湿润烧伤膏和皮维碘软膏治疗重度烧伤的观察

Evaluation of therapeutic effects of miost born ointment and betadine ointment in treatment of severe burn

为比较湿润烧伤膏和皮维碘软膏对重度烧伤的治疗效果,1991年7月至1995年6月对35例烧伤面积在30％以上的病人分别外用湿润烧伤膏和皮维碘软膏,结果表明:对浅Ⅱ度烧伤,两药的治疗结果无显著差异;对深度烧伤,湿润烧伤膏不如皮维碘软膏,前者抗菌能力差,愈合时间长,感染率、并发症发生率和死亡率均较高,也未见明显抑制瘢痕增生的作用。认为大面积深度烧伤病人应慎用湿润烧伤膏,尤其在气候炎热、潮湿的南方地区。

In order to compare' the therapeutic value of moist burn ointment (MBO) and betadine ointment in severe burns,the authors divided 30 patients with burn over 30% TBSA into two groups. In one group MBO was used, and in another group betadine was used. The result showed:①The difference between two groups was not great in superficial Ⅱ degree burn wound. ②MBO was less effective than betadine in deep burn wound. MBO had little antibacterial effect, wound healing was delayed, and inci- dences of infection, complication and mortality were higher. At the same time, MBO did not have no- ticeable effect in inhibiting scar hypertrophy. The authors suggust that MBO must be used with caution in severe burn patients, especially in the southern provinces where the climate is hot and humid.