四肢轻度烧伤在社区门诊护理.docVIP

四肢轻度烧伤在社区门诊护理【摘要】 目的 观察比较四肢轻度烧伤创面的两种换药护理疗效。方法 选择四肢轻度烧伤患者120例，随机分为治疗组和对照组各60例，治疗组采用凡士林纱浸透0.5%碘伏后湿敷包扎处理创面；对照组采用湿润烧伤膏涂抹创面后凡士林纱覆盖敷料包扎，观察创面愈合情况。结果 治疗组烧伤创面总有效率达100%。对照组烧伤创面总有效率为80%。两组在总有效率上差异有统计学意义（P＜0.01）。结论 凡士林纱与碘伏配用包扎治疗四肢轻度烧伤创面能有效控制感染，促进创面愈合。? 【关键词】 四肢；轻度烧伤；护理?? Four limbs first-degree burn in community outpatient service nursing ZHONG Cui-chan.The Second People’s Hospital in Baiyun District of Guangzhou, Guangzhou 510450,China 【Abstract】 Objective The observation comparison four limbs first-degree burn injured areas two kinds trade the medicine nursing curative effect . Methods To select 120 patients with slight burn wound on their four l The observation comparison four limbs first-degree burn injured area?s two kinds trade the medicine nursing curative effect . imbs and divide them into two groups randomly-the experimental group and the control group which both have 60 examples. The experimental group were treated by using the Vaselinum ribbon gauze which is soaked by 0.5% iodine to hydropathic compress and bind up the wound surface. The control group were treated by wraping up the wound surface with the aseptic Vaselinum ribbon gauze and the surgical dressing after daubing the moist ointment on it,and then observed the healing condition of the burn wound. Results The response rate of the experimental group was 100%, and the Control group80% efficient.There is significant difference on efficiency in two groups(P＜0.01). Conclusions The binding treatment of slight burn wound on four limbs by Vaselinum ribbon gauze and iodine is a significant way to control the infection and to promote to heal up the burn wound. ? 【Key words】 Four limbs;Slight burn wound;Nursing 烧伤通常指单纯因热力，如火焰、热液、热蒸汽、热金属物体等所致的组织损伤[1]。轻度烧伤由于面积小，较浅表，除疼痛刺激外对全身影响不明显，可作门诊处理。若处理不当，易发生感染化脓，延迟愈合，增加患者痛苦。近年来, 碘伏广泛应用于手术人员手臂消毒、创面消毒、换药、甚至深部创面的消毒，是清创消毒、预防感染最理想的药液[2]。广州市白云区第二人民医院社区门诊采用凡士林纱与碘伏配用包扎治疗四肢轻度烧伤收到良好的效果，现报告如下。? 1 对象? 2006年1月至2008年6月本院社区门诊收治轻度烧伤患者120例,随机分成治疗组和对照组各60例, 治疗组：男36例,女24例,年龄2 ~