Meek植皮术及微粒皮移植术在特大面积深度烧伤创面治疗中的效果比较.docVIP

Meek植皮术及微粒皮移植术在特大面积深度烧伤创面治疗中的效果比较 (江苏省镇江市高等专科学校卫生护理学院江苏镇江212004) 【摘要】目的：对于特大面积深度烧伤的患者而言，研究并比较Meek 植皮术及微粒皮移植术两种临床治疗效果。方法：选取医院H 2013年12月-2015 年12月进行大面积深度烧伤治疗的患者106例，随机分为实验组和对照组，两 组患者均为53例。对照组患者治疗方式为微粒皮移植术；实验组患者治疗方式 为Meek植皮术，分别观察并记录两组患者的手术时间、创面愈合情况、植皮成 活率情况。结果：实验组患者手术时间平均值是(38.5plusmn;4.2) min,创面 愈合时间平均值是(20.1plusmn;4.9) d,植皮成活率94.8%;对照组患者手术 时间平均值为(80.3plusmn;5.6)min，创面愈合时间平均值是(36.9plusmn;5.2) do对照组植皮成活率是82.8%。通过对两种治疗方法治疗人面积深度烧伤的临 床效果比较，实验组与对照组治疗效果存在差异性(Plt;0.05)，有统计学意义。 结论：Meek植皮术实验的数据对比微粒皮移植术可以看出，对于治疗特大面积 深度烧伤这种疾病，Meek植皮术节约了皮源、降低了贴皮和手术时间、减少了 瘢痕形成、缩短了愈合时间，植皮的成活率更高，不但对患者的康复有利，而且 恢复后的创面更加美观，一定程度上减轻了患考的心理压力，在临床上有明显的 技术优势。 【关键词】Meek植皮术；微粒皮移植术；特人面积深度烧伤 【中图分类号】R62 【文献标识码】A 【文章编号】1007-8231 (2016) 24-0075-02 Comparison of Meek skin grafting and micro skin grafting in large area deep burn wound treatment [Abstract] Objective For large area deep burn patients, study and compare the Meek skin grafting and micro skin grafting of two kinds of clinical treatment. Methods 106 patients were selected for treatment of large area deep burn in our hospital from December 2013 -2015 December, were randomly divided into experimental group and control group, two groups of patients there were 53 cases. Patients in the control group treatment for micro skin grafting; treatment of patients in the experimental group for Meek skin grafting, were observed and recorded the operation time of the two groups of patients, the wound healing condition, the survival rate of skin grafting. Results The experimental group average operation time (38.5 plusmn; 4.2) min, the average healing time is (20.1 plusmn; 4.9) d 94.8%, the survival rate of skin graft; patients in the control group operation time average (80.3 plusmn; 5.6) min, the average healing time is (36.9 plusmn; 5.2) d. control group, the survival rate of skin graft is 82.8%. through clinical effect on two kinds of treatment methods in the treatment of large area deep burn, experimental group and control group differences in treatment effect (Plt