CAJ | 학술논문

目的：：探讨生蜂蜜在感染创面上植皮术中的应用效果和临床意义。方法：取市售无污染的生蜂蜜(未经高温的),将无菌纱布块用生蜂蜜浸泡待用。首先将伤口创面清创消毒后,将少许生蜂蜜直接涂在创面上,然后将已取下的大腿皮片,常规点状植皮,最后用已经作好的蜂蜜纱布块敷盖绷带加压包扎。每天在有分泌物的创面上滴入庆大霉素液2次,5～6天更换敷料,可根据伤情配合全身应用抗菌素治疗。结果：16例全部1次成活,2例少部分经2次植皮全部成活。一般5天植皮已近愈合。结论：在临床上应用生蜂蜜在感染创面植皮取得了很好的疗效。而且此方法简便,有利于在基层推广。
목적：：탐토생봉밀재감염창면상식피술중적응용효과화림상의의。방법：취시수무오염적생봉밀(미경고온적),장무균사포괴용생봉밀침포대용。수선장상구창면청창소독후,장소허생봉밀직접도재창면상,연후장이취하적대퇴피편,상규점상식피,최후용이경작호적봉밀사포괴부개붕대가압포찰。매천재유분비물적창면상적입경대매소액2차,5～6천경환부료,가근거상정배합전신응용항균소치료。결과：16례전부1차성활,2례소부분경2차식피전부성활。일반5천식피이근유합。결론：재림상상응용생봉밀재감염창면식피취득료흔호적료효。이차차방법간편,유리우재기층추엄。
Objectives:To probe into the outcomes and clinical significance of applying raw honey to the dermatoplasty on infected wound surface. Methods:Prepared pollution-free raw honey ( without being processed with high temperature) bought from the market and soaked the sterile gauze piece into the raw honey for standby application. At first, after debridement and disinfection of the wound surface, a little raw honey was directly applied onto the wound surface and then conventional punctiform skin graft, with the skin flap excised from the thigh, was conducted. Finally, the wound was covered with the ready honey gauze piece and banded with pressure bandaging. Every day two drops of gentamicin solution were dripped onto the wound surface with secreta and the dressing was changed every 5 to 6 days. Systemic antibiotic treatment could be adopted based on specific circumstances of the wound. Results:16 cases of grafted skin survived at the first attempt and 2 cases survived after a second attempt. Generally the wound would nearly heal 5 days following the dermatoplasty. Conclusion:The application of raw honey to the dermatoplasty on infected wound surface could have achieved desirable curative effect. Besides, the method might be easy to operate and therefore ccould be popularized among the grassroots levels.