早期磨削痂生物护创膜覆盖术治疗头面部深Ⅱ度烧伤创面疗效观察

目的：：探讨早期磨削痂生物护创膜覆盖术治疗头面部深Ⅱ度烧伤创面对缩短治疗时间，减轻患者痛苦，减轻色素沉着及疤痕形成，提高创面愈合质量的临床疗效。方法：本研究选择50例头面部深Ⅱ度烧伤(总面积2％~18％)患者作为研究对象进行临床观察。按照随机数字表法分为试验组26例和对照组24例。试验组以早期磨削痂生物护创膜覆盖创面后包扎，对照组用外涂磺胺嘧啶银霜暴露治疗。分别统计两组创面的愈合时间、创面愈合率，治疗期间舒适度，伤后长期随访愈合质量及瘢痕生长情况。结果：试验组在创面愈合时间，舒适度，创面愈合质量上与对照组比较优于对照组，差异具有统计学意义( P<0.01)。结论：早期采用磨削痂生物护创膜覆盖手术是治疗头面部深Ⅱ度创面，能明显缩短创面愈合时间，减轻患者痛苦和提高创面愈合质量。

Early Dermabrasion Biological Protective Covering for Deep II Degree Facial Burn

Objective: To explore early grinding scab for the treatment of biological protection of the membrane covering head facial deep Ⅱ degree burns and face to shorten the treatment time, relieve patients' pain, reduce pigmentation and scar formation, clinical curative effect to improve the quality of wound healing. Methods:50 cases of patients with deepⅡdegree burns of head face ( with TBSA of 2%~18%) were select-ed as the clinical observater. According to random number table method, 26 cases divided into experimental group and control group 24 cases. Patients with early grinding scabs biological protective membrane covering after wound dressing, the control group treated with coated sulfadiazine silver cream exposed outside. Statistics of two groups of wound healing time, wound healing rate, comfort during treatment, at the long-term follow-up after healing quality and scar growth. Results:The wound healing time, comfort, wound healing quality of experimental group compared with the control group was better than control group ( P<0.01) . Conclusion:The therapy of early adopting grinding scabs and protection membrane covering head facial for treating surgery deep wound Ⅱdegree can obviously shorten the wound healing time, reduce patient pain and improve the quality of wound healing.