【摘要】 目的 :评价磨痂术、削痂术和磺胺嘧啶银 (SD -Ag)保痂 3种方法治疗深Ⅱ度烧伤创面的效果。方法 :随机将深Ⅱ度烧伤 93例分为 3组。A组磨痂组清创后用灭菌金属丝球磨擦创面 ,直至创面有广泛出血点或泛红 ,在创面涂以 0 2 5 %氯霉素油剂后用凡士林油纱布覆盖创面。B组削痂组削痂后 ,创面覆盖生物敷料或异体皮 ,加压包扎。C组SD -Ag组外用 1%SD -Ag霜 ,隔日换药直至创面愈合。以创面愈合时间、换药次数、植皮次数及近期瘢痕增长情况为观察指标。结果 :A组深Ⅱ度烧伤创面愈合时间短于B组和C组 (P <0 0 1) ,A组换药次数明显少于B组和C组 (P <0 0 1) ,植皮次数A组较少 ,近期愈合状况表明 ,3组创面无明显疤痕增生。结论 :磨痂术治疗深Ⅱ度烧伤创面比削痂术和SD -Ag更为有效更多还原

【Abstract】 Objective:To evaluate the effect of dermabrasion,tangentice excision of scar and SD-Ag cream on deep degree Ⅱ burns.Method:93 cases were randomly divided into three groups according to different measures.Group A was treated with dermabrasion.After debridement,the wound was abraded with sterile steel wire mass until appeared dense small hemorrhagic spots or the wound was suffused with blush.Group B was treated with tangential excision of eschar.After the procedure the wound was covered with biological dressing or alloskin,then set pressure dressing on the wound.Group C was treated with SD-Ag cream only, spreaded the sulfadiazine silver cream on the surface of the wound,executed dressing change every other day.The following served as observation indexes:the time of wound healing,the number of dressing change times,the number of skingrafting times and the proliferation of scar in the early age.Result:Compared with group B and C,group A showed that the time of wound healing of deep degree Ⅱ burns was more shorter(P<0.01),the number of dressing change times was obviously fewer(P<0.01),and the number of skingrafting was fairly fewer.In the early age thee were no apparent scar proliferation in these three groups.Conclusion:Compared with tangential excision of eschar and SD-Ag cream,dermabrasing is a more effective way to treat deep degree Ⅱ burns.更多还原