摘要
目的:观察浅Ⅲ度烧伤创面早期清除坏死组织层后,实施湿润暴露疗法(MEBT/MEBO)治疗的临床疗效。方法:我们从2007年5月开始,对44例烧伤患者的浅Ⅲ度创面早期清除坏死组织层,而后采用MEBT/MEBO治疗(实验组);同2007年5月之前作"#"形切划减张再行MEBT/MEBO治疗的病例进行疗效比较(对照组)。对照组病例选择方法,以2007年5月开始,向前依次连续选取至2005年5月之前的病历资料作为对照组入选的基本条件,其标准为烧伤总面积和浅Ⅲ度创面面积与实验组基本相似,共43例;观察两组患者浅Ⅲ度创面的液化结束时间,浅Ⅲ度创面的愈合时间。结果:实验组和对照组在浅Ⅲ度创面液化结束时间,浅Ⅲ度创面愈合时间的差异均有统计学意义。结论:浅Ⅲ度创面早期清除坏死组织后实施湿润暴露疗法治疗,能缩短创面液化结束时间、创面愈合时间,降低感染发生率,此操作方法简便易行。
Objective： To observe efficacy of treating shallow Ⅲ degree burn with MEBT/MEBO after removing necrotic tissue in the early stage. Method： 87 cases of burn patients were divided into two groups evenly and randomly, i.e. testing group （ n = 44 ） and control group （ n = 43 ） . All patients suffered from superficial Ⅲ degree burn. In the testing group, 44 patients collected since May, 2007 were treated with MEBT/MEBO after removing necrotic tissue layer in the early stage. While, in control group, 43 patients collected from clinical data were treated with MEBT/MEBO after # - shape ploughing relaxation. The patients＇ burn area and burn depth in control group were similar to that in testing group. Wounds liquefaction terminative time and healing time in two groups were observed and recorded. Results： There were differences of statistical significance in two indexes observed between two groups. Conclusion： Treating shallow Ⅲ degree burn with MEBT/MEBO after eschar excision can shorten wounds liquefaction terminative time, promote wound healing and be used simple and conveniently.
出处
《中国烧伤创疡杂志》
2010年第6期438-439,共2页
The Chinese Journal of Burns Wounds & Surface Ulcers
