“药刀结合”治疗混合度烧伤的探讨

Mixed Degree Burns Treated with Drug and Knife Combination Technique

随着医学科学的发展，烧伤专业也正向先进性、科学性迈进，而MEBT在烧伤界目前处于领先地位。采用“药刀结合’治疗混合度烧伤，一般不植皮可以治愈，能避免传统方法早期切痂植皮的弊端，并体现药刀结合的可行性和实用性。药即是MEBO，刀是滚轴式取皮刀，在床旁无麻醉、无疼痛、无出血的情况下实施，剔除坏死组织要薄而多次，反复进行。笔者对76例患者随机分成两组，即对照组和治疗组，通过对比观察本法能杜绝创面感染加深，减少植皮率，缩短疗程，治疗组要比对照组提前治念5～10天，平均7．58天，P值＜0.001，且预后好。

In the application of MEBT for treating mixed de-gree burns, drug and knife combination technique is very helpful. The drug is MEBo and the knife is a roIIing knife. Patients can be treated on bed in their wards without being anaesthetized. The patients had no pain and no bleeding. Necrotic tissue and crust could be removed successfully. A comparison be-tween the results of patients treated with MEBT in conjunction with drug and knife combination technique and those treated with MEBT alone revealed that drug and knife combination technique is helpful in prevent-ing infections, reducing skin grafting rate and shorten-ing healing time. The difference is very significant (P<0. 001)