富含血小板血浆创面外敷在深Ⅱ度烧伤创面治疗中的应用效果
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杨波(1983.5-),男,山东沂水人,本科,主治医师,主要从事烧伤整形与创面修复工作

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牟建勋(1983.2-),男,山东日照人,本科,主治医师,主要从事骨科与疼痛科相关工作

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R644

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Application effect of External Application of Platelet-rich Plasma in the Treatment of Deep Second-degree Burn Wound
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    摘要:

    分析富含血小板血浆创面外敷在深Ⅱ度烧伤创面治疗中的应用效果。方法 选取临沂市第三 人民医院2021年5月-2023年5月收治的94例深Ⅱ度烧伤患者为研究对象,按照随机数字表法分为对照组与 观察组,各47例。对照组予以磺胺嘧啶银软膏创面外敷,观察组予以富含血小板血浆创面外敷,比较两 组创面愈合情况、敷料渗液及换药情况、创周炎性反应阳性率及不良反应发生情况。结果 观察组第11、 14、17天创面愈合率高于对照组,创面愈合时间短于对照组,差异有统计学意义(P<0.05);观察组敷料 渗湿纱布层数、换药次数、内层纱布更换次数少于对照组,差异有统计学意义(P<0.05),观察组创周炎 性反应阳性率为4.26%,低于对照组17.02%,差异有统计学意义(P <0.05);两组治疗期间均未发生不良 反应。结论 富含血小板血浆创面外敷能够促进深Ⅱ度烧伤患者创面愈合,缩短创面愈合时间,减少换药 次数,降低炎性反应发生风险,且安全性较高,值得临床应用。

    Abstract:

    To analyze the application effect of external application of platelet-rich plasma in the treatrnent of deep second-degree burn wounds. Methods A total of 94 patients with deep second-degree burns admitted to the Third People's Hospital of Linyi City from May 2021 to May 2023 were selected as the research objects. According to the random number table method, they were divided into control group and observation group, with 47 patients in each group. The control group was treated with sulfadiazine silver ointment for external application, and the observation group was treated with platelet-rich plasma for external application. The wound healing, dressing exudate and dressing change, positive rate of peri-wound inflammatory reaction and adverse reactions were compared between the two groups. Results The wound healing rate of the observation group was higher than that of the control group on the 11th, 14th and 17th day, and the wound healing time was shorter than that of the control group,and the differences were statistically significant (P <0.05). The number of layers of wet gauze, the number of dressing changes, and the number of inner gauze replacements in the observation group were less than those in the control group, and the differences were statistically significant (P <0.05). The positive rate of peri-wound inflammatory reaction in the observation group was 4.26%, which was lower than 17.02% in the control group, and the difference was statistically significant (P <0.05). No adverse reactions occurred during the treatment in the two groups. Conclusion External application of platelet-rich plasma can promote wound healing in patients with deep second-degree burns, shorten wound healing time, reduce the number of dressing changes, and reduce the risk of inflammatory reactions. It is safe and worthy of clinical application.

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杨波,牟建勋.富含血小板血浆创面外敷在深Ⅱ度烧伤创面治疗中的应用效果[J].医学美学美容,2024,33(2):5-8.

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  • 在线发布日期: 2024-02-26
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