CAJ | 학술논문

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.
목적：관찰소상조기미채용습윤소상고치료적창면，경환소상습윤폭로요법 (MEBT/MEBO)적료효.방법：대 30례비 MEBO치료적소상창면，일률경환위 MEBT/MEBO치료，근거창면정황급시청제“약가”，혹오용경운요법.결과：창면형성적약가혹오물용해신속，역우청제，가하적농소실；각충류형적창면균능재예기내유합；기중 2례Ⅲ도창면경식피치료유합；심Ⅱ도피부색소감퇴자 14례 (70％ )，반흔증생솔위 25. 0％ (5/20)；Ⅲ도창면균류유천표형반흔.결론：비 MEBO치료적소상창면급시경환 MEBT/MEBO치료，구유량호적청제창면약가오물급적농등작용；단심Ⅱ도창면여조기실행 MEBT/MEBO상비，반흔발생솔편고.
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.