高海拔地区应用湿润暴露疗法治疗面部烧伤的临床分析

Clinical Evaluation of Treating Facial Burns with MEBT in High Altitude Region

目的:观察高海拔地区应用湿润暴露疗法治疗面部烧伤的效果。方法:将1996年～2008年在我院(海拔2260m)住院治疗的烧伤患者中,全程采用湿润暴露疗法收治的375例面部烧伤病例进行回顾性分析,对创面愈合时间、疼痛感、瘢痕增生、色素沉着进行评价。结果:MEBT/MEBO对创面止痛效果好,创面无干燥加深,浅Ⅱ度创面平均7天表皮化愈合,深Ⅱ度创面平均22天生理愈合,浅Ⅲ度创面平均36天愈合且无增生性瘢痕、表情丰富自然。结论:应用烧伤湿润暴露疗法在高海拔地区治疗面部烧伤,治愈率高、致残率低、方法简单易行,优于包扎和半暴露疗法,适合在高海拔地区推广使用。

Objective： To discuss the effect of treating facial bums with MEBT in high altitude region. Method： The retrospectively case data review was carried out, in which 375 cases of patients with facial burns who were admitted to hospital （elevation 2260m） from 1996 to 2008 were treated with MEBT in the whole course. And the evaluation indexes including wound healing time, pain degree, scar formation and pigmentation were observed and recorded. Results： MEBT has good stopping pain effect with no secondary damage of the wound caused by wound desiccation. For the superficial Ⅱ degree wound, the average epidermal healing time was 7d and 22d for the deep Ⅱ degree burn wound to reach to physiological wound healing. The average healing time was 36d for superficial Ⅲ degree burn wound and the patients had expression reach in nature and no hypertrophic scar observed after healing. Conclusion： The effect of MEBT in treating facial burn in high altitude region is superior to that of bandage therapy and semi - exposure therapy due to higher cure rate, lower disability rate and simple operation procedures. So it is valuable to popularize in high altitude region.