• MEBT/MEBO在背臀部深度烧伤创面的临床应用
  • Clinical Application of MEBT/MEBO in Patients with Deep Burns on the Back and Buttocks
  • DOI:
    中文关键词:  MEBT/MEBO  创面修复  深二度烧伤
    英文关键词:MEBT/MEBO  Wound Healing  Deep Second-degree Burns
    基金项目:
    作者单位邮编
    刘佳1,姚智华1,常东方1,朱娅1,刘心怡1,唐治琴1,魏大勇2* 1重庆医科大学附属永川医院烧伤整形科2重庆医科大学附属永川医院胃肠外科 402160
    姚智华 重庆医科大学附属永川医院 
    朱娅 重庆医科大学附属永川医院 
    魏大勇* 重庆医科大学附属永川医院 402160
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    中文摘要:
          目的:探讨湿润再生疗法(MEBT/MEBO)在臀部深二度烧伤创面修复中的临床疗效。 方法:收集2021年1月-2024年6月于重庆医科大学附属永川医院烧伤整形科治疗的46例臀部深二度烧伤患者的临床资料。观察组23例采用MEBT/MEBO换药,对照组23例采用常规方式换药,对比两组创面愈合时间,创面换药疼痛评分,手术植皮率,换药后发热情况,分泌物培养结果。 结果:观察组的创面愈合时间明显短于对照组(22.87±5.24天vs 26.61±6.74天,P=0.041)。观察组手术植皮率明显低于对照组(2/23 vs 8/23,p=0.032)。观察组换药后一过性发热发生率相对较高,但两组之间比较无明显统计学差异(p>0.05)。在换药第1d、第5d、第7d,两组换药疼痛情况无统计学差异(p>0.05),观察组在换药第7d疼痛情况明显低于换药第1d,差异有统计学意义(p=0.01)。在换药第7d观察组分泌物阳性率明显低于对照组(5/23 vs 12/23,p=0.032),两组创面分泌物培养阳性结果在首次换药前和换药第14d无显著差异(p>0.05)。 结论:MEBT/MEBO用于臀部深二度烧伤,可诱导皮肤再生,减轻患者换药疼痛,减少手术率,缩短创面愈合时间,值得临床推广。
    英文摘要:
          Objective: Explore the clinical efficacy of Moist Exposed Burn Therapy (MEBT/MEBO) in the repair of deep second-degree burn wounds on the buttocks. Methods: Collect clinical data from 46 patients with deep second-degree burns on the buttocks treated at Yongchuan Hospital, Chongqing Medical University, from January 2021 to June 2024. The observation group included 23 patients who received MEBT/MEBO dressings, while the control group consisted of 23 patients who received conventional dressings. The healing time of the wounds, pain scores during dressing changes, surgical grafting rates, post-dressing fever incidence, and secretion culture results were compared between the two groups. Results: The wound healing time in the observation group was significantly shorter than that in the control group (22.87 ± 5.24 days vs. 26.61 ± 6.74 days, P = 0.041). The surgical grafting rate in the observation group was significantly lower than that in the control group (2/23 vs. 8/23, P = 0.032). Although the incidence of transient fever after dressing changes was relatively higher in the observation group, there was no statistically significant difference between the two groups (P > 0.05). Pain levels during dressing changes on day 1, day 5, and day 7 showed no statistical difference between the two groups (P > 0.05); however, the pain level on day 7 in the observation group was significantly lower than that on day 1, with a statistically significant difference (P = 0.01). On day 7, the positive rate of secretion in the observation group was significantly lower than that in the control group (5/23 vs. 12/23, P = 0.032). There were no significant differences in the positive culture results of wound secretions between the two groups on day1 and 14 (P > 0.05). Conclusion: The use of Moist Exposed Burn Therapy (MEBT/MEBO) for deep second-degree burns on the buttocks can promote skin regeneration, alleviate dressing change-related pain, reduce the rate of surgical interventions, and shorten wound healing time, thus warranting its clinical promotion.