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首页> 外文期刊>Journal of Clinical and Diagnostic Research >Evaluation of Nano-Crystalline Silver Dressings in Superficial Partial Thickness Burns
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Evaluation of Nano-Crystalline Silver Dressings in Superficial Partial Thickness Burns

机译：纳米晶银敷料在表面局部厚度烧伤中的评估

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Silver as an antimicrobial agent has been known for the treatment of burns. Silver nitrate causes discoloration of skin and silver sulphadiazine causes tissue irritation and pseudo-eschar formation. Nano-crystalline silver dressings were a significant break-through in the management of burn wounds.Aim: To assess the efficacy of nano-crystalline silver dressing in management of second degree superficial burns.Materials and Methods: Thirty patients suffering from second degree superficial burns of different aetiologies were treated and wound healing was closely monitored with regular photographic evidence.Results: The mean score of pain using numeric and faces pain rating scale was 7.36 at the time of admission. Eighteen patients didn?t have pain at one week. Mean score of remaining 12 patients was 1.5. When the total score is divided by 30 (18+12) then mean pain was 0.6. The mean number of dressing changes required was 4.73. Burn wounds of four patients epithelialised completely within one week requiring no more dressings, whereas 18 patients took up to two weeks and eight patients required more than two weeks for epithelialisation. However, complete healing was observed in all patients at four weeks and at three months follow-up, the scar was supple with no evidence of raised skin or hypertrophy.Conclusion: The ease of use, powerful antibacterial effect, lower frequency of dressing change, good molding, short time of wound clearing and epithelialisation, and painless dressing change are the advantages of nano-crystalline silver dressing which provide reasons to consider it as highly efficient for application in superficial burns of second degree.
机译：已知银作为抗微生物剂可用于治疗烧伤。硝酸银可引起皮肤变色，而磺胺嘧啶银可引起组织刺激和假焦形成。纳米晶银敷料在烧伤创面的处理中是一项重大突破。目的：评估纳米晶银敷料在二度浅表烧伤治疗中的功效。材料与方法：30例患者结果：治疗后，根据常规照相证据对伤口进行了不同病因的二度烧伤，并严密监测了伤口愈合。结果：入院时使用数字和面部疼痛等级量表的平均疼痛评分为7.36。 18名患者在一周内没有疼痛。其余12名患者的平均得分为1.5。当总分除以30（18 + 12）时，平均疼痛为0.6。所需换药的平均次数为4.73。四名患者的烧伤伤口在一个星期内完全上皮，不需要更多的敷料，而18例患者需要长达两周，而八名患者则需要两周以上来进行上皮化。但是，在所有患者的四个星期和三个月的随访中均观察到完全愈合，疤痕柔软，没有皮肤升高或肥大的迹象。结论：易用性，强大的抗菌作用，较低的使用频率敷料更换，良好的成型，伤口清除和上皮化时间短以及无痛的敷料更换是纳米晶银敷料的优点，这为将其视为第二级浅表烧伤的高效敷料提供了理由。

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