目录

辽宁省大连市第四人民医院（１１６０３１） 杨东亮 车建中 王 洪

［摘 要］目的：观察ＭＥＢＯ对面部深Ⅱ度烧伤创面的治疗效果。方法：把面部深Ⅱ度烧伤病人随机分成ＭＥＢＯ组４６０例，ＳＤ－Ａｇ组１００例，对两种治疗方法进行临床对照观察，主要观察创面感染、疼痛、愈合时间及愈后疤痕生成情况。结果：ＭＥＢＯ组明显优于ＳＤ－Ａｇ组，创面感染率、疼痛率及疤痕生成率均低于对照组，愈合时间早约一周。两组数据统计学处理，有非常显著性意义。结论：ＭＥＢＯ能防止创面感染，促进创面早日愈合，愈后疤痕生成率低，并有良好的止痛效果。

［关键词］ＭＥＢＯ ＳＤ－Ａｇ 面部深Ⅱ度 烧伤 治疗

Clinical Observation of Facial Deep Second Degree Burn Treated with MEBO Yang Dongliang, Che Jianzhong, Wang Hong The No. 4 People's Hospital, Dalian City, Liaoning Province 116031

［Abstract］Objective: To observe the efficacy of MEBO in treating fac ial deep sec ond degree burn wounds. Method: 460 cases of deep second degree face burn were t reated with MEBO and 100 cases of the same degree of face burn were treated with SD-Ag. The results of the two treating methods were compared, in terms of wound s infection, pains, wound healing time, and scar formation post healing. Result: MEBO was better than SD-Ag. In MEBO group, wound infection rate, pain incidence and scar forming rate were lower and wounds healed one week earlier than SD-Ag group. The difference between the two groups was very significant. Conclusion: M EBO is capable of preventing wound infection, promoting wound healing, reducing scar formation and relieving pain.

［Key words］MEBO SD-Ag Cream Facial deep second degree burn Treatment

从１９９２年至今，作者分别用ＭＥＢＯ及ＳＤ－Ａｇ对照治疗面部深Ⅱ度烧伤病人共５６０例，其中ＭＥＢＯ组４６０例，ＳＤ－Ａｇ组１００例，并对两组治疗效果作临床对比观察，情况如下：

一、临床资料

本组５６０例面部烧伤病人，创面全部为深浅Ⅱ度混合型。作者主要对深Ⅱ度创面进行了观察。５６０例病人随机分组。致伤原因：热液烫伤２２０例，火焰烧伤２１７例，电火烧伤９８例，沥青烫伤４例，气焊烧伤１１例。年龄最大５５岁，最小１．５岁，平均年龄２５岁。临床全部治愈。

二、治疗方法

１．全身治疗：入院后静点预防抗炎一周，之后改为口服消炎药，直至创面稳定后停药，并作全身支持及对症治疗。

２．创面治疗：

（１）ＭＥＢＯ组：创面简单清创，水泡剪口引流，近毛发处备皮，然后直接将ＭＥＢＯ均匀涂在烧伤创面上，厚度约１ｍｍ，注意观察上药情况，以创面始终有药覆盖为原则，渗出期每８小时换药一次，液化期每６小时一次，直至创面愈合。创面充分暴露，在液化高峰期，创面开始有上皮形成，上药时要注意轻、准、稳，减少创面接触损伤。

（２）ＳＤ－Ａｇ组：创面清创，去除腐皮。１‰新洁尔灭创面清毒后用１％ＳＤ－Ａｇ糊剂直接涂在创面上，每日２次，直到创面形成一层灰白色薄痂后停药。充分暴露，烤灯干燥创面。注意创面观察，痂下积液予以随时清除，积液多者清除痂块湿敷后，重新上药。

三、结果与疗效

５６０例面部烧伤病人深Ⅱ度创面临床观察情况，如下表１、表２：