李风翔
摘 要：目的：观察烧伤早期未采用湿润烧伤膏治疗的创面，更换烧伤湿润暴露疗法(MEBT/MEBO)的疗效。方法：对30例非MEBO治疗的烧伤创面，一律更换为MEBT/MEBO治疗，根据创面情况及时清除“药痂”，或伍用耕耘疗法。结果：创面形成的药痂或污物溶解迅速，易于清除，痂下积脓消失；各种类型的创面均能在预期内愈合；其中2例Ⅲ度创面经植皮治疗愈合；深Ⅱ度皮肤色素减退者14例(70％)，瘢痕增生率为25.0％(5/20)；Ⅲ度创面均留有浅表型瘢痕。结论：非MEBO治疗的烧伤创面及时更换MEBT/MEBO治疗，具有良好的清除创面药痂污物及积脓等作用；但深Ⅱ度创面与早期实行MEBT/MEBO相比，瘢痕发生率偏高。
关键词：烧伤；非MEBO创面；MEBT/MEBO；治疗
分类号：R282 710 文献标识码：B
文章编号：1001-0726(2001)02-0085-03
The Efficacy of MEBT/MEBO in Treating Burn Wounds Previously Treated with Non-MEBO Method
Li Feng－xiang（People's Hospital, Cang County, Hebei Province 061000）
Method Li Feng-xiang（People's Hospital, Cang County, Hebei Province 061000）
Abstract：Objective: To observe the efficacy of MEBO in treating burn wounds previously treated with non－MEBO method. Method: 30 cases of burn had previously been treated with non－MEBO method were then treated with MEBT/MEBO. The wounds were timely cleaned to remove the residual "drug scab" and Ploughing method was applied where necessary. Results: After application of MEBT/MEBO, the wounds were easy to clean and the “ drug scab” easy to remove. The subcrustal empyema vanished. All the wounds healed as expected. 2 cases with 3rd degree wound healed after skin grafting. 14 cases with deep 2nd degree wound had skin pigment faded (70％ ). Hyperplastic scar formation rate was 25.0％ (％ /20). Third degree wounds healed with superficial type scar. Conclusion: When MEBT/MEBO was applied timely in treating burn wounds previously treated with non－MEBO method, the "drug scab" and contaminants could be cleaned easily and the empyema removed timely. For deep 2nd degree wounds previously treated with non－MEBO method, the scar formation rate was higher than those treated directly with MEBT/MEBO.
Keywords：Burn； Non－ MEBO treated wounds； MEBT/MEBO Treatment
作者简介：李凤翔 (1945－ )，男 (汉族 )，河北黄骅市人，副主任医师
作者单位：李风翔（沧县人民医院河北沧县 061000）
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