摘要
目的 :进一步观察各种不同深度烧伤创面实行耕耘疗法的效果。方法 :选取 64例伤后 6小时之内入院的深度烧伤病人 ,进行早期耕耘治疗 ,然后外用MEBO ,深Ⅱ度与Ⅱ Ⅲ相间混合度创面采用耕耘刀 ,间距与齿距均 1mm ;Ⅲ度创面采用手术刀片耕耘 ,间距 2mm～ 4mm ,深度以创基裂开为度。结果 :深Ⅱ及混合度液化时间为治疗后 2 4小时～ 48小时 ,1 0天液化结束 ;Ⅲ度创面 72小时开始液化 ,两周内结束。结论 :耕耘疗法可有效改善局部微循环 ,利于创面愈合 ;加大了MEBO与创面的接触面积 ,利于MEBO的药效发挥 ;同时为不能自行愈合的Ⅲ度烧伤创面创造早期植皮手术的条件。
Objective:To observe the efficacy of “ploughing” therapy in treating burn wounds of different depth. Method: 64 patients hospitalized within 6 hours post burn were treated with “ploughing” therapy at the early stage and MEBO was applied locally. Deep second degree and mixed second and third degree burn wounds were treated using a “ploughing” knife, the pitch was 1 mm. Third degree wounds were treated with surgical knife, to a depth to disrupt the wounds, the pitch was 2～4 mm. Results: Deep second degree wounds started to liquefy in 24 to 48 hours and ended in 10 days. Third degree wounds started to liquefy in 72 hours and ended in 2 weeks. Conclusion:“Ploughing” therapy can effectively improve local micro circulation and promote wound healing. The contact area between MEBO and the wounds was enlarged, so that MEBO could fully display its efficacy. It created an environment for early skin grafting of third degree wounds which were unable to heal spontaneously. [
出处
《中国烧伤创疡杂志》
2000年第2期44-45,共2页
The Chinese Journal of Burns Wounds & Surface Ulcers
