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目的:比较不同的治疗方法,对大面积深度烧伤植皮后残余创面的治疗作用。方法:收集60例此类患者分治疗组(自制中药油纱布)30例,对照组(磺胺嘧啶银)30例。结果:治疗组创面愈合时间为15～30天左右。其中13例皮片生长不良创面用药3～4天皮片色泽转红。萎缩后的皮片开始迅速生长。周边上皮扩展良好。11例移植皮片感染创面用药5～7天,局部感染症状基本控制。6例老化肉芽水肿创面用药7～10天水肿消退。创面可见点状皮岛生长。其中单个残余创面较大(4cm×4cm以上)经邮票植皮治愈。对照组创面老化水肿感染恢复的程度及皮片生长速度均不及治疗组,创面愈合时间25～55天左右。两组比较治疗组创面愈合时间较对照组明显缩短(P<0.01)。结论:中药油纱布具有清热解毒,活血消肿,去腐生肌的功效。可促进周边上皮及肉芽上残余的皮岛增生蔓延,加速创面愈合。方法简单,病人痛苦少,疗效满意。
Objective: To compare the therapeutic effects of different treatments on the residual wounds after extensive deep burn skin grafting. Methods: Totally 60 cases of these patients were divided into treatment group (homemade gauze) 30 cases, control group (30 cases of silver sulfadiazine). Results: The wound healing time in the treatment group was about 15-30 days. Of which 13 cases of poor skin growth medication 3 to 4 days skin color turn red. Shrunken skin began to grow rapidly. Peripheral epithelium expansion is good. 11 cases of skin wound infection medication wounds 5-7 days, the basic control of local symptoms of infection. 6 cases of granulomatous edema wound medication 7 to 10 days edema subsided. Point visible skin island skin growth. One single residual wound larger (4cm × 4cm above) cured by stamps skin graft. The wound healing and edema in the control group were not as good as those in the treatment group, and the wound healing time was about 25-55 days. The wound healing time of the two groups was significantly shorter than that of the control group (P <0.01). Conclusion: The gauze of traditional Chinese medicine has the functions of detoxification, invigorating blood circulation and swelling to the saprophytic muscle. Can promote peripheral epithelial and granulation on the remaining skin island spread, accelerate wound healing. The method is simple, the patient has less pain, and the curative effect is satisfactory.