几种常用烧伤敷料物理特性实验探究.docVIP

几种常用烧伤敷料物理特性实验探究 　【摘要】 　　目的 探讨几种烧伤敷料的物理特性，为烧伤创面外用材料的选择提供依据。方法 分别对非脱脂纱布、脱脂纱布及人造皮膜等几种材料的通透性、对外界污染的屏障隔离作用、对烧伤创面的保护作用、敷料的黏性进行实验。结果 在抵抗外界污染方面，非脱脂纱布的抵抗力是脱脂纱布的2倍；在隔离保护烧伤创面方面，15层脱脂纱布已能有效保护创面从而防止渗液外漏；人造皮膜的通透性是刃厚皮片的3.8倍；人造皮膜与创面的黏附力是脱脂纱布的1/2。结论 以非脱脂纱布作为外层敷料优于脱脂纱布，5层非脱脂纱布即可达到隔离外界污染的作用；以15层脱脂纱布作为包扎烧伤创面的敷料，可达到有效保护创面的作用；人造皮膜作为内层敷料，有利于维持创面组织细胞复苏的内环境；人造皮膜与创面的黏性较小，有利于敷料的更换。 【关键词】 烧伤敷料；物理特性；纱布；人造皮膜 　　Abstract： Objective To probe the physical feature of several kinds of burndressing in order to furnish evidence for selection of burndressing. Methods The isolating function from environmental pollution, the protective function to bronwound, the stickiness and permeability of dressing were studed for absorbent gauze, nonabsorbent gauze, artificial biological dressing. Results The isolating function of nonabsorbent gauze was twice as much as that of absorbent gauze; 15sheet absorbent gauze was enough to protect burnwound and provent the oozing of humor from passing through dressing; the permeability of artificial biological dressing was 3.8 times as much as that of superficial skin graft; on wound, the stickiness of artificial biological dressing was 0.5 times as much as that of absorbent gauze.Conclusion As an outerdressing, 5sheet nonabsorbent gauze is enough to prevent from environmental pollution, and it has an advantage over absorbent gauze. Absorbent gauze with 15 sheets is enough to protect burnwound. As an insidedressing, artificial biological dressing is favorable to maintain internal environment of histiocyte coming back to life, and it has little stickiness favorable to replacement of dressing on burnwound. 　　Key words： burndressing; physical feature; gauze; artificial biological dressing 为适应战场成批烧伤救治的需要，我们开展了对烧伤敷料的通透性、屏障隔离作用、敷料的厚度、敷料的黏性等物理特性研究，以期获得对创面保护作用好、通透性适宜、更换方便的烧伤敷料，现报告如下。 　　1 材料 脱脂纱布为广州卫生材料厂生产，非脱脂棉为湖北荆州纱纺厂生产，人造皮膜为海南民福药业公司生产。 　　2 研究方法与结果 　　2.1 污染隔离试验 　　将多层非脱脂纱布重叠后平铺于桌面上，以吸管小心将一滴墨汁滴于敷料表面，待墨汁干燥后，观察墨汁浸透污染的纱布层数，同法测量脱脂纱布被墨汁污染的层数以作为对比研究。结果如表1。表1 两种纱布墨汁污染情况比较（略）