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[纳米银敷料对二度烧伤创面的影响]

[Effect of silver nanoparticle dressing on second degree burn wound].

作者信息

Chen Jiong, Han Chun-mao, Lin Xiao-wei, Tang Zhi-jian, Su Shi-jie

机构信息

Department of Burn, Third Affiliated Hospital, Wenzhou Medical College, Zhejiang Ruian 325200, China.

出版信息

Zhonghua Wai Ke Za Zhi. 2006 Jan 1;44(1):50-2.

Abstract

OBJECTIVE

To explore the influence of silver nanoparticle dressing on prevention of infection and healing of the second degree burn wound.

METHODS

One hundred and ninety-one burn patients with second degree including superficial and deep burn wound were randomly divided into three groups. Group A including 65 cases was treated by silver nanoparticle dressing on wounds, and group B (63 cases) and group C (63 cases) were treated by 1% silver sulfadiazine cream and vaseline gauze on their wounds, respectively. Dressing was changed daily, and wound swab bacterial cultures were performed before and after dressing change, and also wound healing times were recorded in each patient.

RESULTS

Group A and B were similar in their bacterium colonizations on wound after treatment with the silver nanoparticle dressing and 1% silver sulfadiazine cream, and they had a similar effect on reducing bacterium colonization on wound after treatment, while in vaseline gauze group bacterium colonization on wound increased after treatment. In group A the wound healing time of superficial second degree was significantly shorter than those in group B and group C (P < 0.01). In deep second degree wounds the healing time in group A was much shorter than that in group C (P < 0.01), but had no significant difference when compared with group B (P > 0.05).

CONCLUSION

Silver nanoparticle dressing can be used on second degree burn wound and can decrease the risk of wound infection and accelerate wound healing.

摘要

目的

探讨纳米银敷料对预防二度烧伤创面感染及愈合的影响。

方法

将191例包括浅二度和深二度烧伤创面的患者随机分为三组。A组65例,创面采用纳米银敷料治疗;B组63例,创面采用1%磺胺嘧啶银乳膏治疗;C组63例,创面采用凡士林纱布治疗。每日更换敷料,换药前后行创面拭子细菌培养,并记录每位患者的创面愈合时间。

结果

纳米银敷料组和1%磺胺嘧啶银乳膏组治疗后创面细菌定植情况相似,治疗后对减少创面细菌定植效果相近,而凡士林纱布组治疗后创面细菌定植增加。浅二度创面,A组愈合时间明显短于B组和C组(P<0.01)。深二度创面,A组愈合时间明显短于C组(P<0.01),与B组比较差异无统计学意义(P>0.05)。

结论

纳米银敷料可用于二度烧伤创面,能降低创面感染风险,促进创面愈合。

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