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湿性敷料治疗皮肤Ⅱ度烧伤的比较 被引量:25

Synthetic dressing for the treatment of skin Ⅱ degree burns
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摘要 背景:已有基础实验证明,伤口在湿性环境下的愈合效果优于干性环境,湿性敷料的研究是皮肤创面愈合研究的重点。目的:观察湿性敷料对皮肤Ⅱ度烧伤创面的治疗效果。方法:选取在海南省人民医院门诊接受治疗的38例Ⅱ度烧伤患者,采用自身对照法将创面分为治疗组和对照组,治疗组采用湿性敷料覆盖治疗烧伤创面,对照组采用碘伏纱布或凡士林纱布覆盖,治疗后分别观察两种不同处理方法对创面的愈合效果及对疼痛程度的影响。结果与结论:所有患者均纳入结果分析,治疗组患者烧伤创面的平均愈合时间为(9.8±3.1)d,对照组创面平均愈合时间为(13.1±2.2)d,两者比较差异有显著性意义(P<0.01)。治疗组创面疼痛程度明显低于对照组(P<0.01)。使用湿性敷料(美皮贴或美皮康)治疗Ⅱ度烧伤,可以使创面愈合时间缩短,创面疼痛程度明显降低。 BACKGROUND: Some basic experiments have shown that wound healing in the moist environment is better than that in the dry environment, and the research on the synthetic dressing is important for skin wound healing, OBJECTIVE: To observe the effect of synthetic dressing on the treatment of skin Ⅱ degree burns METHODS: Thirty-eight patients with skin II degree burns were selected from the Department of Outpatient, Hainan General Hospital. The wounds were divided into treatment group and control group. Thepatients in the treatment group were treated with synthetic dressing to cover the burn wound, and the patients in the control group were treated with Iodophor gauze or Vaseline gauze. The effects of these methods on the wound healing and pain were observed after treatment. RESULTS AND CONCLUSION: All the patients were included in final analysis. The average wound healing time of the treatment group was (9.8±3.1) days, and the average wound healing time of the control group was (13.1±2.2) days, and there was significant difference in the average healing time between two groups (P 〈 0.01 ); the degree of the pain of wound in the treatment group was lower than that in the control group (P 〈 0.01). The application of synthetic dressing (Mepiform or MOlnlycke) for the treatment of skin Ⅱ degree burns can shorten the wound healing time and reduce the wound pain markedly.
出处 《中国组织工程研究》 CAS CSCD 2013年第8期1513-1520,共8页 Chinese Journal of Tissue Engineering Research
关键词 生物材料 生物材料学术探讨 湿性敷料 干性敷料 Ⅱ度烧伤 创面愈合 疼痛 水凝胶 藻酸盐 银离子 泡沫敷料 凡士林纱布 biomaterials academic discussion of biomaterials synthetic dressing dry dressings Ⅱ degreeburns wound healing pain hydrogel alginate silver ions foam dressing vaseline gauze
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