论文部分内容阅读
目的比较不同的创面治疗方法对烧伤休克期体液变化及液体复苏的影响。方法随机选择烧伤面积为30%TBSA~90%TBSA的严重烧伤患者,分别采用烧伤再生医疗技术(A组,30例)和传统的磺胺嘧啶银霜抗炎疗法(B组,30例)治疗,通过计算机模拟分析两组患者休克期体液变化及液体复苏情况,比较治疗效果。结果 A组患者休克期补液量、净体重增加量(水肿)、平均住院时间、医疗赞用情况和全身感染性脓毒血症发生率均明显低于B组,差异有统计学意义(P<0.05)。虽然A组患者尿量多于B组、休克征象发生率低于B组,但P>0.05,差异无统计学意义。结论 在重度烧伤治疗中,不同的创面治疗方法对烧伤休克期患者体液变化、复苏及预后均有影响,烧伤再生医疗技术比磺胺嘧啶银霜抗炎疗法更有利于减轻烧伤对患者体液的影响以及液体复苏、稳定有效血容量和改善预后。
Objective To compare the effects of different wound treatments on body fluid changes and fluid resuscitation during burn shock. Methods Severe burns with a burn area of 30% TBSA to 90% TBSA were randomly selected and treated with burn regenerative medicine (group A, 30 cases) and conventional anti-inflammatory therapy with silver sulfadiazine (group B, 30 cases) By computer simulation analysis of two groups of patients during the shock fluid changes and fluid resuscitation, the treatment effect was compared. Results In group A, the volume of fluid replacement during recuperation, net body weight gain (edema), average length of hospital stay, medical approval and systemic septic sepsis were significantly lower than those in group B (P < 0.05). Although the urine volume of patients in group A was more than that in group B, the incidence of shock signs was lower than that in group B, but P> 0.05. The difference was not statistically significant. Conclusions In the treatment of severe burn, different methods of wound treatment have effects on changes of body fluid, resuscitation and prognosis in burn shock patients. The regenerative medical technology of burn injury is more beneficial than the anti-inflammatory therapy of sulfadiazine silver cream in reducing the impact of burn on the patient’s body fluid and Liquid resuscitation, stable and effective blood volume and improve prognosis.