MEBO在大面積深度燒傷微粒皮移植術(shù)后的臨床應(yīng)用

摘要： 目的探討大面積深度燒傷微粒皮移植術(shù)后應(yīng)用濕潤(rùn)燒傷膏(MEBO)治療的臨床效果。方法對(duì)65例大面積深度燒傷微粒皮移植術(shù)后15d的創(chuàng)面外用MEBO治療,涂藥厚度為1 mm～2 mm,每4 h～6 h換藥1次,同時(shí)加強(qiáng)抗休克、抗感染、營(yíng)養(yǎng)支持等全身治療。結(jié)果 65例患者中,63例患者創(chuàng)面在45 d內(nèi)愈合,另2例患者應(yīng)用MEBO治療后,創(chuàng)面縮小,殘余創(chuàng)面均在5%TBSA以下,經(jīng)郵票植皮后愈合,隨訪6～12個(gè)月,愈后創(chuàng)面較平整,無(wú)明顯瘢痕增生、孿縮,功能恢復(fù)良好。結(jié)論大面積深度燒傷微粒皮移植術(shù)后創(chuàng)面應(yīng)用ME-BO治療,操作簡(jiǎn)便,愈合時(shí)間短,患者痛苦少,愈后瘢痕輕,治療效果較好。
Objective To explore the clinical efficacy of Moist Exposed Burn Ointment(MEBO) in the treatment of extensive deep burns after using a micro skin grafting technique.Methods A total of 65 patients with extensive deep burns received a topical treatment of MEBO 15 days after undergoing micro skin grafting.Applied MEBO with ihickness of lmm～2mm and the dressing was changed every 4～6 hours,and meanwhile,systemic treatments such as anti-shock,antiinfection, nutritionals support were performed.Results 63 patients out of 65 healed within 45 days and the wounds of the other 2 patients shrank after MEBO therapy with a TBSA of less than 5%remaining and the wounds healed alter stamp-like grafting.Wounds were smooth without obvious scar hyperplasia and contracture,and joint function was good during the 6～12 months follow -up.Conclusion MEBO is easy to operate with advantages of short healing time,less pain as well as less scar formation in the treatment of large extensive burn after undergoing a micro skin grafting and can achieve relalively good therapeutic effects.