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[1]毛学飞,陈宝君,孙勇,等.ADM包扎治疗烧烫伤Ⅱ度创面临床效果的观察[J].医学研究与战创伤救治(原医学研究生学报),2016,18(02):148-150.[doi:10.3969/j.issn.1672-271X.2016.02.012]
　MAO Xue-fei,CHEN Bao-jun,SUN Yong,et al.Clinical effect evaluation of ADM dressing on the wound healing of second degree burn[J].JOURNAL OF MEDICALRESEARCH —COMBAT TRAUMA CARE,2016,18(02):148-150.[doi:10.3969/j.issn.1672-271X.2016.02.012]
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ADM包扎治疗烧烫伤Ⅱ度创面临床效果的观察()
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《医学研究与战创伤救治》（原医学研究生学报）[ISSN:1672-271X/CN:32-1713/R]

卷:
第18卷
期数:
2016年02期
页码:
148-150
栏目:
出版日期:
2016-04-09

文章信息/Info

Title:
Clinical effect evaluation of ADM dressing on the wound healing of second degree burn
作者:
毛学飞1; 陈宝君2; 孙勇1; 邓向东1; 潘晓峰1; 张盼1; 苏本玄1; 邓贝贝1; 王良喜1; 林骅2
1. 221004 江苏徐州，解放军97医院烧伤整形科； 2. 221006 江苏徐州，空军勤务学院门诊部
Author(s):
MAO Xue-fei1;  CHEN Bao-jun2;  SUN Yong1;  DENG Xiang-dong1;  PAN Xiao-feng1;  ZHANG Pan1;  SU Ben-xuan1;  DENG Bei-bei1;  WANG Liang-xi1;  LIN Hua2.
1. Department of Burn and Plastic Surgery, 97 Hospital of PLA, Xuzhou, Jiangsu 221004, China; 2. the Outpatient Department of Jiangsu Xuzhou Air Force Logistics College, Xuzhou, Jiangsu 221006, China
关键词:
脱细胞真皮组织包扎; 烧烫伤Ⅱ度; 临床效果
Keywords:
acellular dermal matrix dressing;  second degree burn;  clinical effect
分类号:
R644
DOI:
10.3969/j.issn.1672-271X.2016.02.012
文献标志码:
A
摘要:
目的 探讨异种脱细胞真皮基质（ADM）包扎治疗烧烫伤Ⅱ度创面的临床效果。 方法 随机采用ADM包扎治疗（观察组）和使用磺胺嘧啶银乳膏包扎治疗（对照组）的 烧烫伤Ⅱ度创面各50例。比较两组在换药后疼痛、换药次数、预后瘢痕增生等方面的差异。 结果 观察组0～Ⅰ级疼痛入院时22例（44%），治疗后48例（96%），差异具有统计学意 义（P＜0.01）；对照组0～Ⅰ级疼痛入院时23例（46%），治疗后20例（40%），差异无统计学意义（P＞0.05）。两组治疗后0～Ⅰ级疼痛率比较，差异有统计学意义（P＜0.01）。 观察组患者创面愈合后皮肤颜色比对照组颜色更浅、弹性更好。半年后创面瘢痕形成有明显差异（P＜0.01）。结论 ADM治疗烧烫伤Ⅱ度创面具有止痛快、促进创面愈合，减少瘢痕 增生，减轻患者痛苦，减少医生劳动量等优点。
Abstract:
Objective To investigate the clinical effect of ADM (Heterogeneous Acellular dermal matrix) on the treatment of burn wounds in the second degree burn. Methods 50 patients were randomly divided into treatment group and control group with or without the use of the Heterogeneous Acellular dermal matrix (treatment group). The difference of the two groups in the change of the pain, the number of dressing change, and the prognosis of scar hyperplasia were compared. Results In the treatment group, patients with group 0 class I pain were 22 cases (44%) when admission. There were 48 cases (96%) after treatment and the difference was statistically significant (P<0.01); In control group, patients with group 0 class I pain on admission were 23 cases (46%). There were 20 cases (40%) after treatment and the difference was not statistically significant (P>0.05). In the two groups after treatment, there was significant difference in 0-I grade pain rate (P<0.01). The patients in the treatment group were lighter and more flexible than the control group. After six months, there were significant difference in wound scar formation (P<0.01). Conclusion Xenogenic deproteinization Acellular Dermal Matrix for treating second degree burn wound can relieve pain quickly, promote wound healing, reduce scar hyperplasia, alleviate the suffering of patients, reduce doctor amount of labor and so on. ADM is one of the ideal inner layer dressing.

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更新日期/Last Update: 2016-03-20