弹力带阻抑烧伤愈合创面成纤维细胞增生临床相关性研究.pdfVIP

2oo7年第2卷第4期 Chin J Iniury RepairWound ． 论著 ． 弹力带阻抑烧伤愈合创面成纤维细胞 增生临床相关性研究 沈光裕 郭振荣 【摘要】 目的 探讨弹力带压迫阻抑烧伤愈合创面成纤维细胞增生的可行性。方法 对1985 例深Ⅱ度以上患者创面愈合后立即使用弹力绷带或弹力套连续加压包扎方法治疗，与未施加压组 895例患者的愈合创面进行对照和组织学观察。结果 应用压力治疗的烧伤愈合创面瘢痕较薄而平 坦，软化时间早，瘢痕增生发生率低，功能恢复满意。而未用加压治疗的瘢痕有不同程度凹凸不平，瘢 痕出现早、增厚、瘢痕质硬，软化时间明显延长，功能恢复差。结论 持续压力疗法用于烧伤愈合初期 创面防治瘢痕增生疗效显著，对功能康复有着十分重要的意义。 【关键词】 弹力带；阻抑；烧伤愈合创面；成纤维细胞增生 Relative clinical study on elastic bandages in depres~ng hyperplasia of fibroblast of post-Burn surface wound SHEN Guang—yu，GUO Zhen—rong．Department of Burn and Plastw Surgery，187th Hospital of LA， Haikou 571159，China 【Abstract】 0bjective To explore the feasibility of elastic bandages in prevention and treatment of post—bum scars．Methods Elastic bandages and cuff were used continuously for 1985 patients in the wound more than deep 11 burn after healing．895 nonpressure therapeutic cases served as control group．Histological changes were observed．Results In pressure group，scar was gracile and fiat，soften earlier and rates of hy— pertrophic scar its functional rehabilitation was better．Nonpressure therapeutic cases formed uneven scars that were lower，occurred earlier，thicker and harder．The functional rehabilitation Was worse．Conclusions Pressure therapy for just healed wound has significant effect on prevention and treatment for scar prolifera- tion，and has important significance for functional recovery． 【Key words】 Elastic bandages；Depression；Post—bum surface of wound；Hyperplasia of fibroblast 我科于1985年以来，收治各种原因烧伤3540 例共2880例，其中加压组深Ⅱ度、Ⅲ度创面采用切 例，其中深Ⅱ度及深Ⅲ度烧伤共计2880例，对深Ⅱ 削痂手术微粒皮及点状植皮1985例，年龄最小7 d、 度以上的患者创面治愈后应用压力疗法治疗1985 最大68岁、平均22岁。创面愈合时间最短25 d，最 例，将未加压治疗的创面895例作为对照。结果显 长58 d，平均34 d。未加压组895例，其中经切削痂 示，经加压治疗后瘢痕薄而平坦，软化早、功能恢复 手术微粒皮或点状植皮458例，年龄最小9 d、最大 良好，而未加压治疗的创面瘢痕厚而硬，明显突出于 65岁、平均21．5岁。创面愈合时间最早23 d，最长 周围正常皮肤，现将我们治疗经验和体会报告如下。 62 d，平均35 d。两组