MEBO对不同类型烧(创)伤创面的局部疗效:123例临床报告  

LOCAL EFFECT OF MEBO ON WOUNDS OF DIFFERENT KINDS OF BURNS

作　　者：张向清[1] 王永武[1] 陈存富[1] 邓彬民 刘介甫 姜文荃 吴庆云[1] 张志华[1] 

机构地区：[1]解放军91医院烧伤中心

出　　处：《中国烧伤创疡杂志》1991年第4期1-7,11-61,共9页The Chinese Journal of Burns Wounds & Surface Ulcers

摘　　要：本文总结了1989年9月～1991年5月济南军区烧伤中心采用湿润烧伤膏(MEBO)对123例烧(创)伤创面的临床疗效。全组以中小面积烧伤为主,平均烧伤总面积为11.3％BSA,有Ⅲ度者占30.08％。文章重点阐述了深Ⅱ度与Ⅲ度创面的治疗经验。通过部分Ⅲ度创面的临床观察,其愈合速度明显快于一般性创伤愈合速度。同磺胺嘧啶银、磺胺嘧啶锌治疗的创面相比,MEBO有抑制绿脓杆菌生长作用,创面渗液的pH值也低于传统暴露疗法。作者认为,MEBO在中小面积烧伤创面中的治疗作用优于干性暴露疗法,并就烧伤未来及MEBO的广阔前景进行了讨论。We treated 123 cases of burn using MEBO from September 1989 to May 1991. Most of the patients had moderate and small area burns, with an average burn area of 11.3%BSA (ranging from 0.5 to 52%BSA). Among which 30.08% had 3rd degree burns. This paper reports the clinical expe-rience in treating deep 2nd degree and 3rd degree burns. Bacteria count on the wounds surface treated with MEBO was found to be XG(geometri-cal mean) =5.72× 104/ cm2. Bacteria count in the inner layer of the wounds was XG = 1.68× 104/cm2. (U = 4.01, P<0.01). Bacteria count on the wound surface treated with SD-Ag and SD-Zn was found to be XG = 0.83x 104/cm2. The difference between the MEBO treated and SD-Ag or SD-Zn treated groups was not significant. But wound surface bacteria culture of the patients treated with SD-Ag and SD-Zn had 73.9% detective rate for Pseudomonas aeruginosa, while MEBO treated patients had a detective rate of 34.5% (X2 = 8.406. P<0.01). This result showed that MEBO is more effective for inhibiting the growth of Pseudomonas aeruginosa. Wounds surface treated with MEBO had lower pH value than treated with SD-Ag or SD-Zn. Wounds treated with MEBO healed more quickly. The authors concluded that MEBO is bet-ter than conventional dry exposed therapy and has a promising prospect.

关 键 词：湿润烧伤膏 局部疗效 

分 类 号：R82[医药卫生—临床医学]