纳米银无菌敷料在小儿深Ⅱ度烧伤创面的临床应用
Effect of nano-silver dressing in treatment of pediatric deep partial thickness burn
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摘要: 目的:探讨纳米银无菌敷料在小儿深Ⅱ度烧伤创面治疗中的作用。方法:80例深Ⅱ度烧伤患儿随机分为观察组和对照组,各40例。对照组使用银锌霜敷料,观察组创面使用纳米银无菌敷料,2组患者创面均隔日换药1次,换药时观察创面一般情况;比较2组患儿创面感染率,第7天高热发生率,以及创面自换药后第2、6、10、14、18天创面愈合率及创面愈合时间。结果:观察组细菌感染率、第7天高热症状发生率均低于对照组(P0.05和P0.01);与对照组相比较,观察组的创面愈合时间缩短,用药后第6、10、14天创面愈合率均增高(P0.01)。结论:纳米银无菌敷料抗感染效果好,能促进深Ⅱ度烧伤的创面愈合。Abstract: Objective: To explore the clinical effect of Nano-silver dressing in treatment of pediatric deep partial-thickness burn. Methods: A total of 80 patients with deep partial thickness burn were randomly divided into two groups,with 40 in each one. The control group was applied with silver zinc cream and the observation group was applied with nano-silver dressing. The dressing was changed every other day. The patients' bacteria infection, symptoms, the occurrence of high fever at 7th day and the healing time, recovering rate at 2nd,6th, 10th, 14th, 18th day were compared between the two groups. results: In the observation group, the bacteria infections and the occurrence of high fever at 7th day were significantly lower than the control(P < 0. 05 and P < 0. 01) ,and the healing time and recovering rate at 6th,10th and 14th day were superior to the control group(P < 0. 01) . Conclusions: Nano silver dressing is quite effective in counteracting infection and promoting the wound healing.