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目的探讨银锌霜抗菌巾联合浸浴治疗烧伤创面的临床效果。方法选择Ⅱ度烧伤患者30例,随机分成2组,观察组采用银锌霜抗菌巾联合浸浴治疗;对照组采用单纯银锌霜抗菌巾治疗。观察创面愈合时间、患者疼痛度、1年后对患者随访瘢痕增生情况。结果银锌霜抗菌巾联合浸浴治疗效果明显优于对照组。观察组创面愈合时间浅Ⅱ度(8.40±1.59)d明显短于对照组(11.07±2.22)d(P=0.001),深Ⅱ度(18.67±2.41)d明显短于对照组(22.07±3.35)d(P=0.003),平均愈合时间提前3~5d;患者疼痛度明显减轻(P=0.002)。1年后随访患者证实色素沉着较轻,愈合创面瘢痕增生少。结论银锌霜抗菌巾联合浸浴治疗烧伤创面能加速创口的上皮化愈合和提高创面愈合质量。
Objective To investigate the clinical effect of silver-zinc cream antibacterial towel combined with immersion bath on burn wounds. Methods Thirty patients with grade Ⅱ burn were randomly divided into 2 groups. The observation group was treated with silver-zinc cream antibacterial towel combined with immersion bath. The control group was treated with silver-zinc cream antibacterial towel. The healing time of the wounds, the degree of pain of the patients and the status of scar hyperplasia after one year were observed. Results Silver-zinc cream antibacterial towel combined with bathing effect was significantly better than the control group. The wound healing time in the observation group was significantly shorter than that in the control group (8.40 ± 1.59) d and significantly shorter than that in the control group (11.07 ± 2.22) d (P = 0.001) and depth Ⅱ (18.67 ± 2.41) d d (P = 0.003). The average healing time was 3 ~ 5 days earlier. The patient’s pain relief was significantly reduced (P = 0.002). Follow-up 1 year later confirmed that patients with pigmentation less, scar wound healing less healing. Conclusion The combination of silver-zinc cream anti-bacterial towel and immersion bath for wound healing can accelerate the wound healing and improve the wound healing quality.