烧伤湿润暴露疗法的临床应用

本文报道用烧伤湿润暴露疗法治疗120例(最大烧伤面积50%,深Ⅱ度以下面积40%)烧伤患者,全部治愈,经与干燥暴露疗法对照,疗效优越。创面平均愈合时间:浅Ⅱ度7.12±0.62天,深Ⅱ度18.23±2.14天。创面感染率2.50%。深Ⅱ度以下创面植皮率2.94%,其瘢痕愈合率41.18%。本文并论述了烧伤湿润暴露疗法的设计和作用机理。

英文摘要:

Moist exposure therapy of burn was used locally.It applied the ointment of Chinese traditional drugs.It promoted the blood circulation and relieved the stasis which enabled the necrotic layer of wound to liquefy and discharge.The burn recovered in the humid surroundings.It could promote and regulate the growth of the residual epithelial and fiber tissue,and ensure theskin to grow naturally to the deep wound of second degree burn which would heal scarlessly.The natural healing of the mixed degree would be expected also.The frequency of the ointment applying was not restricted,but the thickness of the ointment layer should be thinner than 1 mm which was sufficient for the moistening of the burn wound.The recovery of 120 patients whose maximal burn area was 50%,with 40% deep wound was reported.Compared with the dry exposure therapy of burn,the moist exposure therapy of burn has good efficacy of relieving the pain and shortening the healing period.Their average healing time was superficial Ⅱ grade healed in 7.12±0.62 days,deep Ⅱ grade healed in 18. 23±2.14 days,the rate of infection was 2.5% only.Out of 68 burn patients of deep wound,only 2.9% needed grafting.The rate of scat was only 41.18%.

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