巴楚医学

目的：探讨脂质水胶体敷料联合复方紫草油治疗浅二度烫伤患者的临床疗效。方法：选择2021年12月—2022年11月就诊于宜昌市中心人民医院的85例浅二度烫伤患者，根据是否联用脂质水胶体敷料随机分为两组，其中仅用复方紫草油浸透纱布覆盖的为对照组(n=42);创面内层用脂质水胶体敷料，外层用复方紫草油浸透纱布覆盖为观察组(n=43)。比较两组患者第3次换药时，创面出血程度、换药即时痛和换药10 min后疼痛程度、敷料粘连程度、愈合时间及渗出时间等情况。结果：两组患者出血程度、换药即时痛、换药10 min痛和粘连程度有明显差异，其中观察组患者无出血、无换药10 min痛和无粘连的比例明显高于对照组(均P<0.05);观察组患者愈合时间较对照组明显缩短[(9.09±1.43)天vs (11.05±1.71)天](P<0.05)。结论：脂质水胶体敷料联合复方紫草油治疗浅二度烫伤可有效减轻出血、缓解疼痛，加快创面恢复，值得进一步推广应用。

Objective: To explore the clinical efficacy of lipid hydrocolloid dressings combined with compound shikonin oil in the treatment of patients with superficial second-degree burns. Methods: A total of 85 patients with superficial second-degree burns who were treated in Yichang Central People's Hospital from December 2021 to November 2022 were selected and randomly divided into two groups according to whether lipid hydrocolloid dressings were used in combination. The control group(n=42) was covered with gauze soaked in compound shikonin oil only, while the observation group(n=43) was covered with lipid hydrocolloid dressings on the inner layer of the wound and gauze soaked in compound shikonin oil on the outer layer. The wound bleeding degree, immediate pain during dressing change, pain score 10 minutes after dressing change, dressing adhesion degree, healing time, and exudation time were compared between the two groups at the third dressing change. Results: There were significant differences in bleeding degree, immediate pain during dressing change, pain 10 minutes after dressing change, and adhesion degree between the two groups. The proportion of patients with no bleeding, no pain 10 minutes after dressing change, and no adhesion in the observation group were significantly higner than those in the control group(all P<0.05). The healing time of the observation group was significantly shorter than that of the control group [(9.09±1.43) days vs(11.05±1.71) days](P<0.05). Conclusion: The combined use of lipid hydrocolloid dressings and compound shikonin oil in the treatment of superficial second-degree burns can effectively reduce bleeding, alleviate pain, and accelerate wound healing, which is worthy of further promotion and application.