湿润烧伤膏配合微创磨擦痂皮治疗深Ⅱ度烧伤

目的探讨湿润烧伤膏(MEBO)配合磨擦痂皮治疗深Ⅱ度烧伤创而的疗效。方法随机选取烧伤后6h内入院的深Ⅱ度烧伤患者62例设为磨擦痂皮组,即刻用金属清洁球对创面进行研磨,磨除创面坏死组织至微红,常规外用MEBO。再根据创面分泌物多少,间隔2～3d磨除创面坏死组织1次,直到创面愈合为止。另选相同条件患者59例设为SD-Ag组,常规外用SD-Ag(磺胺嘧啶银)。同时观察各组创周炎症反应、创面愈合时间、创面瘢痕发生率。结果MEBO磨擦痂皮组患者创面愈合时间短,创周炎症反应及瘢痕发生率均比SD-Ag组低。结论MEBO配合磨擦痂皮可改善深Ⅱ度烧伤创面微循环,减轻炎性反应,加快创面液化,促进创面愈合。

Treating deep Ⅱ degree burn with MEBO combined with rubbing the crust mininvasively

Objective To inquire into the curative effects of MEBO combined with rubbing the crust of deep Ⅱ degree burn. Method The 62 burn patients who was deep Ⅱ degree burn in 6h were selected at random as woundabrasion group (grind the wound surface with metal ball at instant, carry the necrotic tissue on wound surface and going to tiny and red, the normally use the MEBO outside. Again according to how much secretion was, stripping the necrotic tissue on wound surface every 2-3 days until the wound healing). Another 59 burn patients in same condition were set as SD-Ag group(use SD-Ag in regulation). Inflammatory reaction, wound liquefaction, healing time and the scar formation rate were observed in both groups. Results The healing time of woundabrasion group was shorter than SD-Ag group. The rate of inflammatory reaction and scar formation was lower than SD-Ag goup. Conclusion The MEBO combined with rubbing the crust could ameliorable tiny circulation of deep second degree burn, ease inflammatory reaction, speed up liquefaction, promote the healing.