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烧伤创疡再生复原医疗技术及终点标准规范
The Regenerative Restoration Technology and Its Ultimate Standards in Burns Wounds and Ulcers Treatment

方进勇.烧伤创疡再生复原医疗技术及终点标准规范[J].中国烧伤创疡杂志,2012,24(4):294.

DOI：10.3969/j.issn.1001-0726.2012.4.005

中文关键词:

英文关键词:

基金项目:

作者	单位
方进勇	北京美宝烧伤创疡研究所

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中文摘要:

烧伤皮肤原位再生复原技术的临床治疗效果取决于创面治疗时的操作技术水平, 作者凭借多年来的临床经验浅谈烧伤皮肤原位再生复原技术的临床操作规范, 强调了创面应在伤后最短时间内按MEBT/ MEBO 的标准治疗方法进行治疗, 以尽早激活烧伤创面的潜能再生细胞(PRCs), 实现体细胞转化为干细胞, 保障皮肤再生复原所需的生理性湿润环境, 使创面按照生理程序再生复原皮肤组织器官。其中, 早期创面处理要点: 保护创面, 减轻疼痛, 避免再损伤, 恢复瘀滞带微循环。创面液化期处理要点: 清除液化物, 按照“三及时” 和“三不” 原则积极换药。创面修复期处理要点: 减少创面刺激, 预防创面干燥或浸渍, 保持创面周围清洁和避免创面受压。创面恢复期处理要点: 养护初愈的皮肤。下图是规范应用MEBT/ MEBO 治疗Ⅲ度浅型和Ⅲ度深型烧伤的典型病例图片, 详细病例资料请观看本期杂志所附光盘。

英文摘要:

The Clinical therapeutic efficacy of the in situ burned skin regenerative restoration technology (MEBT/ MEBO) depends on the operational ability of managing the wounds. Based on years of clinical experience, this paper made a brief introduction of the clinical operating standards of MEBT/ MEBO and stressed that the standardized application of MEBT/ MEBO as early as possible after the injury is very important in that it can activate the potential regenerative cells (PRCs) at an early time and realize the transformation of somatic cells into stem cells as well as guarantee a physiologically moist environment needed for skin regenerative restoration so as to make the wound regenerate and recover its tissues and organs following the physiological procedures. And moreover, the key points of early wound management are protecting the wound, relieving pains, avoiding further damage and recovering the microcirculation at the stasis zone; the key points of wound management at the liq- uefaction stage are removing the liquefied products and actively changing dressing following the principles of “Three Timely” and “Three No”; the key points at the reparation stage are reducing the stimulation to the wound, preventing the wound from dryness and maceration and keeping the wound edge clean as well as avoiding any compression on the wound; and the key points at the recovery stage are protecting and nourishing the newly healed skin. The figures below are the typical cases of superficial III degree and deep III degree burns treated by MEBT/ MEBO following the standard procedures. Please refer to the attached DVD with the current issue of the Journal for more detailed case data.