burn； wound； elderly patients, 百拇医药(李云剑 危敬逾 史强 刘樾)
[关键词]生物敷料；自体皮移植；修复；深度烧伤；创面；老年患者
, 百拇医药
[中图分类号]R622 [文献标志码]A [文章编号]1008-6455(2018)05-0039-03
Curative Efficacy of Biological Dressings Combined with Autogenous Skin Grafts in Treatment of Deep Burn Wound in Elderly Patients
LI Yun-jian，WEI Jing-yu，SHI Qiang，LIU Yue
(Department of Burns and Plastic Surgery，Changzhou Second People’s Hospital of Nanjing Medical University，Changzhou 213000，Jiangsu，China)
, 百拇医药 Abstract： Objective To study curative efficacy of biological dressings combined with autogenous skin grafts in treatment of deep burn wound in elderly patients. Methods 80 patients who have been treated by our hospital from June 2012 to August 2016 for the research object， randomly divided into the observation group and the control group， 40 cases in each group. The observation group was treated with biological dressings and self-skin grafts， and the control group was treated with direct self-skin transplantation. The efficacy， the time of wound healing， the number of postoperative changes， the total coverage time of the epithelial tissue， the length of hospital stay， the pain score and the complications of the two groups were compared. Results The total effective rate of the observation group was 97.50%， higher than that of the control group(80.00%)， the difference was statistically significant(P<0.05). The wound healing time， the frequency of dressing change， the time of covering the wound completely， the length of hospital stay and the pain score of the observation group were significantly lower than those of the control group(P<0.05). The incidence of complications in the observation group was 10.00%， which was significantly lower than that in the control group (45.00%，P<0.05). Conclusion The application of biological dressing combined with self-skin grafting in deep burn wound can effectively promote wound healing， improve curative effect， reduce complications， and is worthy of clinical application.
Key words： biological dressing； autologous skin graft； repair； deep burn； wound； elderly patients, 百拇医药(李云剑 危敬逾 史强 刘樾)
参见：首页 > 医疗版 > 疾病专题 > 皮肤科 > 烧伤