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目的:观察光子治疗仪应用于小面积Ⅱo烧伤创面的临床效果。方法:选择60例小面积Ⅱo烧伤患者,将其随机分为观察组和对照组,每组30例。对照组患者创面给予常规清创换药处理;观察组患者创面在光子治疗仪照射治疗的基础上,再采用与对照组相同的清创换药处理,观察并记录两组患者治疗1周内创面操作性疼痛,采用数字等级量表(NRS)评分法对患者1周内创面渗液浸湿纱布的平均层数及创面完全上皮化的时间进行分析。结果:观察组患者创面治疗1周内创面平均每日的操作性疼痛数字评分明显低于对照组,差异有统计学意义(t=23.976,P<0.01);观察组患者创面治疗1周内平均每日创面渗液浸湿纱布的层数明显少于对照组,差异有统计学意义(t=13.227,P<0.01);观察组患者创面完全上皮化时间明显短于对照组,差异有统计学意义(t=15.786,P<0.01)。结论:Ⅱo烧伤创面应用光子治疗仪照射治疗后创面操作性疼痛明显缓解,舒适度提高,同时创面渗液量减少,烧伤创面完全上皮化的时间缩短,值得临床推广应用。
Objective: To observe the clinical effect of photon therapy device applied to small area IIo burn wounds. Methods: Sixty patients with small area Ⅱo burn were selected and randomly divided into observation group and control group, 30 cases in each group. The patients in the control group were treated with conventional debridement dressing. The wounds in the observation group were treated with the photon therapy instrument, and then the same debridement dressing treatment as the control group. The wounds of the two groups were observed and recorded within 1 week Operative pain was assessed by the NRS score on the average number of wounds impregnated with gauze and wounds completely epithelialized within one week. Results: The daily average number of operative pain in the wound surface in the observation group was significantly lower than that in the control group (t = 23.976, P <0.01), and the average wound healing rate in the observation group within 1 week The number of layers of wet gauze in daily wound exudate was significantly less than that of the control group (t = 13.227, P <0.01). The complete epithelization of the wound surface in the observation group was significantly shorter than that in the control group Significance (t = 15.786, P <0.01). Conclusion: The operation pain of Ⅱo burn wound treated with photon therapy was significantly relieved, the comfort was improved, the exudation of wound was reduced and the time of full epithelization of burn wound was shortened, which deserved clinical application.