CAJ | 학술논문

目的：探讨藻酸盐敷料对瘢痕皮肤为供皮区创面愈合的临床效果。方法选取2009年10月-2010年10月北京积水潭医院烧伤科收治的大面积烧伤后整形患者10例，以深度烧伤的瘢痕皮肤为供皮区取中厚皮片。将患者随机分为对照组和观察组，各5例，分别用凡士林纱布及藻酸盐敷料处理包扎供皮区，观察两组患者供皮区的愈合时间。结果两组患者供皮区均愈合。观察组、对照组取皮面积间无差异〔（138±39）cm2与（128±31）cm2，P .0.05〕；观察组供皮区愈合时间较对照组缩短〔（13.8±1.8）d与（17.2±1.6）d，P<0.05〕。结论与普通的凡士林纱布作为敷料比较，藻酸盐敷料用于瘢痕皮肤供皮区可加快创面愈合，值得在临床推广应用。
목적：탐토조산염부료대반흔피부위공피구창면유합적림상효과。방법선취2009년10월-2010년10월북경적수담의원소상과수치적대면적소상후정형환자10례，이심도소상적반흔피부위공피구취중후피편。장환자수궤분위대조조화관찰조，각5례，분별용범사림사포급조산염부료처리포찰공피구，관찰량조환자공피구적유합시간。결과량조환자공피구균유합。관찰조、대조조취피면적간무차이〔（138±39）cm2여（128±31）cm2，P .0.05〕；관찰조공피구유합시간교대조조축단〔（13.8±1.8）d여（17.2±1.6）d，P<0.05〕。결론여보통적범사림사포작위부료비교，조산염부료용우반흔피부공피구가가쾌창면유합，치득재림상추엄응용。
Objective To investigate the clinical efficacy of alginate dressing on wound of donor sites of skin scar. Methods 10 major burn patients who admitted to the Department of Burn in Beijing Jishuitan Hospital and had plastic sur-gery procedures from October 2009 to October 2010,were selected as study subjects. Medium thickness skin graft from skin with deep burn was used for treatment. The patients were randomly divided into control group and observation group,5 cases in each group. The donor site of control group was treated by petrolatum gauze,and donor site of observation group was treated by alginate dressing,and the donor site recovery time in two groups was observed. Results All donor sites in two groups recovered. There was no significant difference in area of donor site between observation group and control group〔(138 ± 39) cm2 vs. (128 ± 31) cm2 ,P . 0. 05〕;The donor site recovery time in observation group was significantly shorter than that in control group〔(13. 8 ± 1. 8)days vs. (17. 2 ± 1. 6)days,P<0. 05〕. Conclusion Compared with petrolatum gauze,alginate dressing can accel-erate the healing of donor site of skin scar,so it is worthy of clinical application.