| 杨晨.再生医疗技术创面治疗标准[J].中国烧伤创疡杂志,2012,24(5):366. |
| DOI：10.3969/j.issn.1001-0726.2012.5.010 |
| 中文关键词: 烧伤再生医疗技术 创面治疗标准 水疱处理 耕耘减张术 坏死组织薄化术 |
| 英文关键词:BRT&MEBT/ MEBO Standardized local wound management blister care skin incision and tension relieving necrotic thinning technique |
| 基金项目: |
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| 摘要点击次数: 2160 |
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| 中文摘要: |
| 目的 总结烧伤再生医疗技术的创面换药规范。方法 总结烧伤再生医疗技术治疗不同深度创面尤其是深Ⅱ度及Ⅲ度创面的标准换药流程, 展示讲解烧伤再生医疗技术治疗局部创面时的重点以及相应操作, 如Ⅱ度创面水疱处理, 液化期创面处理, Ⅲ度创面耕耘减张术以及坏死组织薄化术与开窗术。结果 规范的创面治疗对于烧伤再生医疗技术的疗效至关重要, 只有按照标准操作流程正确应用才能显示出再生医疗技术在保持创面湿润, 缓解疼痛, 抗感染, 促进坏死组织液化排除, 改善淤滞带微循环以及防止瘢痕等方面的优越性。结论 烧伤再生医疗技术的创面治疗标准应该推广普及以确保烧伤创面再生愈合, 尤其是大面积深度烧伤创面(包括深Ⅱ度以及Ⅲ度创面) 不需植皮愈合且无瘢痕形成。 |
| 英文摘要: |
| Objective To summarize and standardize the burn wound dressing change of BRT&MEBT/ MEBO.
Method Summarize the standardized SOP of BRT&MEBT/ MEBO in the treatment of different burn wounds especially deep
second and third degree burn wound. Illustrate and demonstrate the key points and related procedures of BRT&MEBT/
MEBO in burn wound management in respect of “blister care” in second degree burn, “management at liquefaction stage”,
“skin incision tension reliving” as well as “necrotic tissue thinning technique and windowing” in third degree burn. Result
standardized wound management is critical to the therapeutic efficacy of BRT&MEBT/ MEBO. Only with standardized application
MEBT/ MEBO can show superiority to other conventional method in maintaining local moisture, relieving pain, infection,
promoting liquefaction and drainage of necrotic tissue, improving microcirculation of stasis zone, and preventing
scar hyperplasia post healing. Conclusion standardized dressing change procedure of MEBT/ MEBO should be promoted
and popularized so as to achieve the regenerative healing of burn wound especially extensive full-thickness burnt wound (including
deep second degree and third degree burns) without skin grafting and with minimal scar formation. |
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