南方医科大学学报

南方医科大学学报 ›› 2006, Vol. 26 ›› Issue (05): 680-682.

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磨痂术配合生物敷料A在四肢深II度烧伤中的应用

周岳平； 张春新； 陈贵彬；   

  1. 东莞市虎门医院烧伤科； 东莞市虎门医院烧伤科 广东东莞523902； 广东东莞523902；
  • 出版日期:2006-05-20 发布日期:2006-05-20

Clinical evaluation of eschar grinding and biological dressing A for treatment of deep partial-thickness burn wound on the extremities

ZHOU Yue-ping,ZHANG Chun-xin,CHEN Gui-bing Department of Burn Surgery,Humen Hospital,Dongguan 523902,China   

  1. 东莞市虎门医院烧伤科； 东莞市虎门医院烧伤科 广东东莞523902； 广东东莞523902；
  • Online:2006-05-20 Published:2006-05-20

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摘要： 目的探讨磨痂术配合生物敷料A治疗四肢深II度烧伤的临床效果。方法将73例四肢深II度烧伤患者按创面处理方式分组,32例为磨痂术配合生物敷料A治疗组,41例为传统治疗对照组,观察两组病人的白细胞计数、体温、创面感染及愈合时间等。结果磨痂组与对照组比较,磨痂术配合生物敷料A处理创面可明显提高四肢深II度烧伤有效率(29/32vs31/41,P<0.05),全身炎症反应轻,创面愈合时间缩短(13.79±5.72vs17.08±8.39,P<0.01),瘢痕增生不明显。结论磨痂术配合生物敷料A是治疗四肢深II度烧伤创面较理想的方法,早期进行更佳,但对手部偏深的深II度烧伤仍不能完全替代早期削痂植皮术。 

Abstract: Objective To evaluate the clinical effect of eschar grinding and wound coverage by biological dressing A in the management of deep partial-thickness burn wound on the extremities.Methods Seventy-three patients with deep partial-thickness burns on the extremities were divided into two groups to receive different managements.The patients in group 1 were treated with eschar grinding and wound coverage with biological dressing A,and group 2 received conventional treatment.The white blood cell count,body temperature,incidence of wound infection and wound healing time were observed.Results Compared with conventional treatment,wound management with eschar grinding and coverage by biological dressing A could increase the effective rate(29/32 vs 31/41,P<0.05),inhibit systemic inflammation and scar hypertrophy,and shorten the wound healing time(13.79±5.72 vs 17.08±8.39,P<0.01).Conclusion Eschar grinding and wound coverage by biological dressing A can be effective for management of deep partial-thickness burns on the extremities,and earlier treatment with the dressing A achieves better effect. 

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