CAJ | 학술논문

目的：观察美宝创疡贴治疗小腿骨外露创面的临床疗效。方法将本院2010年5月至2014年12月收治的28例小腿骨外露患者随机分为2组：治疗组14例，应用美宝创疡贴换药治疗；对照组14例，应用传统凡士林纱布换药治疗，观察2组患者创面愈合时间及愈合效果。结果治疗组治愈10例，创面平均愈合时间为42 d；好转4例，创面均经植皮修复。对照组治愈4例，创面平均愈合时间为50 d；好转4例，创面均经植皮修复；无效7例，治疗2个月后坏死缺损区域及骨外露创面无明显好转，创面最终经皮瓣转移术修复。结论应用美宝创疡贴治疗小腿骨外露创面，疗效明显优于传统的凡士林纱布，且操作简便，患者痛苦小，值得基层医院推广应用。
목적：관찰미보창양첩치료소퇴골외로창면적림상료효。방법장본원2010년5월지2014년12월수치적28례소퇴골외로환자수궤분위2조：치료조14례，응용미보창양첩환약치료；대조조14례，응용전통범사림사포환약치료，관찰2조환자창면유합시간급유합효과。결과치료조치유10례，창면평균유합시간위42 d；호전4례，창면균경식피수복。대조조치유4례，창면평균유합시간위50 d；호전4례，창면균경식피수복；무효7례，치료2개월후배사결손구역급골외로창면무명현호전，창면최종경피판전이술수복。결론응용미보창양첩치료소퇴골외로창면，료효명현우우전통적범사림사포，차조작간편，환자통고소，치득기층의원추엄응용。
Objective To observe the clinical efficacy of MEBO wound dressing in treating the crus bone exposed wounds. Methods Randomly divided 28 cases treated from May 2010 to December 2014 into two groups: 14 cases in treatment group were treated with MEBO wound dressing and 14 cases in control group were treated with conventional Vase?line. And observed the healing time and healing effect of both groups. Results In treatment group, the wounds of 10 cases completely healed and the average healing time was 42 days, and the wounds of 4 cases had improvement and were healed by skin grafting. In control group, the wounds of 4 cases completely healed and the average healing time was 50 days, and the wounds of 4 cases had improvement and finally were healed by skin grafting. While the treatment of the other 7 cases were ineffective, after 2 months’ treatment, the necrotic defect area and crus bone exposed wounds had no improvement and the wounds were finally repaired by the transfer of skin flap. Conclusion The application of MEBO wound dressing in trea?ting of crus bone exposed wounds has better efficacy than the conventional Vaseline treatment, and it is easy to operate and has little pain, worth to be popularized in primary hospitals.