浅析烧伤医学三大要素——烧伤预防、治疗、康复

THREE ELEMENTS IN BURN MEDICINE PREVENTION, TREATMENT AND REHABILI-TATION

烧伤医学是刚从大外科系统中派生出来的一门新兴的科学。按照科学的一般发展规律,一种新概念的诞生也必将出现一番争鸣,即烧伤医学究竟是个什么概念。根据现代医学的含义,烧伤医学应包括烧伤预防、烧伤治疗、烧伤康复这三大要素。一、烧伤预防的社会价值:通过对国内外烧伤发生率及治疗水平分析,认为对烧伤的预防工作远不及其它疾病如某些传染病、冠心病等那样重视,缺乏全国性的指导和预防措施是烧伤发生率逐年上升的根本原因。烧伤事件一旦发生,给患者个人,家庭和社会带来的灾难是巨大的。灾难不仅局限于身体上,经济上,而且在精神上的打击也是沉重的。根据医学的社会价值观念,医学发展应当有益于社会需求的满足。人们希望健康的生活,社会要求人类无病,这即是人们对社会的要求,也是社会对人类的期望。二、烧伤治疗的发展趋势:西医与中医的烧伤治疗史源远流长,而且各有千秋,但其发展速度都不甚满足。其中最大的缺陷是一直“把治疗烧伤创面感染当做治疗烧伤的最终目的”,忽略了创伤愈合的基本规律。在某种意义上讲,湿性烧伤医疗技术(MEBTBT)能够填补这个空缺。MEBT既不同于西医学,也不同于中医学,是两种医学汇通一体的新科学。通过对MEBO作用特点分析,认为更新的烧伤治疗观念势在必行。三、烧伤康复的一些?

Burn meaicine is derived irom surgical medicine. It comprises three elements namely burn prevention, burn treatment and burn rehabilitation. I. The social value of burn prevention: An analysis of the present status of burn morbidity and the level of burn treatment shows that burn prevention is not emphasized as much as the prevention of other diseases such as infective diseases and coronary heart disease, etc. A nationwide measure or guidance to the prevention of burn is still lacking. It is why burn morbidity is increasing annually. Once burn accident happens, it is a disaster to the victims and their family and is a great loss of the society. It is not only a physical and economic disaster but also a mental hard knock. The social value of burn prevention is to minimize burn accidents and to protect people from being injured. II. Recent trends in burn treatment: Both western burn medicine and Chinese burn medicine have their drawbacks. The most important one is that they consider the treatment of burn wound infection as their ultimate aim and neglect the basic law of wound healing. Moist exposed burn therapy (MEBT), to certain extent, fills in the gap. MEBT is a new burn medicine. It combines the merits of western and Chinese ourn medicine, vioisi expuseo burn oitment (MEBO), a new drug for use in MEBT, has its characteristic features. It is inevitable that the ideas of conventional burn therapy is to be replaced by the new ideas of MEBT. III. Burn rehabilitation: Disability is a serious problem. According to WHO, almost 10% of the world population are handicapped . In which burn victims account for a large percentage. When burn wounds heal, it does not mean the patients are really recovered. Physical and mental disturbances will long make them afflicted. Researches on the metabolism of acute burn wound have achieved a great success in improving the treatment and the prevention of burn complications and the survival rate of burn patients has been raised. Scar formation post-burn is still a difficult problem. MEBO has its miraculous effect for preventing scar formation and for healing scars. The mechanism of its action remains to be further investigated. The three elements in burn medicine should not be separated. Only after a better integration of the three elements could a more advanced and perfected burn medicine be established.