湿润暴露疗法治疗电烧伤31例疗效分析

EFFICACY ANALYSIS OF 31 CASES OF ELECTRIC BURNS TREATED WITH MOIST EXPOSED THERAPY

随着生活水平的提高、家用电器的普及,电烧伤病人逐年增加。电烧伤是特殊原因烧伤的一种、就烧伤程度而言较其它烧伤为重,尤其是功能部位的烧伤在治疗中极为棘手。传统治疗电烧伤创面深Ⅱ度以上多为干燥后切痂植皮,或皮瓣游离覆盖创面等,除造成病人的痛苦和心理负担外,愈后往往带来不同程度的伤残。同时由于在治疗中切除坏死组织时总要损伤部分正常组织,因此愈后功能部位恢复多不理想。而采用“湿润暴露疗法”治疗31例电烧伤病人的实践,使我们认识到该疗法湿润的环境保护了创面频死组织,即“间生态”组织。使逆转为正常组织、减轻了创面的损伤,加速了伤面的修复。在功能部位的愈后上有着独特效果。

As the living standards of the people are ris-ing, the use of electric appliance has been popu-larized The number of patient with electric burns has been increasing in recent years. Electric burn is a burn of special cause. It is always more seri-ous than burns of other causes. To recover the function of the burnt tissue is a hard task in clinic. Conventional therapy for second degree electric burns includes desication of the wound, excision of the scab and covering the wound with flap. The patients have to endure pains and psychological burdens. The operation often results in disablement. During the excision of necrotic tis- sue, a part of normal tissue is inevitably excised at the same time. The recovery of the function is of-ten unsatisfactory. The authors used moist exposed therapy foi treating 31 cases of electric burns and recognized that this therapy keeps the wound surface in a moist environment and protects the tissue fiom dying. The tissue which is in a parabiolic state can be reversed to normal. The therapy alleviates the injury of the wound surface and accelerates its repair. It has a unique efficacy for treating burns of the functional parts of the body.