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目的观察纳米银联用湿润烧伤膏湿性包扎治疗Ⅱ度烧伤的临床效果。方法 120例Ⅱ度烧伤患者,随机分成治疗组和对照组,各60例。治疗组创面采用纳米银联用湿润烧伤膏湿性包扎,对照组创面单用纳米银敷料包扎。对比两组患者治疗后的创面愈合情况。结果治疗组治疗7、14、21、28 d创面愈合率分别为13.3%、63.3%、86.7%、100.0%,均优于对照组的3.3%、45.0%、58.3%、91.7%,差异均有统计学意义(P<0.05)。治疗组治疗7 d创面效果优于对照组,差异有统计学意义(P<0.05)。结论Ⅱ度烧伤创面选用纳米银敷料+湿润烧伤膏湿性包扎,符合创面湿性愈合规律,充分体现了湿性疗法的优势,较单用纳米银包扎疗效好,值得临床推广。
Objective To observe the clinical effect of nano-silver combined wet burn wound ointment in the treatment of second-degree burns. Methods A total of 120 patients with grade Ⅱ burn were randomly divided into treatment group and control group, 60 cases each. The wounds of the treatment group were wet-bandaged with nano-silver combined with MEBO, while the wounds of the control group were wrapped with nano-silver dressing alone. The healing of wounds in both groups was compared. Results The wound healing rates in the treatment group at 7, 14, 21 and 28 days were 13.3%, 63.3%, 86.7% and 100.0%, respectively, which were significantly better than those in the control group at 3.3%, 45.0%, 58.3% and 91.7% Statistical significance (P <0.05). The treatment group 7d treatment wound surface better than the control group, the difference was statistically significant (P <0.05). Conclusion The wounds treated with second-degree burn wounds were wet-packed with nano-silver dressing and MEBO, which accorded with the healing rules of wounds. It fully reflected the advantage of moist therapy and was worthy of clinical promotion.