| 赵法军,吕文杰.MEBT/MEBO治疗小儿会阴部烫伤疗效观察[J].中国烧伤创疡杂志,2019,(3):192~195. |
| DOI： |
| 中文关键词: 烧伤创疡再生医疗技术 小儿 会阴 烫伤 湿润烧伤膏 磺胺嘧啶银乳膏 疗效 |
| 英文关键词:MEBT/ MEBO Pediatric Perineum Scalds MEBO SD⁃Ag Cream Clinical efficacy |
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| 摘要点击次数: 2011 |
| 全文下载次数: 4206 |
| 中文摘要: |
| 【摘要】 目的 对比观察烧伤创疡再生医疗技术(moist exposed burn therapy/ moist exposed burn ointment,MEBT/ MEBO) 治疗小儿会阴部烫伤的临床疗效?方法 选取2008 年3 月至2017 年12 月德州市第二人民医院烧伤科收治的650 例会阴部烫伤患儿作为研究对象, 并按照随机数表法将其随机分为观察组(340 例) 与对照组(310 例), 其中观察组患儿采用MEBT/ MEBO 治疗局部创面, 对照组患儿采用磺胺嘧啶银乳膏治疗局部创面, 对比观察两组患儿会阴部烫伤创面的愈合时间及瘢痕增生情况?结果 观察组患儿会阴部浅Ⅱ度创面愈合时间为(8.45 ±1.25) d?深Ⅱ度创面愈合时间为(21.79 ±1.58) d?浅Ⅲ度创面愈合时间为(34.23 ±2.64) d, 均明显短于对照组患儿的会阴部浅Ⅱ度创面愈合时间(12.42 ±1.64) d?深Ⅱ度创面愈合时间(27.83 ±1.96) d?浅Ⅲ度创面愈合时间(41.18 ±2.94) d, 两组对比, P 均<0.01, 差异具有统计学意义?观察组患儿深Ⅱ度创面愈后皮肤留有表浅性瘢痕者9 例?留有增生性瘢痕者6 例, 浅Ⅲ度创面愈后皮肤留有增生性瘢痕者13 例; 对照组患儿深Ⅱ度创面愈后皮肤留有表浅性瘢痕者28 例?留有增生性瘢痕者49 例, 浅Ⅲ度创面愈后皮肤留有增生性瘢痕者39 例, 两组患儿瘢痕增生情况对比, P <0.01, 差异具有统计学意义?结论 MEBT/ MEBO 治疗小儿会阴部烫伤创面, 可在有效促进创面愈合, 缩短创面愈合时间的同时, 降低瘢痕增生率, 疗效显著, 临床应用价值较高? |
| 英文摘要: |
| 【Abstract】 Objective To observe the clinical efficacy of Moist Exposed Burn Therapy/ Moist Exposed Burn Oint?ment (MEBT/ MEBO) in the treatment of pediatric perineal scalds. Methods Six hundred and fifty children patients withperineal scalds admitted into the Burns Department of The Second People’s Hospital of Dezhou between March 2008 andDecember 2017 were selected as subjects to be divided into an observation group (340 patients) and a control group (310patients) according to the random number table. In the observation group, the local wounds were treated with MEBT/ MEBOwhile in the control group the local wounds were treated with SD?Ag Cream. The wound healing time and scar hyperplasiacondition were observed and compared between the two groups. Results In the observation group, the healing time was(8.45 ±1.25) d for superficial Ⅱ degree wounds, (21.79 ±1.58) d for deep Ⅱ degree wounds and (34.23 ± 2.64) dfor superficial Ⅲ degree wounds, which were obviously shorter than the corresponding (12.42 ±1.64) d, (27.83 ±1.96) dand (41.18 ±2.94) d in the control group and the differences were statistically significant (all P <0.01). In the observa?tion group, superficial scar in 9 cases and scar hyperplasia in 6 cases were found on the healed skin of deep Ⅱ degreewounds, and scar hyperplasia in 13 cases were found on the healed skin of superficial Ⅲ degree wounds, while in the control group superficial scar and scar hyperplasia were respectively seen on the healed skin of 28 cases and 49 cases with deepⅡdegree wounds, and scar hyperplasia was seen in 39 cases on the healed skin of superficial Ⅲ degree wounds. The comparisonof scar hyperplasia condition between the two groups showed statistically significant difference, P <0.01. Conclusion In thetreatment of pediatric perineal scalds, MEBT/ MEBO can effectively promote wound healing, shorten wound healing time anddecrease the occurrence of scar hyperplasia, presenting significant clinical efficacy and high clinical application value. |
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