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[焦痂磨削联合生物敷料A治疗四肢深Ⅱ度烧伤创面的临床评价]

[Clinical evaluation of eschar grinding and biological dressing A for treatment of deep partial-thickness burn wound on the extremities].

作者信息

Zhou Yue-ping, Zhang Chun-xin, Chen Gui-bing

机构信息

Department of Burn Surgery, Humen Hospital, Dongguan 523902, China.

出版信息

Nan Fang Yi Ke Da Xue Xue Bao. 2006 May;26(5):680-2.

Abstract

OBJECTIVE

To evaluate the clinical effect of eschar grinding and wound coverage by biological dressing A in the management of deep partial-thickness burn wound on the extremities.

METHODS

Seventy-three patients with deep partial-thickness burns on the extremities were divided into two groups to receive different managements. The patients in group 1 were treated with eschar grinding and wound coverage with biological dressing A, and group 2 received conventional treatment. The white blood cell count, body temperature, incidence of wound infection and wound healing time were observed.

RESULTS

Compared with conventional treatment, wound management with eschar grinding and coverage by biological dressing A could increase the effective rate (29/32 vs 31/41, P<0.05), inhibit systemic inflammation and scar hypertrophy, and shorten the wound healing time (13.79-/+5.72 vs 17.08-/+8.39, P<0.01).

CONCLUSION

Eschar grinding and wound coverage by biological dressing A can be effective for management of deep partial-thickness burns on the extremities, and earlier treatment with the dressing A achieves better effect.

摘要

目的

评估削痂联合生物敷料A覆盖治疗四肢深Ⅱ度烧伤创面的临床效果。

方法

将73例四肢深Ⅱ度烧伤患者分为两组接受不同治疗。第1组患者采用削痂联合生物敷料A覆盖治疗,第2组接受传统治疗。观察白细胞计数、体温、创面感染发生率及创面愈合时间。

结果

与传统治疗相比,削痂联合生物敷料A覆盖治疗创面可提高有效率(29/32比31/41,P<0.05),抑制全身炎症反应和瘢痕增生,并缩短创面愈合时间(13.79±5.72比17.08±8.39,P<0.01)。

结论

削痂联合生物敷料A覆盖治疗四肢深Ⅱ度烧伤创面有效,早期应用该敷料效果更佳。

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