Smith D J, McHugh T P, Phillips L G, Robson M C, Heggers J P
Division of Plastic and Reconstructive Surgery, Wayne State University School of Medicine, Detroit, Michigan.
Burns Incl Therm Inj. 1988 Oct;14(5):405-8. doi: 10.1016/0305-4179(88)90012-5.
To achieve optimal hand function, wound closure becomes the most important ingredient in hand burns. This study documents the use of a biosynthetic compound dressing (Biobrane) which has been fabricated as a glove for management of hand burns. The glove allowed rapid active motion and minimized the pain of open wounds. Forty-two Biobrane glove applications were evaluated with 50 per cent applied over superficial hand burns and 50 per cent over deep partial thickness or full thickness injuries. In the superficial hand burns, the patients were discharged home after a mean time of 2.8 days. With the deep burns the dressing provided a closed wound after early excision of eschar without the use of an autograft or biological dressing. Based on these studies, we conclude that the biosynthetic compound dressing glove is a useful adjunct to be added to the armamentarium for treatment of the burned hand.
为实现最佳手部功能，伤口闭合成为手部烧伤治疗中最重要的环节。本研究记录了一种生物合成复合敷料（生物膜）的应用，该敷料被制成手套用于手部烧伤的治疗。这种手套能使患者迅速进行主动活动，并将开放性伤口的疼痛降至最低。对42例应用生物膜手套的病例进行了评估，其中50%用于手部浅度烧伤，50%用于深度部分厚度或全层损伤。在手部浅度烧伤患者中，平均2.8天后即可出院回家。对于深度烧伤，该敷料在早期切除焦痂后可实现伤口闭合，无需使用自体皮移植或生物敷料。基于这些研究，我们得出结论，生物合成复合敷料手套是治疗烧伤手部的有用辅助工具，应纳入治疗手段之中。
