摘要
目的探讨治疗大面积深Ⅱ度烧伤创面的新手术方法。方法将82例大面积深Ⅱ度烧伤患者随机分成两组,磨痂组(42例),削痂组(40例),磨痂组首次手术时间为伤后(15.2±11.4)h,削痂组为(52.6±12.5)h。以患者的尿量、心率和动脉血氧饱和度(SaO2)作为主要监测指标。结果磨痂组患者平均磨痂面积为(45.2±21.6)%TBSA,削痂组平均削痂面积为(42.1±18.7)%TBSA,两组比较差异无统计学意义(P>0.05)。两组患者术中尿量、心率和SaO2水平均处于相对平稳状态。磨痂组创面愈合时间平均(20.8±3.6)d,削痂组为(27.6±4.9)d,两组比较差异有统计学意义(P<0.05)。结论采用微创性磨擦的方法治疗大面积深Ⅱ度烧伤创面,具有操作简便、损伤轻、感染率低、并发症少、创面愈合快等特点,是一种较好的早期处理创面的方法。
Objective To investigate the new surgical treatment of large area deep 2° burns.Methods Patients with large area deep 2° burns（n=82）were randomly divided into two groups,namely group A,dermabrasion group（n=42）and group B tangential excision group（n=40）.The first surgery was performed post the burns at（15.2±11.4）h in group A and（52.6±12.5）h in group B,respectively.The observation measures included urine output,heart rate and arterial oxygen saturation（SaO2）.Results Group A had the average dermabrasion area of（45.2±21.6）%TBSA,and group B had the tangential excision area of（42.1±18.7）%TBSA.Intraoperative and postoperative measures remained stable.The average healing time was（20.8±3.6）d and（27.6±4.9）d in group A and B,respectively.Conclusion The use of minimally invasive treatment of large area deep 2° burns with dermabrasion,was superior in the easy operation,minimal damage,low rate of infection,less complications,and fast wound healing.
出处
《医学综述》
2010年第10期1594-1595,共2页
Medical Recapitulate
