95例大面積深度燒傷殘余創(chuàng)面治療臨床分析

摘要： 目的:探討大面積深度燒傷后期殘余創(chuàng)面應(yīng)用濕潤(rùn)燒傷膏(MEBO)治療的臨床效果。方法:對(duì)我院2003年3月～2007年3月收治的95例大面積深度燒傷患者殘余創(chuàng)面應(yīng)用MEBO治療,創(chuàng)面外涂MEBO,厚1mm～2mm,每4小時(shí)換藥1次,同時(shí)加強(qiáng)營(yíng)養(yǎng)支持等措施治療。結(jié)果:95例患者中,92例殘余創(chuàng)面均在3周內(nèi)愈合,另3例應(yīng)用MEBO治療后,創(chuàng)面縮小,每例殘余創(chuàng)面面積均在5%TBSA以上,經(jīng)郵票植皮后治愈,隨訪6個(gè)月～12個(gè)月,愈合創(chuàng)面無(wú)明顯瘢痕增生、攣縮,功能恢復(fù)較好。結(jié)論:大面積深度燒傷殘余創(chuàng)面應(yīng)用MEBO治療,方法簡(jiǎn)單,治療效果良好,MEBO可促進(jìn)殘余創(chuàng)面愈合。
Objective:To explore the efficacy of MEBO ointment in treating residual wounds of extensive deep burns in the later stage.Method:95 cases of severe burn patients with residue wounds of extensive deep burns in the later stage were collected from Mar.2003 to Mar.2007.1mm～2mm thickness of MEBO ointment was applied to the wounds every 4h.Meanwhile,strengthening nutrition was made.Result:Of 95 cases,92 cases healed in 3 weeks.The rest 3 cases, whose residual wounds were more than 5%TBSA,were cured by stamp grafting after MEBO treatment reducing the wounds size.After 6～12 months of following - up,healed wound sites showed function performance well,and no obviously scar formation and contracture observed.Conclusion:MEBO Ointment has a good effect in treating residual wounds of extensive deep burns since it promotes wound healing and is easy to operation.