| 张海燕,兰 超,李 颖.湿润烧伤膏在口腔颌面部狗咬伤一期缝合术后创面中的应用效果分析[J].中国烧伤创疡杂志,2021,(5):340~342. |
| DOI： |
| 中文关键词: 口腔颌面部 狗咬伤 湿润烧伤膏 一期缝合 创面 |
| 英文关键词:Oral and maxillofacial region Dog bites MEBO Primary suture Wound |
| 基金项目: |
|
| 摘要点击次数: 1742 |
| 全文下载次数: 4497 |
| 中文摘要: |
| 【摘要】 目的 探讨湿润烧伤膏在口腔颌面部狗咬伤患儿一期缝合术后创面中的应用效果。方法 选取2016 年5 月至2019 年5 月郑州大学第五附属医院收治的86 例口腔颌面部狗咬伤患儿作为研究对象, 并按照随机数表法将其随机分为试验组与对照组, 每组43 例, 试验组患儿狗咬伤创面于一期清创缝合术后采用湿润烧伤膏换药治疗, 对照组患儿狗咬伤创面于一期清创缝合术后采用常规外科换药治疗, 对比两组患儿感染发生情况?面部功能评分及瘢痕增生情况。结果 试验组患儿术后感染率为2.33%, 明显低于对照组患儿的术后感染率13.95% (χ2 =3.888, P=0.049); 治疗结束后, 试验组患儿面部功能评分为(3.57±0. 53) 分, 明显高于对照组患儿的面部功能评分(3.22 ± 0.58) 分(t = 2.921, P= 0.005); 试验组患儿面部瘢痕评分为(2.67 ± 0.96)分, 明显低于对照组患儿的面部瘢痕评分(3.38 ±1.17) 分(t = 3.206, P= 0.002)?结论 口腔颌面部狗咬伤患儿一期缝合术后创面采用湿润烧伤膏治疗, 能够改善面部功能及美观度, 降低术后感染率, 疗效显著。 |
| 英文摘要: |
| 【Abstract】 Objective To investigate the efficacy of MEBO in the treatment of postoperative wounds of primarysuture for dog bites at the oral and maxillofacial region. Methods 86 pediatric patients with dog bites at the oral and maxillofacial region, admitted to The Fifth Affiliated Hospital of Zhengzhou University from May 2016 to May 2019, were enrolledand divided into experiment group (n =43) and control group (n =43) using random number table. The dog bite wounds in experiment group were treated with the dressing change of MEBO after the primary suture, whereas the control group were treated with routine surgical dressing change. The infection occurrence, facial function score and scar hyperplasia were compared between the two groups. Results The postoperative infection rate in experiment group was 2. 33%, obviously lowerthan 13.95% in control group (χ2 =3.888, P =0. 049). After treatment, the facial function score in experiment group was(3.57 ±0.53) points, significantly higher than (3.22 ± 0.58) points in control group (t = 2.921, P = 0.005), and thescar scale score in experiment group was (2.67 ±0.96) points, markedly lower than (3.38 ±1.17) points in control group(t =3. 206, P =0.002). Conclusion Treatment of postoperative wound of the primary suture for dog bites at the oral and maxillofacial region with MEBO showed high efficacy in improving the facial functions and appearance of patients, and decreasing the postoperative infection rate. |
|
|
|
|
