头部取皮创面处理方法的临床观察.doc

头部取皮创面处理方法的临床观察 刘玉丽 郑州人民医院整形外科，河南郑州450003 摘要目的研究液超妥联合痊愈妥对头部首次取皮创面的临床治疗效果。方法以70例头部首次取皮、创面深度相同的患者为研究对象，行抛硬币法将其划分为两组。观察组取皮完成后，以液超妥联合痊愈妥为敷料，覆盖创面；对照组仅以凡士林油纱覆盖。两组敷料均由弹力帽固定，且敷料按要求定期更换。统计创面愈合时间、第一次更换敷料时疼痛程度及各类并发症出现率。结果观察组创面愈合时间（4.281.09）d，显著性短于对照组（7.231.27）d，首24h疼痛消失及渗出液消失者均显著性多余对照组；观察组VAS评分（3.170.22）分，显著性低于对照组（5.041.24）分；观察组未出现疼痛、感染、再损伤等并发症，对照组并发症率34.3%（12/35）。上述对比，观察组均占优势，差异具备统计学意义（P0.05）。结论以液超妥藻酸盐敷料联合痊愈妥粘性敷料，处理头部首次取皮创面，临床效果显著，对缩短愈合时间、减轻患者痛感、降低并发症出现率均有积极意义，值得推广。 关键词头部取皮创面；液超妥；痊愈妥；愈合 R622.1A1672-5654（xx）08（a）-0026-02 Theclinicalobservationofheadskinwoundtreatment LIUYuli Zhengzhoupeopleshospitalplasticsurgery,Henan450003,China AbstractObjectiveTostudytheclinicaltreatmenteffectofAlgisiteMCalciumAlginateDressingbinedwithAllevynAdhesiveDressingtowoundoffirsttimeharvestinggraftsfromthescalp.Methods70casesofpatients,whogotharvestinggraftsfromthescalpwiththesamewounddepthwereselectedastheresearchobject.Bytossingcoins,theyweredividedintotwogroups.Afterfinishingharvestinggrafts,theobservationgrouptookAlgisiteMCalciumAlginateDressingbinedwithAllevynAdhesiveDressingassurgicaldressingtocoverthewound,whilethecontrolgrouponlywithvaselinegauzecover.Bothgroupsdressingwerefixedbyelasticcap,andthedressinggotregularreplacement.Thetimeofwoundhealing,thedegreeofpaininfirsttimedressingreplacement,plicationsourringrateofbothgroupswererecorded.ResultsIntheobservationgroup,thewoundhealingtimewas(4.281.09)d,significantlyshorterthanthecontrolgroups(7.231.27)d,andduringthefirst24h,therateofpaindisappearedandexudatedisappearedweresignificantlyhigherthanthatofthecontrolgroup.TheobservationgroupsVASscorewas(3.170.22)points,significantlylowerthanthecontrolgroups(5.041.24)points.Therewerenopain,infection,injuryandotherplicationsintheobservationgroup,whilit