非MEBO治疗的烧伤创面更换MEBT／MEBO的临床体会

目的：观察烧伤早期未采用湿润烧伤膏治疗的创面,更换烧伤湿润暴露疗法（MEBT／MEBO）的疗效。方法：对30例非MEBO治疗的烧伤创面,一律更换为MEBT／MEBO治疗,根据创面情况及时清除“药痂”,或伍用耕耘疗法。结果：创面形成的药痂药溶解迅速,易于清除,痂下积脓消失,各种类型的创面均能在预期内愈合,其中2例Ⅲ度创面经植皮治疗愈合,深Ⅱ度皮肤色素减退者14例（70％）,瘢痕增生率为25．0％（5／20）;Ⅲ度创面均留有浅型瘢前。结论：非MEBO治疗的烧伤创面及时更换MEBT／MEBO治疗,具有良好的清除创面药痂污物及积脓等作用;但深Ⅱ度创面与早期实行MEBT／MEBO相比,瘢痕发生率偏率。

The Efficacy of MEBT/MEBO in Treating Burn Wounds Previously Treated with Non - MEBO Method

Objective: To observe the efficacy of MEBO in treating burn wounds previously treated with non - MEBO method. Method: 30 cases of burn had Previously been treated with non - MEBO method were then treated with MEBT/MEBO. The wounds were timely cleaned to remove the residual "drug scab" and Ploughing method was applied where necessary. Results: After application of MEBT/MEBO, the wounds were easy to clean and the "drug scab" easy to remove. The subcrustal empyema vanished. All the wounds healed as expected. 2 cases with 3rd degree wound healed after skin grafting. 14 cases with deep 2nd degree wound had skin pigment faded (70% ). Hyperplastic scar formation rate was 25. 0% (% /20). Third degree wounds healed with superficial type scar. Conclusion: When MEBT/MEBO was ap- plied timely in treating bum wounds previously treated with non - MEBO method, the "drug scab" and contaminants could be cleaned easily and the empyema removed timely. For deep 2nd degree wounds previously treated with non - MEBO method, the scar formation rate was higher than those treated directly with MEBT/MEBO.