数字纱布治疗烧伤残余创面的临床观察.pdfVIP

实用医药杂志2008年O3月第25卷第O3期Prac J Med＆Pharm．V0l 25．2008—03 N0．0 临床研究 数字纱布治疗烧伤残余创面的临床观察 · 论 著· 姜 艳 滕 华 周洪春 (莱阳中心医院烧伤整形科，山东烟台 265200) 【摘 要】 目的 观察数字纱布(消炎抗菌可溶止血纱布)对烧伤残余创面的治疗效果及安全性。方法 选 择符合人选标准的32例58处烧伤残余创面为受试对象。试验组(29处创面)外用数字纱布治疗，对照组 常规外用碘伏纱布。观察创面愈合情况，比较创面愈合时间 愈合率及创面细菌清除情况。结果 试验组 创面愈合时间(11．67+1．57)d，比对照组(13．17~1．47)d明显提f：f(e=-o．0060．O1)。试验组用药6d及12d的细 菌累计清除率分别为61．90％、95．24％，较对照组明 提高(心0．05)。两组患者用药后均无明显不良反应。 结论 数字纱布能有效促进烧伤残余创面的愈合。 【关键词】烧伤 残余创面 数字纱布 【中图分类号】R644 【文献标识码】A The application of digital gauze for the management of residual burn wounds JIANG Yan， IENG Hua，ZHOU Hong--chun．Department of Burns and Plastic Surgery，the Laiyang Central Hospital，Laiyang 265200，China [Abstracfl Objective rr0 observe the safety and the clinical effect of digital gauze fantibiotic and soluble gauze for hemostasis)on residual burn wounds．Methods Thirty-two patients (totally with 58 residual bum wounds)were selected．Digital gauze was applied onto the wounds of the trial group(totally with 29 wound~．Gauze wetted with povidone iodine was used as contml group(another 29 wounds)．The healing rate，the clinical results and the bacteriological state findings were determined 1 5 days after the treatment．Results The wounds healing time of the trial group was1．5d earlier than that of the control ones fP0．01)．The bacterial clear rate of the trial group on 6th and 12th day post—treatment was 61．90％ and 95．24％ respectively．which was significantly higher than those of the control group．No adverse reaction of digital gauze was found during the whole study．Conclusion The digital gauze can effectively accelerate residual burn wounds healing． [Key words】 Bums Residual wounds Digital gauze 烧伤后期残余创面的发生机制尚不十分清楚， 表 1 两组患者一般情况 局部的感染、微环境较差是其久治不愈的主要原因 之一．其