摘要
目的探讨湿润烧伤膏(MEBO)对急性坏死性筋膜炎术后创面的治疗效果。方法方便选取2010年1月—2017年6月江苏省盐城正大医院和盐城市第一人民医院普外科收治的20例急性坏死性筋膜炎患者,随机分为MEBO组(10例)和常规组(10例),在常规术后全身治疗的基础上,MEBO组患者切口创面生理盐水冲洗后采用MEBO药纱填塞引流,常规组患者切口创面碘伏水冲洗后应用凡士林油砂布治疗,对比观察两组患者创面愈合时间及愈合效果。结果治疗2个月后,MEBO组患者切口创面平均愈合时间、术后平均住院时间均明显短于常规组,差异有统计学意义(t=8.813,10.163,P<0.05)。MEBO组患者创面愈后瘢痕形成例数1例,常规组4例,但差异无统计学意义(P>0.05)。结论 MEBO可促进创面组织再生修复,缩短创面愈合时间,疗效显著,是治疗坏死性筋膜炎的有效方法。
Objective To study the effect of moist exposed burn ointment in treatment of operative wound surface of acute necrotizing fasciitis.Methods 20 cases of patients with acute necrotizing fasciitis admitted and treated in our hospital from January 2010 to June 2017 were convenient selected and randomly divided into two groups with 10 casesin each,both groups adopted the general treatment after the routine surgery,the MEBO group adopted the MEBO obturation and drainage after the washing of wound surface normal saline,and the routine group were treated with vaseline after the washing of incision wound iodine,and the wound healing time and healing effect were compared between the two groups.Results After two-month treatment,the average healing time of incision wound surface,and average length of stay after surgery in the MEBO group were obviously shorter than those in the routine group,and the differences were statistically significant(t=8.813,10.163,P<0.05),and the cicatrization case after the wound surface healing in the MEBO group and in the routine group was respectively 1 and 4,but the difference was not statistically significant(P>0.05).Conclusion The MEBO can promote the regeneration of wound surface tissues and shorten the wound surface healing time,and the curative effect is obvious,and it is an effective treatment method of necrotizing fasciitis.
作者
李作宝
李作安
路九昌
陆寿耆
LI Zuo-bao;LI Zuo-an;LU Jiu-chang;LU Shou-shi(Department of Surgery,Yancheng Zhengda Hospital,Yancheng,Jiangsu Province,224001 China;Department of General Surgery,Yancheng First People’s Hospital,Yancheng,Jiangsu Province,224001 China)
出处
《中外医疗》
2018年第2期131-133,共3页
China & Foreign Medical Treatment
关键词
湿润烧伤膏
急性坏死性筋膜炎
治疗效果
Moist exposed burn ointment
Acute necrotizing fasciitis
Treatment effect
