[摘要]目的：探究自粘性软聚硅酮银离子泡沫敷料对局部Ⅱ度烧伤患者创面修复效果及心理状态的影响。方法：选取2021年4月-2024年4月笔者医院收治的80例局部Ⅱ度烧伤患者，依据简单随机抽样法分为对照组(n=40，常规干预)和试验组(n=40，常规干预+自粘性软聚硅酮银离子泡沫敷料)。统计比较两组干预14 d后创面愈合率、创面疼痛程度[视觉模拟评分法(Visual analogue scale，VAS)]、创面愈合时间及干预后2个月的创面美观度[温哥华瘢痕量表(Vancouver scar scale，VSS)]、心理状态[焦虑自评量表(Self-rating anxiety scale，SAS)，抑郁自评量表(Self-rating depression scale，SDS)]和生活质量[生活质量综合评定问卷(Generic quality of life inventory-74，GQOLI-74)]。结果：干预14 d后，试验组创面愈合率高于对照组，创面疼痛程度轻于对照组(均P<0.05)。试验组的创面愈合时间短于对照组(P<0.05)。试验组的创面美观度明显优于对照组，SAS、SDS评分均低于对照组，GQOLI-74各维度评分均高于对照组，差异均有统计学意义(P<0.05)。结论：局部Ⅱ度烧伤患者应用自粘性软聚硅酮银离子泡沫敷料可促进创面修复，改善患者的心理状态，减轻疼痛，提升创面美观度及生活质量。

    [关键词]烧伤；创面；敷料；瘢痕；心理状态

    [中图分类号]R644" " [文献标志码]A" " [文章编号]1008-6455(2025)08-0078-04

    Effects of Self-adhesive Soft Silicone Silver Ion Foam Dressing On Wound Repair Effect and Psychological Status in Patients with Local Second Degree Burns

    ZHANG Yuan1， DI Qinghai2， LAN Lianlian3

    ( 1.Outpatient Drug Exchange Room， 2.Department of Burns and Plastic Surgery， 3.Admission Preparation Centre， Qingdao Jiaozhou Central Hospital， Qingdao 266300， Shandong， China )

    Abstract： Objective" To explore the influence of self-adhesive soft silicone silver ion foam dressing on wound repair effect and psychological status in patients with local second degree burns. Methods" Eighty patients with local second degree burns in the author's hospital from April 2021 to April 2024 were divided into control group (n=40 ......