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首页> 外文期刊>Annals of burns and Fire Disasters >MANAGEMENT OF THE ACUTE PARTIAL-THICKNESS BURNED HAND; MOIST EXPOSED BURN OINTMENT OR SILVER SULPHADIAZINE CREAM BOTH COMBINED WITH A POLYETHYLENE BAG
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MANAGEMENT OF THE ACUTE PARTIAL-THICKNESS BURNED HAND; MOIST EXPOSED BURN OINTMENT OR SILVER SULPHADIAZINE CREAM BOTH COMBINED WITH A POLYETHYLENE BAG

机译：急性局部厚度烧伤的处理;潮湿的烧伤软膏或银磺胺二嗪乳霜与聚乙烯塑料袋混合使用

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摘要

Hand bums predominantly affect young adults, and therefore have serious social and financial implications. In the present work, 106 patients with less than 25% body surface area burns and acute partial-thickness burned hands were managed us-ing polyethylene bags and 1% local silver sulphadiazine (SSD) cream or moist exposed burn ointment (MEBO). Females made up 61.3% of the cases and flame burn was the majority cause (54.7%). There were no significant differences between the two groups regarding either the analgesic effect after local ointment application or hand movement inside the polyethylene bag. Local agent crustation over the wound was very evident in the hands managed by local 1% SSD cream (69.81%). On follow-up, the burned hands healed faster using local MEBO (10.48 versus 14.53 days), with fewer post-burn hand deformities and better active hand movements; however, the total cost until complete hand burn wound healing was higher with MEBO than with 1% SSD, although the final results were superior, with early return to work, when MEBO was used. We concluded that the use of MEBO as a top-ical agent and of polyethylene bags for the dressing of the acute partial-thickness burned hand accelerated healing; daily wound evaluation was easy as there was no crustation over it of the agent. It was more expensive than 1% SSD cream but presented few-er post-burn complications and more rapid healing, with shorter hospital stay.
机译：手烧伤主要影响年轻人，因此具有严重的社会和经济影响。在目前的工作中，使用聚乙烯袋和1％的局部磺胺嘧啶银（SSD）乳膏或湿润的烧伤软膏（MEBO）对106例患者的表面积不足25％烧伤和急性部分厚度烧伤的患者进行了治疗。女性占病例的61.3％，其中以火焰燃烧为主要原因（54.7％）。两组之间在局部使用药膏后的镇痛效果或聚乙烯袋内的手移动方面均无显着差异。在局部使用1％SSD乳膏（69.81％）处理的手中，伤口上的局部药剂非常明显。随访时，烧伤的手使用局部MEBO愈合得更快（10.48天对14.53天），烧伤后手畸形更少，主动活动更好;但是，使用MEBO之前，直到完全手烧伤伤口愈合为止的总成本要高于使用1％SSD的总成本，尽管最终结果要好得多，而且使用MEBO可以早日恢复工作。我们得出的结论是，使用MEBO作为局部用药和使用聚乙烯袋敷料来治疗急性部分厚度烧伤的手加速了愈合。每天的伤口评估很容易，因为没有药剂的争执。它比1％SSD霜贵，但烧伤后并发症少，愈合快，住院时间短。

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