生物敷料A在非Ⅲ°烧伤创面治疗中的应用  

Application of biological dressing A in the treatment of non Ⅲ° deep burn wound

作　　者：唐公杰 刘付存 王新波 张涛 曹霞 夏丽华 宋增美 

机构地区：[1]沂水中心医院烧伤整形科,山东省临沂276400

出　　处：《中国基层医药》2013年第20期3077-3078,共2页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的 探讨非Ⅲ°烧伤创面给予磨削痂等综合治疗后,采用生物敷料A覆盖包扎后的临床治疗效果.方法 烧伤患者非Ⅲ°创面（深Ⅱ°及偏浅的Ⅲ°创面）,应用改良式磨痂并配合削痂加自体薄层皮片移植,创面覆盖生物敷料A包扎治疗28例（治疗组）；对照组采用传统的削痂及切痂加自体皮移植治疗21例.结果 治疗组术后2～3周创面愈合,其中烧伤总面积40％～ 50％ TBSA的患者治愈率为99％,并且治疗后,瘢痕增生明显减轻,自体供皮明显减少,患者住院时间及术后康复时间明显缩短,患者比较容易接受.对照组自体皮移植手术时间较长,出血量较多,愈合后,创面存在较多瘢痕.治疗组创面愈合时间（14.8±1.8）d与对照组创面愈合时间（19.4±3.0）d差异有统计学意义（P＜0.05）.结论 采用改良式磨削痂加生物敷料A覆盖包扎,操作简单,损伤轻,并发症少,需皮量少,最大限度的保留了健康组织,使创面愈合加快,愈合后瘢痕相对减轻.Objective To investigate the clinical efficacy of biological dressing A covering bandage of Ⅲ° burn wounds given comprehensive treatment including dermabrasion. Methods For patients of non Ⅲ° burn wounds （ deep Ⅱ° and partial superficial Ⅲ° wounds） , 28 cases in the treatment group, were given improved dermabrasion with tangential excision plus thin layer of skin graft from the body, the wounds were covered with biological dressing A bandage. 21 patients in the control group were treated by traditional tangential excision, escharectomy and self-skin grafting. The clinical treatment effect was observed and compared between the two groups. Results The wounds were healed 2 ~ 3 weeks after surgery in treatment group, the cure rate of burns in patients with a total area of 40% ~ 50% TBSA was 99%, and after treatment the scar formation significantly reduced, self-donated skin significantly reduced, the hospital stay and postoperative recovery time of the patients were significantly shorter, patients were easier to ac- cept. In the control group, the operation time was longer, the blood loss was more, the wounds had more scar healing wounds. The wound healing time of the treatment group was （ 14.8 ± 1.8 ） d, which was significantly shorter than （ 19.4 ± 3.0 ） d of the control group （ P 〈 O. 05 ）. Conclusion The improved grinding A scab plus biological dressings covering bandage has the advantages of simple operation,light damage,less complications, need less skin, to maximize retention of heahhy tissue, wound healing speed up, healing scar lessened.

关 键 词：烧伤 生物敷料A 表皮生长因子 皮肤移植 

分 类 号：R644[医药卫生—外科学]