湿润暴露疗法与干燥包扎疗法的临床分析

CLINICAL COMPARISON BETWEEN THE MOIST THERAPY AND THE DRY THERAPY

我队自1988年6月～1989年11月应用湿润暴露疗法治疗各类中小面积烧烫伤患者684例,全部治愈。从中随机抽样选择Ⅱ烧伤200例,(简称湿疗组)与干燥包扎疗法治疗的Ⅱ烧伤200例,(

From June, 1988 to November, 1989, we have received 684 patients whose burn and scald-ing areas were small or medium. Adlibtum 200 of them with the second de-gree burn were selected as a group the moist group ) to be clinically compaired with the same number of the patients having the same type of burn, treated with the dry and dressing therapy (the dry group ) . The result of the comparison is as follows: 1. The average healing time: It took 7.52 days for the moist therapy to heal a superficial second degree burn and 1 8.53 days to heal a deep second degree burn. The dry therapy took 8.86 days to heal a superficial second degree burn and 21.47 days to complete the healing of a deep sec-ond degree burn. 2. The infection reate of the wound: The moist group had 37 patients infected, accounting for 18.5 per cent ( All were cases for diagnosis after infection ) . The dry group had 79 patients infected, making up 39.5 per cent ( Those that came for diagnosis after infection were included.). 3. The skin grafting rate of the wound: No patient treated with the moist therapy received skin grafting, but the group had 37 patients skin grafted, accounting for 1 8.5 per cent. 4. The scarring rate: 1 8 patients of the moist group had scars left, accounting for 9 per cent ( These were the patients who came for the treatment 12 hours after burning of even after in-fection ) . The dry group had 77 scarring patients, accounting for 38.5 per cent. P<0.001. The comparison demonstrated the superiority of the moist therapy to the dry therapy in treating the second degree burns of small or medium area, especially in treating the deep second degree burn. The moist therapy, effective and reliable, has functions of killing pain and of controlling infec-tion. A deep second degree burn, treated timely with the moist therapy, will produce no scar after healing, because timely treatment can improve the microcirculation of the wound and restore the tis-sue of the stasis region. Because of its simplicity, it is particularly good for the emergency treatment as in the fire extingushing battle of our fire brigade.