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目的观察应用微动力负压技术(MDNPWT)在婴幼儿深Ⅱ度烧伤创面的临床疗效。方法回顾分析第二军医大学长海医院烧伤科病房2014年1月至2015年6月采用MDNPWT治疗的7例婴幼儿深Ⅱ度烧伤患者(MDNPWT组)和同期采用常规换药治疗的14例婴幼儿深Ⅱ度烧伤患者(对照组)的临床资料,对两组创面愈合时间、换药次数及费用、手术干预率及疼痛评分进行比较。结果 MDNPWT组和对照组开始治疗至创面愈合时间分别为(25.3±13.3)d和(19.6±18.9)d,1%TBSA愈合时间分别为(9.8±4.3)d和(13.2±10.8)d,1%TBSA治疗费用分别为(11141.4±7233.2)元和(15545.6±9422.8)元,以上指标两组之间差异均无统计学意义(P值均大于0.05);MDNPWT组换药次数、换药时疼痛评分及手术干预率分别为(7.3±5.6)次、(4.07±0.64)分、0,对照组分别为(20.8±6.3)次、(7.05±0.37)分、64.29%,两组比较差异均有统计学意义(P值均小于0.05)。结论 MDNPWT具有减少换药次数、减轻换药时疼痛及降低婴幼儿深Ⅱ度烧伤创面手术率等优点。与常规换药法比较,在愈合时间及治疗费用上无明显差异,可作为婴幼儿患者深Ⅱ度烧伤创面治疗安全有效的新方法。
Objective To observe the clinical efficacy of MDNPWT in infants with deep second degree burn wounds. Methods A retrospective analysis of 7 infants with deep second degree burn (MDNPWT group) treated with MDNPWT from January 2014 to June 2015 in burn department ward of Changhai Hospital of the Second Military Medical University and 14 infants and toddlers treated with routine dressing change during the same period The clinical data of patients with deep second degree burn (control group) were compared between the two groups in terms of the wound healing time, dressing frequency and cost, surgical intervention rate and pain score. Results The healing time from the beginning of treatment to the wound healing in MDNPWT group and control group were (25.3 ± 13.3) days and (19.6 ± 18.9 days), respectively. The healing time of 1% TBSA was 9.8 ± 4.3 days and 13.2 ± 10.8 days, respectively % TBSA treatment costs were (11141.4 ± 7233.2) yuan and (15545.6 ± 9422.8) yuan, the above indicators were no significant difference between the two groups (P values were greater than 0.05); MDNPWT group dressing change, dressing pain (7.3 ± 5.6) and (4.07 ± 0.64) and 0 (0) in the control group were (20.8 ± 6.3) and (7.05 ± 0.37) and 64.29% respectively, there was significant difference between the two groups Statistical significance (P values were less than 0.05). Conclusion MDNPWT has the advantages of reducing the number of dressing changes, reducing the pain during dressing change and reducing the operation rate of deep second degree burn wounds in infants. Compared with the conventional dressing method, there is no significant difference in healing time and treatment cost, which can be used as a safe and effective new treatment for deep second degree burn wounds in infants and young children.