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头部取皮创面处理方法的临床观察
引用本文:王宇,唐家训,文倩,易文林.头部取皮创面处理方法的临床观察[J].中国烧伤创疡杂志,2008,20(2):127-129.
作者姓名:王宇  唐家训  文倩  易文林
作者单位:中国人民解放军第163医院烧伤整形科,湖南,长沙,410003
摘    要:目的比较湿润烧伤膏药纱与凡士林油纱在头部首次取皮创面的临床治疗效果.方法将40例头皮首次取皮深度相同的创面,随机分为观察组与对照组,每组各20例,观察组以湿润烧伤膏药纱作为内层敷料治疗,对照组用凡士林油纱治疗,观察创面愈合时间,创面渗出、疼痛程度及是否感染等并发症.结果观察组头部供皮区创面全部愈合,平均愈合时间5.7d±0.8d,无一例发生疼痛及感染等病症.药纱极易去除;对照组平均愈合时间7.2d±1.3d,创面有紧缩不适感,5例诉说创面干燥、疼痛,2例痂皮下感染,油纱去除困难,7例因去除凡士林油纱时导致头皮小面积再损伤,形成新创面,经统计学处理组间具有非常或显著性差异(P<0.01或P<0.05).结论湿润烧伤膏能促进头皮取皮创面愈合,缩短创面愈合时间,改善病人不适感.

关 键 词:头部取皮创面  湿润烧伤膏药纱  凡士林油纱  疗效  头部  取皮创面  处理方法  临床观察  Skin  Donor  Site  Wounds  Experience  病人  改善  创面愈合时间  湿润烧伤膏  显著性差异  统计学处理  损伤  小面积  油纱  皮下  不适感  病症  疼痛程度
文章编号:1001-0726(2008)02-0127-03
修稿时间:2007年11月2日

Clinical Experience of Treating Wounds at Skin Donor Site of Heads
Institution:WANG Yu, TANG Jia - xun, WEN Qian, et al. (Department of Burn Plastic Surgery, 163 Hospital of PLA, Changsha City, Hunan Province, 410003, China)
Abstract:Objective: To compare the curative effect of MEBO Gauze with Vaseline Gauze on treating wounds of skin donor site of heads. Method: 40 cases with wounds of head skin harvested in same depth for the first time were equally divided into two groups randomly, testing group treated with MEBO gauze as the inner dressing, and control group treated with Vaseline gauze. Healing time, exudation, pain degree and infection etc at the wounds were studied. Results: All wounds of the testing group got healed. Average healing time was 5.7d±0. 6d, no symptoms of pain and infection were observed and gauzes were easily removed. The healing time in control group was 7. 2d±0. 4d. Patients in control group complained uncomfortable feeling of striction at the wounds, in which 5 cases complained of dryness and pain on wounds ; there were 2 cases having infection under crusts and it was difficult in removing Vaseline gauze; 7 cases suffered from secondary injury of small area at scalp during changing Vaseline gauze. There was significant difference of statistical results between two groups ( P 〈 0. 01 or P 〈 0. 05 ). Conclusion : MEBO can promote the healing of skin donor sites wounds of heads, shorten healing time and lighten patients'discomfortableness.
Keywords:Wounds of skin donor sites of head  MEBO gauze  Vaseline gauze  Curative effect
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