烧伤湿润包扎疗法临床应用1206例报告

目的 总结烧伤湿润包扎疗法在本院的临床应用情况,进一步完善烧伤湿性医疗技术的学术体系.方法 规范采用徐荣祥教授发明的烧伤湿性医疗技术治疗烧伤创面,用均匀涂抹MEBO的TJ烧伤敷料覆盖创面,再用自粘式弹力绷带无压包扎,每日换药1～2次,观察疗效.结果 浅Ⅱ度创面5d～7d自行愈合,深Ⅱ度浅型创面14d～20d天自行愈合,深Ⅱ度深型创面28d左右愈合,Ⅲ度浅型创面40d左右愈合,Ⅲ度深型创面治疗4周后植皮封闭创面;混合Ⅱ度烧伤患者无明显发热症状,部分深Ⅱ度深型以上烧伤患者有中度发热,但极少高热;无1例并发细菌及真菌感染.结论 使用烧伤湿润包扎疗法治疗烧伤创面能保证创面湿润不干燥,易于清创,患者痛苦小,能更好地保护创面,促进创面愈合.

Clinical Application Report of 1206 patients with Bandage Therapy of MEBT/MEBO

Objective To summarize the clinical application experience of Bandaging Therapy in our hospital and to further improve the academic system of MEBT/MEBO. Methods The wounds were treated with MEBT/MEBO which was invented by Professor XU Rong-xiang. The wounds were evenly covered with the TJ burn dressing filling wilh MEBO and bandaged with a self-adhesive elastic handage. The dressing was changed onee a day. Results The superficial II degree wounds healed sponlaneously at day 5 - day 7 and the superficial type deep II degree wound automatically healed at day 14 - day20 while the deep type deep II degree wound healed at about day 28. The superfieial III degree wounds healed at day 40 while deep III degree wounds were closed by a skin graft at 4 weeks. Patients with mixed 11 degree burn did not show signs of fever while some of the patients with deep type 11 degree hum had a moderate fever but rarely showed signs of hyperthermia. Moreover, no one developed hacterial and fungal infection. Conclusion Application of bandage therapy in the treatment of burns can prevent the wound from dryness with advantages of easy dehridement, less pain, short course of treatment and also can protect the wound and improve wound healing.