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湿润烧伤膏治疗创伤性骨折术后感染创面疗效分析
Clinical Efficacy of Moist Exposed Burn Ointment in the Treatment of Postoperative Infected Wounds of Traumatic Fractures

关石锦,窦强兵.湿润烧伤膏治疗创伤性骨折术后感染创面疗效分析[J].中国烧伤创疡杂志,2025,(4):285~287.

DOI：

英文关键词:Moist exposed burn ointment Traumatic fracture Postoperative infection Wound Pain

基金项目:

作者	单位
关石锦	237014 安徽六安, 六安中山医院骨科
窦强兵

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中文摘要:

【摘要】目的分析湿润烧伤膏治疗创伤性骨折术后感染创面的临床疗效? 方法选取 2020 年 6 月至 2023 年 6 月六安中山医院收治的 70 例创伤性骨折术后感染患者作为研究对象, 根据不同治疗方式将其分为试验组 (35 例) 和对照组 (35 例)? 试验组患者清创术后创面行湿润烧伤膏换药治疗, 对照组患者清创术后创面行负压封闭引流治疗, 对比两组患者创面疼痛程度、病原菌转阴情况及创面愈合时间? 结果治疗第 5、10 天, 试验组患者创面疼痛评分均明显低于对照组 (t = 4.535、5.577, P 均<0.001); 治疗第 14、28 天, 试验组患者创面病原菌转阴率均明显高于对照组 (χ 2 = 4.480、6.437, P = 0.034、0.011); 试验组患者创面愈合时间明显短于对照组 (t = 3.481, P<0.001)? 结论湿润烧伤膏治疗创伤性骨折术后感染创面, 可明显降低创面疼痛程度, 加快病原菌转阴, 缩短创面愈合时间?

英文摘要:

【Abstract】 Objective To analyze the clinical efficacy of moist exposed burn ointment (MEBO) in the treatment of postoperative infected wounds of traumatic fractures. Methods 70 patients with postoperative infections following traumatic fractures admitted to Lu’an Zhongshan Hospital from June 2020 to June 2023 were enrolled as research subjects and divided into the experimental group (n = 35) and the control group (n = 35) according to different treatment methods. After debridement, the wounds of patients in the experimental group were treated with dressing change of MEBO, while the control group patients were treated with vacuum sealing drainage. Wound pain score, pathogen negative conversion rate, and wound healing time were compared between the two groups. Results On days 5 and 10 of treatment, the wound pain scores were significantly lower in the experimental group than the control group (t = 4.535 and 5.577, both P<0.001). On days 14 and 28 of treatment, the pathogen negative conversion rates were significantly higher in the experimental group than the control group (χ 2 = 4.480 and 6.437, P= 0.034 and 0.011), and the wound healing time was significantly shorter in the experimental group (t = 3.481, P<0.001). Conclusion MEBO in the treatment of postoperative infected wounds of traumatic fractures can significantly reduce wound pain, accelerate pathogen negativity, and shorten wound healing time.