MEBO结合中药粉剂治疗烧伤创面临床观察与问题分析

Clinical Observation and Analysis of the Treatment of Burns with A Blend of MEBO and Herbal Powders

目的迄今,烧伤湿性医疗技术(MEBT/MEBO)及其核心药物湿润烧伤膏(MEBO)已广泛应用于各种类型烧伤的治疗,而且取得了良好的治疗效果。然而,仍有些单位不规范运用这项新技术,影响了创面愈合过程和患者的康复效果本文旨在通过对1组病例治疗效果的总结,分析它对创面治疗效果所产生的影响方法本组共34例44处创面,全程外用MEBO掺和大黄、黄连、红花、乳香、没药、冰片等中药粉剂治疗,对他们的病历资料进行回顾性总结,找出所存在的问题,进行分析。结果 34例44处创面均有干燥表现,12例(处)创面的感染发生率为35.3%,深Ⅱ度浅型创面愈合时间均大于3W,深Ⅱ度深型创面治疗1个月尚未完全愈合,浅Ⅲ度创面治疗2个月后愈合,深度创面愈合后的瘢痕发生率为38.2%。结论 MEBO掺和大黄、黄连、红花、乳香、没药、冰片等中药粉剂属于不规范应用烧伤湿性医疗技术范畴,它影响了创面愈合过程和患者的康复效果。

Objective MEBT/MEBO with its core drug MEBO has been widely used in the treatment of varied types of burn and achieved good therapeutic effects. However, wound healing and recovery can be deeply affected by inap- propriate use of this brand new technique. This paper is aimed at analyzing the influence of inappropriate application on the effect for wound treatment by summarizing the therapeutic effec, ts in one group of patients. Methods A Total of 34 cases of patients with 44 wounds in this group were administered topically with MEBO combined with other herbal powders like rhu- barb, coptis, red flower, frankincense, myrrh, borneo/ during the whole course of treatment. Their clinical data were retro- spectively reviewed and the problems were fuund and analyzed. Results A total of 34 eases of patients with 44 wounds all show the signs of drying, the infection rate （ 12 cases of infected burn） is 35.3%. Conclusion In the application of MEBT/MEBO, it is not standardized to combine MEBO with herbal powder like rhubarb, coptis, red flower, frankincense, myrrh and borneol, which interferes wound healing and patients＇ recovery. Theretore, standard use of MEBT/MEBO is ur- gently required.