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目的观察溃疡膏加白糖在治疗烧伤耐甲氧西林金黄色葡萄球菌(MRSA)感染创面的临床效果,缩短残余创面治愈时间。方法回顾性总结1996年1月~2008年10月收治的烧伤患者,创面分泌物细菌培养为MRSA感染者52例,创面处理在溃疡膏内加入白糖,创面用约1∶5000高锰酸钾溶液清洗干净,直接涂抹溃疡膏后覆盖凡士林纱布,半暴露或者干纱布包扎,根据创面感染控制情况每日或者间隔1~2 d换药1次。结果经过2~5次换药,感染创面1周内很快得到控制,MRSA检出阳性率从用药前的100.00%下降至用药后1周的5.76%;无新生感染创面,治愈40例,12例创面较大者换药控制感染后手术植皮治愈,所有创面在1~2周内痊愈。结论溃疡膏加白糖治疗烧伤创面MRSA感染,具有明显的抗菌作用,能加速创面愈合,临床效果满意,方法简单可行,值得临床推广应用。
Objective To observe the clinical effect of ulcer cream and sugar in treating burn wounds infected with methicillin-resistant Staphylococcus aureus (MRSA), and to shorten the cure time of residual wounds. Methods From January 1996 to October 2008, we retrospectively reviewed 52 patients with burn wounds who underwent bacterial culture of MRSA with wound secretions. The wounds were treated with 0.1 to 5,000 potassium permanganate solution Clean, directly coated with petrolatum ointment paste covered gauze, semi-exposed or dry gauze bandage, according to the wound infection control daily or interval 1 ~ 2 d dressing 1 time. Results After 2 to 5 dressing changes, the infected wounds were quickly controlled within 1 week. The positive rate of MRSA decreased from 100.00% before treatment to 5.76% within 1 week after treatment. No new wounds were found, and 40 cases were cured. Larger cases of wound dressing to control postoperative skin graft infection cured, all wounds recovered within 1 to 2 weeks. Conclusion Ulcer cream plus white sugar treatment of burn wound MRSA infection, has obvious antibacterial effect, can accelerate the wound healing, clinical results are satisfactory, the method is simple and feasible, worthy of clinical application.