青蛙皮及乳猪皮治疗深度烧伤创面的比较研究.pdfVIP

74 Journal of Chinese Physician ,January ,2004 ,Vol 6 ,No1 青蛙皮及乳猪皮治疗深度烧伤创面的比较研究 1 1 2 2 邹勃生 ,谭军 ,李效 ,叶倩 ( 1 湖南省人民医院整形科 ,湖南 　长沙 　410002 ;2 武警湖南总队医院) 【摘要】　目的 　探讨新鲜青蛙皮在治疗深 Ⅱ度、Ⅲ度烧伤创面中的临床应用价值。方法 　将 159 例患者随机分为青蛙皮组和 乳猪皮组 ,深 Ⅱ度覆盖蛙皮 35 例 ,乳猪皮 31 例。Ⅲ度创面换药及切痂植皮时覆盖蛙皮 49 例 ,乳猪皮 44 例。两组病人平均年龄、深 Ⅱ度、Ⅲ度面积无显著差别。结果 　与乳猪皮比较 ,青蛙皮可减少深度创面愈合天数及抗生素使用天数 ,减少深度创面感染发生 率 ,较少排异反应 ,增加细菌阴转率。结论 　青蛙皮用于烧伤创面具有较强的抗感染能力 ,较少排斥反应 ,是一种理想的烧伤创面 生物敷料。 [ 关键词] 　　青蛙皮 ;烧伤创面 ;生物敷料 Effect of Frog and Suckling Pig Skin on Wound Healing in Deep Burn ZHOU B o - s heng , TAN J un , L I X iao , et al . Hunan Provincial People Hospital , Changsha 410002 , China 【Abstract 】　Objective 　To evaluate the effect of live frog skin in the treatment of deep partial thickness and full thickness burn. Methods 　 ( 159 burned patients were randomly divided into two groups : wounds treated with frog skin or suckling pig skin. Wounds were covered by frog skin 35 ) ( ) cases or by suckling pig skin 31 cases after surgical debridement or when the crust began to dissolve for patients with deep partial thickness burns , ( ) ( ) and by frog skin 49 cases or by sucking pig skin 44 cases after surgical debridment or autologous skin grafting and escharetomy for patients with full thickness burns. There was no significant difference between the two groups in mean age , burn area and burn type. Results 　Compared with the suckling pig skin , frog skin could remarkably decrease days of wound recovery and antibiotics administration , and reduced incidence of wound infec tions and rejection in patients with full