肝素钠乳膏治疗小面积深Ⅱ度烧伤的临床观察

目的探讨肝素钠乳膏治疗小面积看深Ⅱ度烧伤创面的临床应用效果。方法应用肝素钠乳膏治疗1％-5％总烧伤面积深Ⅱ度烧伤患者55例（肝素治疗组），同期保痂治疗1％～5％总烧伤面积深Ⅱ度烧伤患者50例（碘伏治疗组）。观察创面愈合时间及愈合质量情况。治愈患者经过3个月～1年随诊，了解瘢痕增生情况。结果肝素治疗组创面愈合时间为（18．5±2．2）d，碘伏治疗组愈合时间为（22．5±3．6）d，2组差异有统计学意义（P〈0．05），肝素治疗组瘢痕增生情况较碘伏治疗组明显减轻或无瘢痕增生。结论肝素钠乳膏可促进小面积深Ⅱ度烧伤创面愈合，减轻瘢痕增生。

Treatment of deep partial thickness burns in small burned area by heparin sodimn cream

Objective To explore the effect of heparin sodium cream on partial thickness burns. Methods From January 2004 to January 2007, fifty-five cases of deep partial thickness in total burned surface area (TBSA) with 1% to 5% burn wound were treated by Heparin sodium cream(the heparin group). Fifty cases of deep partial thickness burned patients with the same TBSA treated by povidone iodine (the povidone iodine group). Results The average healing time of the heparin group was (18.5±2.2) days and the average healing time of the povidone iodine group was (22.5±3.6) days. Follow-ups during 3 months to 1 year after treatment showed that sear proliferation in the heparin group was much less than that in the povidone iodine group, and even no sear proliferation was observed in some patients. Conclusion Heparin sodium cream on deep partial thickness burns with small burned area could shorten the healing time and inhibit sear proliferation.