湿润烧伤膏联合早期功能锻炼治疗功能部位烧烫伤的临床观察

摘要

Objective To observe the clinical curative effect of MEBO combined with early functional exercise in the treatment of burns and scalds at functional sites. Methods Forty-eight patients with burns and scalds were treated with MEBO externally and bandage therapy ( with dressing change every 6-8 hours) at the meantime of receiving anti-infection, anti-shock and nutritional support treatments. Meanwhile, the involved 88 functional sites were given early functional exerci-ses. The therapeutic effect was observed. Results All 48 cases were healed with a total effective rate of 100%. No com-plications such as local or systemic infection, high fever, severe malnutrition, scar formation, contracture malformation and dysfunction and etc. developed. During the follow-up of 3-6 months, no obvious scar hyperplasia, contracture or dysfunc-tion was observed. Conclusion MEBO combined with early functional exercise in the treatment of burns and scalds can not only promote wound healing, but also effectively prevent the occurrences of scar formation, contracture deformity and loss of function at functional sites.%　　目的 观察湿润烧伤膏（ MEBO）配合早期功能锻炼治疗功能部位烧烫伤的临床疗效。方法 对48例不同烧烫伤患者的88个功能部位，在给予抗感染、抗休克、营养支持等治疗的基础上，烧烫伤创面用MEBO涂抹、无菌纱布覆盖处理（每6 h～8 h换药1次），并早期进行功能部位的功能锻炼，观察疗效。结果 48例患者的创面全部愈合，总有效率为100％；所有患者均未出现全身或局部的严重感染、高热、营养不良、瘢痕形成、挛缩畸形、功能障碍等并发症，随访3～6个月，未见明显瘢痕增生、挛缩畸形及功能障碍。结论 湿润烧伤膏配合早期功能锻炼治疗烧烫伤，既可促进创面愈合，又可有效预防烧伤部位的瘢痕形成、挛缩畸形、功能丧失。