应用美宝湿润烧伤膏治疗艾灸烧伤患者的疗效观察

MEBO Wound in Burn Patients in Moxibustion Curative Effect

目的观察美宝湿润烧伤膏治疗局部艾灸烧伤患者创面的临床疗效。方法将我院2010年5月至2014年6月收治25例由艾灸导致的Ⅲ°烧伤患者,创面面积1 cm×1 cm至4 cm×5 cm的病人作为治疗组,对其应用美宝湿润烧伤膏包扎创面每日1次。同时选择同期门诊治疗的同等深度同等面积艾灸烧伤患者25例,创面外用碘附纱布包扎治疗作为对照组,观察2组创面的局部变化及愈合情况。结果治疗组通过换药方法直接愈合24例,占96%。平均非手术愈合天数24.5 d;对照组通过换药方法直接愈合13例,占52%,换药后期肉芽创面行手术植皮愈合12例,占对照组48%,排除手术例数平均非手术愈合天数41.6 d。治疗组患者非手术愈合平均时间明显缩短与对照组比较有统计学意义(P<0.01)。治疗组患者换药疼痛程度明显减轻与对照组比较有统计学意义(P<0.05)。治疗组与对照组创面疗效比较有显著性差异(P<0.05)。结论美宝湿润烧伤膏能够促进上皮生长,减轻患者痛苦,缩短创面愈合时间,是局部艾灸烧伤及小面积深度患者创面较理想的外用药,值得在临床推广应用。

Objective To observe the clinical effect of MEBO in treating burn wounds of the local moxibustion. Methods In this hospital from May 2010 to June 2014 of 25 patients treated by moxibustion cause third degree burn patients,wound area of about 1 × 1 cm to 4 × 5 cm patients as treatment group,on the application of MEBO Wound Dressing once a day. At the same period of outpatient treatment of equal depth equal area moxibustion 25 burn cases, external application of iodophor gauze dressing treatment as control group ,local changes of 2 groups of wound and healing. Results The results treatment group by dressing method of direct healing in 24 cases, accounting for 96% in the treatment group. The average non operation wound healing time was 24.5 days ; the control group by dressing method of direct healing in 13 cases, accounting for 52% of the control group, the late granulation wound dressing for operation skin graft healing in 12 eases, accounting for 48% of the control group, the number of cases of non operation operation the average wound healing time was 41.6 days to exclude. The patients in the treatment group the average healing time of non operation is short- ened obviously have significant difference compared with the control group. （ P 〈 0.01 ） patients in the treatment group were dressing pain alleviated compared with the control group with significant difference. （ P 〈 0.05 ） in treatment group and control group had signifi- cant difference between wound effect. （ P 〈 0.05 ） Conclusion MEBO can promote epithelial growth, reduce the suffering of patients and shorten the time of wound healing,is a local moxibustion and small area burn wound depth in patients with ideal medicine for ex- ternal use, it is worth in clinical application.