中国冶金工业医学杂志

溃疡膏加白糖与碘伏凡士林纱布在治疗烧伤创面MRSA感染的对比观察

分类号：中图分类号：R 644文献标志码：A文章编号：1005-5495(

出版年,卷(期):页码：2013,30(1):9-10

摘要：

摘要：目的比较溃疡膏加白糖与碘伏凡士林纱布在治疗烧伤创面耐甲氧西林金黄色葡萄球菌（MRSA）感染的临床效果。方法选择我科2006年1月至2011年6月期间收治的烧伤患者，创面分泌物细菌培养为MRSA感染者60例，随机分为实验组（30例）和对照组（30例），实验组采用溃疡膏加白糖换药治疗，对照组采用碘伏凡士林纱布换药治疗。观察用药后1，3，5，7，9 d创面分泌物MRSA培养阳性例数变化情况及治疗9天后创面治疗有效例数情况。结果所有实验组间差异用χ2进行差异显著性检验,实验组在治疗后3，5，7，9 d创面分泌物MRSA培养阳性例数明显低于对照组(P＜0.05)；实验组创面有效例数明显高于对照组(P＜0.05)。结论溃疡膏加白糖治疗烧伤创面MRSA感染，较对照组抗菌作用明显，且能有效的促进创面愈合，减轻患者换药痛苦，临床效果满意，方法简单可行，值得临床推广应用。

Abstract: Objective To contrast clinic result of treating MRSA infecting burn wounding between ulcer mastic with sugar and Iodophors petrolatum gauzeMethods A retrospective research was done from January 2006 to June 2011,60 patients with MRSA infecting burn wounding was included into two groups randomly with experimental group and control group,the experimental group treat the wounds with ulcer mastic and sugar,the control group treat the wounds with Iodophors petrolatum gauzeWe contrasted the MRSA positive examples after 1,3,5,7 day's treat and effective example after 9 days treatResults Test of the significance of difference was done between experimental group and control group with χ2 testThe experimental group obtained less the MRSA positive examples than the control group after 3,5,7 days treat and more effective example after 9 days treat(P＜0.05)Conclusion Ulcer mastric and sugar showed obviously antibacterial action on the MRSA infecting burn woundingSo it could promote healing remnant wounding and obtain satisfactory clinic curative effectThe method was simple and valid，so it was worth spreading

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参考文献：

［1］李罗珠,于益鹏,孙步梅，等35例烧伤患者难愈创面的治疗\[J\]中华烧伤杂志，2003，19（1）：48

［2］杨惠萍，淮宗让白糖治疗陈旧性伤口37例体会\[J\]临床军医杂志，2005，33（3）：325

［3］田晓东，肖晓兰，何友德，等溃疡膏加白糖治疗烧伤创面耐甲氧西林金黄色葡萄球菌感染疗效观察\[J\]中华医院感染学杂志，2010，20（1）：62\|63

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