壞死組織清除術(shù)與濕潤暴露療法治療淺Ⅲ度燒傷

摘要： 目的:觀察淺Ⅲ度燒傷創(chuàng)面早期清除壞死組織層后,實施濕潤暴露療法(MEBT/MEBO)治療的臨床療效。方法:我們從2007年5月開始,對44例燒傷患者的淺Ⅲ度創(chuàng)面早期清除壞死組織層,而后采用MEBT/MEBO治療(實驗組);同2007年5月之前作"#"形切劃減張再行MEBT/MEBO治療的病例進行療效比較(對照組)。對照組病例選擇方法,以2007年5月開始,向前依次連續(xù)選取至2005年5月之前的病歷資料作為對照組入選的基本條件,其標準為燒傷總面積和淺Ⅲ度創(chuàng)面面積與實驗組基本相似,共43例;觀察兩組患者淺Ⅲ度創(chuàng)面的液化結(jié)束時間,淺Ⅲ度創(chuàng)面的愈合時間。結(jié)果:實驗組和對照組在淺Ⅲ度創(chuàng)面液化結(jié)束時間,淺Ⅲ度創(chuàng)面愈合時間的差異均有統(tǒng)計學意義。結(jié)論:淺Ⅲ度創(chuàng)面早期清除壞死組織后實施濕潤暴露療法治療,能縮短創(chuàng)面液化結(jié)束時間、創(chuàng)面愈合時間,降低感染發(fā)生率,此操作方法簡便易行。
Objective:To observe efficacy of treating shallowⅢdegree burn with MEBT/MEBO after removing necrotic tissue in the early stage.Method:87 cases of burn patients were divided into two groups evenly and randomly, i.e.testing group(n = 44) and control group(n = 43).All patients suffered from superficialⅢdegree burn.In the testing group,44 patients collected since May,2007 were treated with MEBT/MEBO after removing necrotic tissue layer in the early stage.While,in control group,43 patients collected from clinical data were treated with MEBT/MEBO after # - shape ploughing relaxation.The patients' burn area and burn depth in control group were similar to that in testing group. Wounds liquefaction terminative time and healing time in two groups were observed and recorded.Results:There were differences of statistical significance in two indexes observed between two groups.Conclusion:Treating shallowⅢdegree burn with MEBT/MEBO after eschar excision can shorten wounds liquefaction terminative time,promote wound healing and be used simple and conveniently.