湿润烧伤膏治疗烧伤疤痕的临床观察

Circatrix in Burn Treated with the Moist Burn Ointment

本文主要从临床角度,总结一下湿润烧伤膏治疗烧伤疤痕的临床效果。临床上,共收治了23例烧伤疤痕的病人。烧伤原因包括:热碱、汽油、沥青、热鱼汤、面汤、开水、电击伤、茶水、天然气爆炸、高压锅蒸汽、硫酸、酒精等。疤痕形成的时间:一星期～八个月。应用湿润烧伤膏后临床观察:治疗3天,疤痕颜色有轻度改变,由暗紫色转暗红色。治疗7天,一半以上的病人,疤痕组织色渐变浅;约1/10的病人疤痕组织开始变薄,约2/5的病人,疤痕组织质地变软;约1/10的病人,疤痕溃疡开始愈合;约1/5的病人,疤痕创面出现多个小水泡;约1/8的病人,疤痕组织出现液化物;

23 cases of circatrix patients due to various kinds of burns were treated, the time of scar for-mation varying from 1 week to 8 months. Clinical observation showed that, on the 3rd day, slight change in the scar was observed, with its color turning from dark purple to dark red. On the 7th day, the scar color in over 1 / 2 cases be-came shallow, 1 / 3 of the patients' scarbecame thinner, 2 / 5 of the patients' scar were softened, 1 /10 of the patients' scar had its ulcer begin to heal, while 1 / 8 of the patients' had their scar tis-sue liquefied yet still remained with pain and itch-ing. On the 1 5th day half of the patients' scar turned further light in color and further liquefied. About 1 / 6 of the patients' scar began to be lique-fied with itching in 1 /4 of the patients. Number of patient with pain decreased from 1 / 4 to 1 / 6. One of the cases revealed capillary network in the scar tissue. On the 25th day, further change of scar color continued in 1/4 of the patients. About 1 / 5 of the patients had the scar tissue fur-ther softened. The number of patient with itching decreased from 1/4 to 1/6, while those with pain, from 1 / 6 to 1 / 1 2. About 1 / 10 of the pa- tient with original limited limb activity improved, while about 1/10 had their ulcers healed and about 1 / 8 of the patient revealed new blister formation. 2 cases revealed capillary network in the scar. On the 30th day. 2 more cases had their scar tissue begin softening. Among the 23 cases treated. 14 received therapy for less than 30 days with rather marked effect. The effects were satisfactory after being treated for 7-25 days. One of the cases had a very thin scar on his left upper limb after being treated for 91 days. The scar tissue, markedly decreased, was very close to normal skin with all ulcers healed and more normal skin among the scar which is pink in color. elastic and with evenly dis-tributed hairs. It seems that the longer the treating course, the better the results. The effects are mani-fested as: 1. Stopping itching; 2 Killing pain; 3. Promoting microcirculation in the scar; 4. Im-proving histologic structure of the scar (the ratio of epithelium and collagenous fibers ); 5- Appro-priately inhibiting the growth of capillary network in the scar; 6. Promoting the regeneration of skin appendages.