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題 名 | Egg Membrane as a New Biological Dressing in Split-Thickness Skin Graft Donor Sites: A Preliminary Clinical Evaluation=以蛋膜(Egg Membrane)使用在薄層皮膚移質(Split-Thickness Skin Graft)取皮區為生物性敷料--初步臨床評估 |
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作 者 | 楊瑞永; 莊秀樹; 楊文圭; 蔡培癸; | 書刊名 | 長庚醫學 |
卷 期 | 26:3 2003.03[民92.03] |
頁 次 | 頁153-159 |
分類號 | 416.412 |
關鍵詞 | 蛋膜; 生物性敷料; 取皮區照護; Egg membrane; Biological dressing; Donor site dressing; |
語 文 | 英文(English) |
中文摘要 | 背景:當病人需要薄層皮膚移植時,常必須面臨取皮區傷口劇烈疼痛且癒合過慢之痛苦。而理想之敷料除了能預防感染並且可以解決上述兩個問題。本篇研究的目的即在研究蛋膜在取皮區作為一生物或敷料之角色。 方法:從1997年8月至1999年7月共有18個病人,28個薄層取皮區包含在此次研究。兩側大腿為主要之取皮區,為了比較其他不同的敷料,在同一個取皮區我們使用不同敷料,如B.G.C.,Biobrane, Surgilon和蛋膜,來比較其表皮生成速度,痛覺的緩解,分泌物貯積,血腫生成的不同,以及是否有排斥或感染之現象。 結果:蛋膜傷口癒合時間為11.64±1.29天分布從10至13天。而B.G.C.(6個病人)和Biobrane (6個病人),分別為14.5±0.84和14±0.63天。Surgilon(16個病人)癒合最慢,需16±1.41days。病人完全不感覺取皮區會痛,平均在蛋膜需7.3±0.70天。然而B.G.C.,Biobrane,以及Surgilon,分別需要7±0.89,6±0.63和10±0.37天。在整個治療過程並沒有發現感染或是排斥的現象。 結論:不管是痛覺的緩解,傷口癒合的情形。蛋膜可以是一種理想的生物性敷料。然而單位面積過小以及未來使用在盪傷傷口,仍需進一步的研究。 |
英文摘要 | Background: This preliminary investigation attempted to determine the effectiveness of egg membranes as a new biological dressing to promote infection-free healing and provide pain relief over split-thickness skin graft (STSG)donor sites. Methods: Eighteen patients, with 28 STSG donor sites who were admitted to the LinKou Burn Center from Augest 1997 to July 1999, were selected for this trial. The bilateral thighs were the main donor sites for STSG. To compare different dressings, Surgilon, B.G.C.(β-glucan collagen), and Biobrane were applied to the same donor sites, and epithelialization, pain relief, fluid accumulation, hematoma formation, and the occurrence of rejection or infection were monitored post-application. Results: The average wound healing time with egg membrane application was 11.64±1.29(range, 10 to 13) days. Meanwhile, the average wound healing times for B.G.C. (6 patients) and biobrane (6 patients)were 14.5±0.84 and 14.0±063 days, respectively. Finally, Surgilon (16 patients) had the longest healing time, at 16±1.41days. on average, complete pain relief was achieved by 7.3±0.70 days for egg membrane application, while for B.G.C. Biorane, and Surgilon complete pain relief occurred by 7.0±0.89, 6.0±0.63, and 10.0±0.37 days, respectively. Finally, no infection or rejection developed during healing. Conclusions: From this preliminary study, egg membrane may be an ideal STSG donor site dressing, as it possesses properties of pain relief, wound protection, promotion of healing, and low cost. However, the limited unit size must be overcome, and its clinical application for burn wounds should be studied. |
本系統中英文摘要資訊取自各篇刊載內容。