• 皮肤再生技术在小儿面部擦伤中的应用
  • DOI:
    中文关键词:  面部擦伤  湿润烧伤膏  皮肤再生医疗技术  小儿
    英文关键词:Facial abrasions  MEBO  Skin regeneration medical technology  Child
    基金项目:二〇二三年度河南省医学科技攻关计划项目
    作者单位邮编
    李翔 黄定基 刘渊 王春阳 马铭 鲁玄* 南阳南石医院烧伤整形美容中心 473000
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    中文摘要:
          目的:探讨分析湿润烧伤膏治疗小儿面部擦伤的临床疗效。方法:纳入2023年1月至2024年07 月于南阳南石医院整形外科收治的面部擦伤患儿,按纳入及排除标准共筛选116例患儿,采用随机数表法分为分为实验组和对照组,每组各58例,实验组使用MEBO湿润烧伤膏进行换药治疗;对照组按照传统方法使用生理盐水清晰、油纱覆盖的方法进行处理。观察2组患儿创面愈合时间、换药次数、疼痛指数,检测炎症因子及色素沉着等指标。结果:(1)实验组的创面愈合时间较对照组明显缩短(t=5.132,P<0.05),且换药次数有相应减少(t=9.663,P<0.05),差距具有统计学意义;(2)实验组患儿换药过程中的疼痛指数较对照组有明显减轻,伤后即可、第1天第3天第5天第10天第15天(t=0.235、4.056、1.572、2.313、1.826、1.167,P=0.478、0.001、0.001、0.001、0.001、0.001);(3)治疗前,两组患儿血清 α-MSH、IL-13、IL-18、IL-33水平差异均无统计学意义( t=0.893、0.443、4.692、9.725,P =0.565、0.659、0.419、0.671) ; 治疗 48 h 后,两组血清α-MSH、IL-13、IL-18、IL-33水平均低于治疗前,且实验组血清 α-MSH、IL-13、IL-18、IL-33水平均低于对照组( t=4.972、8.074、4.371、7.072,P =0.001、0.001、0.001、0.001) ;(4)对照组患儿黑色素强度明显高于实验组患儿(t=4.637,P=0.001)。结论:湿润烧伤膏治疗小儿面部擦伤与传统疗法比较,具有缩短愈合时间、减轻疼痛和色沉减少等优点。
    英文摘要:
          Objective: To explore and analyze the clinical efficacy of MEBO Moist Exposed Burn Ointment in the treatment of facial abrasions in children. Methods: A total of 116 children with facial abrasions admitted to the Department of Plastic Surgery of Nanyang Nanshi Hospital from January 2023 to July 2024 were included and screened according to the inclusion and exclusion criteria. They were randomly divided into an experimental group and a control group using a random number table, with 58 cases in each group. The experimental group was treated with MEBO Moist Exposed Burn Ointment for dressing changes, while the control group was treated with the traditional method of cleaning with normal saline and covering with oil gauze. The healing time of the wound, the number of dressing changes, and the pain index were observed in both groups. Inflammatory factors and pigmentation were also measured. Results: (1) The healing time of the wound in the experimental group was significantly shorter than that in the control group (t = 5.132, P < 0.05), and the number of dressing changes was also reduced (t = 9.663, P < 0.05), with statistically significant differences. (2) The pain index during dressing changes in the experimental group was significantly lower than that in the control group at the time of injury, on the 1st, 3rd, 5th, 10th, and 15th days (t = 0.235, 4.056, 1.572, 2.313, 1.826, 1.167, P = 0.478, 0.001, 0.001, 0.001, 0.001, 0.001). (3) Before treatment, there were no statistically significant differences in the levels of serum α-MSH, IL-13, IL-18, and IL-33 between the two groups (t = 0.893, 0.443, 4.692, 9.725, P = 0.565, 0.659, 0.419, 0.671). After 48 hours of treatment, the levels of serum α-MSH, IL-13, IL-18, and IL-33 in both groups were lower than those before treatment, and the levels in the experimental group were lower than those in the control group (t = 4.972, 8.074, 4.371, 7.072, P = 0.001, 0.001, 0.001, 0.001). (4) The melanin intensity in the control group was significantly higher than that in the experimental group (t = 4.637, P = 0.001). Conclusion: Compared with the traditional therapy, MEBO Moist Exposed Burn Ointment in the treatment of facial abrasions in children has the advantages of shortening the healing time, reducing pain, and decreasing pigmentation.