悬浮床辅助治疗小儿重度烧伤.pdfVIP

·276· 医学临床研究 2008年2月 第25卷 第2期 J Clin Res，Feb．2008，Vol 25，№2 · 论著· 悬浮床辅助治疗小儿重度烧伤 毛学飞 孙曙光 王静 王良喜 邓向东 孙勇 (解放军第九七医院烧伤整形科，江苏 徐州 221004) [摘要]【目的】研究悬浮床在辅助治疗小儿重度烧伤患者中的应用价值。【方法】将34例患者随机分为 试验组和对照组，对照组惠儿清创后卧普通翻身床，按普通翻身床护理，试验组清创后卧悬浮床，按悬浮床护 理。对两组患者的创面干痂时间、创面愈合时间、翻身耗时和创面感染情况进行比较。【结果】试验组患儿的 创面干痂时间和愈合时间为(54．11±9．36)h和(26．62±4．45)h，对照组为(187．39±20．31)h和(39．45±4． 29)h，两组相比差异有显著性(PO．05)。对照组翻身消耗时间为(74．46±5．31)min／d。试验组创面细茵 培养阳性率为17．6％，对照组为47．1 ，两组相比差异有显著性(PO．05)。【结论】悬浮床可以有效地保护 创面，减轻重度烧伤惠儿的痛苦，降低护理难度，因而在重度烧伤的救治中具有一定的应用价值。 [关键词] 烧伤／治疗 Application of Air-fluidized Bed in Treating Severe Burn Children MAO Xue—fei， SUN Shu—guang。 WANG J ing， al(Department of Burns and Plastic Surgery，Chinese Peoples Liberation Army 97 Hospital。Xuzhou 221004，Ch ina) I-Abstract][Objective]To investigate the value of air-fluidized for adjunctive therapy of severe burn chil— dren．[MethodslThirty four patients were randomly divided into the trial group and the control group．After debriding，the patients in the trial group lied on air-fluidized bed and received the routine nursing，while the controls lied on common rotating bed and received corresponding nursing．The scabbing time，concrescence time，burn wound infection and the time of turning over were compared between two groups．【Resu1ts】Scab— bing and concrescence time in the trial group were 54．11±9．36h and 26．62±4．45h respectively，and those in the control group were 187．39±20．31h and 39．45±4．29h respectively．The difference had statistical signifi— cance(PO．05)．Moreover the time of turning over in the contro1 group was 74．46±5．31min／d．Positive rate of bacteria1 culture was 17．6％in the tria1 group，which was 1ower than that(47．1％)of the contro1 group(PO．05)．【Conc1usion】Air_f1uidized bed can effectively protect the burn wound，and relieve the suf— fering of severe burn children，and cut down difficulty of nursing．Conse