摘要
目的探讨应用异种(猪)脱细胞真皮基质包扎治疗门诊小面积烧伤患者的可行性。方法2006年11月至2012年11月门诊收治的63例小面积烧伤患者分别应用异种(猪)脱细胞真皮基质治疗和传统聚维酮碘乳膏纱布换药治疗,根据烧伤的深浅和处理方法的不同分成四组:真皮基质治疗浅Ⅱ°组(13例)、聚维酮碘乳膏治疗浅Ⅱ°组(17例)、真皮基质治疗深Ⅱ°组(19例)、聚维酮碘乳膏治疗深Ⅱ°组(14例)。观察创面愈合时间、换药次数、创面疼痛情况、患者依从性等。结果真皮基质治疗小面积浅Ⅱ°创面,创面平均愈合时间为(6.23±2.21)天,真皮基质治疗小面积深Ⅱ°创面,创面平均愈合时间为(12.46±3.57)天;聚维酮碘乳膏治疗小面积浅Ⅱ°创面,创面平均愈合时间为(8.37±4.39)天,聚维酮碘乳膏治疗小面积深Ⅱ°创面,创面平均愈合时间为(15.45±6.32)天。真皮基质治疗小面积浅Ⅱ°创面,平均换药次数为(3.34±1.45),真皮基质治疗小面积深Ⅱ°创面,平均换药次数为(3.69±2.48);聚维酮碘乳膏治疗小面积浅Ⅱ°创面,平均换药次数为(6.67±3.72),聚维酮碘乳膏治疗小面积深Ⅱo创面,平均换药次数为(8.54±6.21)。结论真皮基质能够有效促进创面愈合,减少换药次数,适合门诊应用。
Objective To investigate the method and feasibility of acelluar heterologous (porcine) dermal matrix used in curing small size area burn of outpatients. Methods From November 2006 to November 2012 in the patients admitted in our hospital, the curing effects of the small area burn of outpatients using acelluar heterologous (porcine) dermal matrix and Betadine ointment were observed. The curing time and patients' compliance were also studied. Results Wounds were healed satisfactorily after dressed with acelluar heterologous (porcine) dermal matrix comparing with dressed betadine ointment gauze. The healing time advanced and dressing change times reduced. The patients' compliance was higher. Conclusion Acelluar heterologous (porcine) dermal matrix can be successfully used in curing small size area burn wounds of outpatients. Satisfactory clinical effect can be obtained if the burn wounds choice was suitable.
出处
《国际医药卫生导报》
2014年第11期1543-1546,共4页
International Medicine and Health Guidance News