水凝胶烧伤敷料的临床应用目的验证自研水凝胶烧伤敷料的临床使用效果方法试验组与对照组各29例，其中试验组中患者年龄为16~62岁，平均年龄39.41（岁标准差11.81岁）；深II度创面9例，浅II度创面20例；使用面积在10%~30%之间的8例，使用面积<10%的21例；致伤原因为火焰、热液、化学伤、电弧伤；使用部位为颈部、前胸、后背、上肢、手、下肢和足等部位。
对照组中，患者年龄为15~60岁，平均年龄38.57岁（标准差12.30岁）；深II度创面10例，浅II 度创面19例；使用面积>30%的3例，在10%~30%之间的15例，<10%的11例；致伤原因、使用部位同试验组。
试验组创面以洗必泰清创除了，引流水泡，去除坏死表皮，用水凝胶敷料覆盖，外加无菌纱布包扎，根据创面渗出情况更换敷料，直至创面愈合；对照组创面用SD-Ag冷霜纱布代替水凝胶敷料，余同试验组。
全过程由2名专科医生观察记录该敷料的止痛效果、水肿减轻程度、抗感染效果、渗液引流效果、揭除敷料情况、坏死表皮清除情况、创面愈合时间等及是否出现其他毒副反应，并与对照组进行比较。
结果试验组在止痛、消除水肿、抗感染、引流渗液、抗粘连、清除坏死表皮、促进创面愈合等方面与对照组相比没有显著差异（P>0.05)。
该水凝胶烧伤敷料在个别早期渗出较多的创面引流效果欠佳，经开大引流口可得到改善。
结论该水凝胶烧伤敷料是一种使用方便、临床有效的烧伤创面保护材料。
Clinical application of hydrogel burn dressingThe purposeVerify that since the inquiry hydrogel burn dressing clinical use of effectsMethodExperimental group and control group 29 cases, including patients aged 16 to 62 years in the test group, the average age of 39.41 (standard deviation age of 11.81 years old); deep II degree wounds 9 cases, 20 cases of shallow wounds II; the use of space in 10 8 cases% to 30% between the use of an area <10% of the 21 cases; causes of injury to the flame, hydrothermal, chemical burns, arc hurt; the use of the site for the neck, chest, back, upper limbs, hands, lower limbs and feet and other parts. The control group, patients aged 15 to 60 years, mean age 38.57 years (SD 12.30 years); 10 cases of deep II degree wounds, superficial wounds degree II 19 cases; use area> 30% of the three cases, 10% to 15 cases between 30% and <10% of the 11 cases; causes of injury, the use of the site with the test group. Test group wound debridement in addition to chlorhexidine, drainage blisters, remove dead skin, water gel dressing, plus a sterile gauze bandage, dressing change according to circumstances wound exudate, until wound healing; control group, wound cold with SD-Ag hydrogeldressing gauze instead of cream, I with the test group. The whole process by two specialists observe and record the analgesic effect of the dressing, the degree of edema, anti-infective effect, exudate drainage effect, strippable dressing case, remove the skin necrosis, the healing time, etc., and whether other toxicities, and the control group for comparison. The resultsThere was no significant difference (P> 0.05) in the experimental group in terms of pain, reduce swelling, antibiotics, drainage of exudate, anti-adhesion, removal of necrotic skin and promote wound healing compared with the control group. The hydrogel burn dressing in more individual early exudative wound drainage ineffective, through the open mouth of a large drainage can be improved.In conclusionThe hydrogel burn dressing is an easy to use, clinically effective protective material burns.。
