伤安素(OUR)在大面积烧伤微粒皮移植异种皮覆盖的临床观察  

Clinical observation of carbon fiber wound dressing Shangansu on large area deep burn wounds covered with xenoskin after microskin graft

作　　者：李传吉[1] 张龙[1] 李俊[1] 吴少军[1] 邓兴旺[1] 金少华[1] 

机构地区：[1]宁夏石嘴山市第一人民医院烧伤科,宁夏石嘴山753200

出　　处：《宁夏医学杂志》2012年第3期231-233,共3页Ningxia Medical Journal

摘　　要：目的观察伤安素碳纤维敷料对大面积深度烧伤切痂微粒皮移植异种皮覆盖的治疗作用。方法选择50%TBSA以上深度烧伤患者76例,分为对照组(碘伏纱布,棉垫包扎)和治疗组(伤安素碳纤维敷料,棉垫包扎),创面深度均为Ⅲ度切痂创面,观察面积为30%～51%[(31±4.6)%];创面处理时间:手术部位24 h内0.5%碘伏包扎,每日换药1次。手术切痂时间:治疗组伤后5～7 d[(5.80±0.14)d],对照组伤后5～7 d[(5.71±0.21)d],非手术部位全部用SD-Ag暴露和烤架促进成痂,观察渗出情况、异种皮排异时间、残余创面炎症反应、创面愈合时间、创面愈合质量。结果治疗组吸收容量大,异种皮排异时间较对照组平均延长4.76 d,残余创面炎症反应轻,创面愈合时间较对照组平均缩短5.80 d。结论伤安素碳纤维敷料具有吸水性强、可抑制细菌生长、延长异种皮排异时间、促进创面愈合、减少瘢痕形成等优点。To observe the therapeutical effects of carbon fiber wound dressing named Shangansu on large area deep burn wounds covered with xenoskin after microskin graft. Methods 76 patients with more than 50% TBSA were selected and randomly divided into control group （wound application dressing with iodophors carbasus and cotton mat） and treatment group （wound application dressing with Shangansu） until wound healing. The wound depth were III^and with excision of eschar, the areas were 30 -51%. The operated wound surfaces were dressed by 0.5% iodophors earbasus within 24h, and changed the covering once a day. The wound exci- sion of eschar was 5 -7d after operation in both treatment group and control group, the wounds without operation were exposed with SD - Ag, and the eschars were promoted by grill. Then the exudate absorption, exclusion time of xenoskin, residue wound inflammation, wound healing time and wound healing quality were observed. Results Compared with the control group, the treatment group patients showed higher volume of exudate absorption, and exclusion time of xenoskin was extended by 4.76 days on average when compared with the control group. On the other hand, the treatment group patients showed a light residue wound inflammation, and the wound healingliule was reduced by 5.8 days when compared with the control group. Conclusion Wound dressing with Shangansu has an advantage of adding exudate absorption ; release inflammation reaction ; extending exclusion time of xenoskin, promoting wound healing and reducing the formation of cicatrix.

关 键 词：伤安素 微粒皮移植 异种皮覆盖 

分 类 号：R644[医药卫生—外科学]