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目的:观察流体悬浮式烧伤治疗床对大面积烧伤救治的临床效果。方法:随机选取惠州市中心人民医院2013年7月至2017年5月收治的25~57岁大面积烧伤(烧伤面积≥50%总体表面积)患者48例,分成观察组和对照组各24例,对照组常规治疗,观察组休克期过后使用流体悬浮式烧伤治疗床治疗,分析比较两组患者基本指标、感染率(创面脓毒症和或败血症)和死亡率。结果:观察组患者在创面结痂时间、创面愈合时间、抗生素使用时间及感染期体温等基本指标中,均明显低于对照组,组间比较,差异具有统计学意义(P<0.05)。观察组患者感染率为8.33%,对照组患者感染率为50.00%,组间比较,差异具有统计学意义(P<0.05)。观察组患者死亡率0.00%,对照组死亡率8.33%。结论:流体悬浮式烧伤治疗床能够有效治疗大面积烧伤患者,创面愈合快,抗生素使用时间短且强度小,创面感染控制好,感染期平均体温低,病程生命征稳定,生存率高。
Objective: To observe the clinical effect of fluid suspension burn treatment on large area burn. Methods: Forty-eight patients (25 ~ 57 years old) with extensive burn (burn area≥50% of the total surface area) were randomly selected from Huazhong Central People’s Hospital from July 2013 to May 2017. They were divided into observation group (24 cases) and control group The patients in the control group were treated by fluid suspension burn treatment after the shock period. The basic indicators, infection rate (wound sepsis and / or sepsis) and mortality were compared between the two groups. Results: In the observation group, the scab time, wound healing time, antibiotic use time and body temperature during infection were all significantly lower than those in the control group. The differences between the two groups were statistically significant (P <0.05). In the observation group, the infection rate was 8.33%, while that in the control group was 50.00%. There was significant difference between the two groups (P <0.05). In the observation group, the mortality rate was 0.00% and that in the control group was 8.33%. CONCLUSION: The fluid suspension wound treatment bed can effectively treat patients with extensive burns. The wound healing is quick, antibiotic use time is short and strength is low, wound infection is well controlled, the average temperature during infection is low, the course of disease is stable and the survival rate is high.