Lang Eva M, Eiberg Claudia A, Brandis Mathias, Stark G Björn
Department of Plastic and Hand Surgery, Albert-Ludwigs-University, Freiburg, Germany.
Ann Plast Surg. 2005 Nov;55(5):485-9. doi: 10.1097/01.sap.0000182652.88669.a6.
Eighty-four children with a burn (n = 7) or scald injury (n = 77), treated with Biobrane, were investigated in a retrospective and clinical study. In most patients (n = 71), the Biobrane was adherent and without any reactions or infections. An infection was seen in 10.7% (9 from 84 patients). Twenty-one of 49 patients of the follow-up had limited scar areas. In scarless healed areas, 54.3% had normopigmentation and 39.1% were hypopigmented. The skin quality of the scars was mostly hypopigmented with a softness between minimal and middle resistance, under 2-mm high, and of normal to pink skin color. Compared with other dressings, Biobrane is no more expensive than others. We conclude that when used on properly selected wounds, Biobrane is an effective and, for the children, less traumatic therapy for superficial partial-thickness burns without increasing the cost of outpatient burn care.
在一项回顾性临床研究中,对84例使用生物膜治疗的烧伤(n = 7)或烫伤(n = 77)儿童进行了调查。在大多数患者(n = 71)中,生物膜附着良好,无任何反应或感染。84例患者中有9例(10.7%)出现感染。49例随访患者中有21例瘢痕面积有限。在无瘢痕愈合区域,54.3%色素正常,39.1%色素减退。瘢痕的皮肤质量大多色素减退,柔软度介于最小和中等阻力之间,高度在2毫米以下,皮肤颜色正常至粉红色。与其他敷料相比,生物膜的价格并不比其他敷料贵。我们得出结论,当用于适当选择的伤口时,生物膜是一种有效的治疗方法,对儿童来说,对于浅Ⅱ度烧伤的创伤较小,且不会增加门诊烧伤护理的费用。