湿润烧伤膏与磺胺嘧啶银乳膏在Ⅱ度烧伤患者创面修复中的应用
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夏邑县中心医院,烧伤科,


Comparison of the therapeutic effects of moist burn ointment and sulfamethoxazole silver cream in wound repair of burn patients
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    摘要:

    目的 对比分析湿润烧伤膏与磺胺嘧啶银乳膏应用于烧伤患者创面修复中的疗效。方法 选择2023年5月至2025年2月我院收治的烧伤患者52例,随机分为2组,各26例。对照组给予磺胺嘧啶银乳膏治疗,试验组给予湿润烧伤膏治疗。比较2组疗效、创面愈合时间、色素沉着消退时间、创面愈合率、治疗前后VSS评分、VAS评分、血清炎症因子水平及不良反应情况。结果 试验组疗效更高(P<0.05);试验组创面愈合时间、色素沉着消退时间均更短,创面愈合率更高(P<0.05);试验组治疗后VSS评分、VAS评分更低(P<0.05);试验组治疗后血清IL-8、CRP与TNF-α水平更低(P<0.05);试验组总不良反应发生率与对照组相比,无明显差异(P>0.05)。结论 湿润烧伤膏在烧伤患者创面修复中的疗效优于磺胺嘧啶银乳膏,可缩短创面愈合时间及色素沉着消退时间,提升创面愈合率,减轻患者创面疤痕增生与疼痛程度,降低炎性因子水平。

    Abstract:

    Objective: To compare and analyze the therapeutic effects of moist burn ointment and sulfamethoxazole silver cream in wound repair of burn patients. Method: 52 burn patients admitted to our hospital from May 2023 to February 2025 were randomly divided into two groups, with 26 patients in each group. The control group was treated with sulfamethoxazole silver cream, while the experimental group was treated with moist burn ointment. Compare the efficacy, wound healing time, pigmentation regression time, wound healing rate, VSS score before and after treatment, VAS score, serum inflammatory factor levels, and adverse reactions between two groups. Result: The experimental group had a higher therapeutic effect (P<0.05); The experimental group had shorter wound healing time and pigment deposition disappearance time, and a higher wound healing rate (P<0.05); The experimental group had lower VSS and VAS scores after treatment (P<0.05); The levels of serum IL-8, CRP, and TNF - α were lower in the experimental group after treatment (P<0.05); There was no significant difference in the overall incidence of adverse reactions between the experimental group and the control group (P>0.05).Conclusion: The efficacy of moist burn ointment in wound repair of burn patients is superior to that of sulfamethoxazole silver cream. It can shorten the wound healing time and pigment deposition disappearance time, improve the wound healing rate, alleviate scar hyperplasia and pain in patients, and reduce the level of inflammatory factors.

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  • 收稿日期:2025-04-23
  • 最后修改日期:2025-05-23
  • 录用日期:2025-05-23