Application of Polyethylene Cling Film to Underpin Moist Burn Wound Therapy

Qutaiba Abdullah Aldoori, Aasem Mohamed Albyti, Muthanna Mustafa Hussein
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Abstract

Background Dermal burns (partial thickness burns) are the most painful trauma with two types of pain background pain with additional procedural pain, one of the best tolerable mode of treatment that commonly used now adays is treatment with MEBT ointments to maintain the moist and warm wound environment suitable for regeneration of epidermal cells, and to reduces pain. Moist wound dressings retain moisture, heat, body fluids, and biofilm with medication. The assumption is that the polyethylene film will maintain the ointment and its effect more than to be used merely. Patients and methods Prospective study to evaluate treatment of patients with partial thickness burns conservatively with MEBT ointment as a control group and MEBT ointment + Cling Film, 63 patients being admitted to the burn center at Azadi teaching hospital during a period of one year starting from June 2018 till June 2019. The inclusion criteria including all patients between 10-95% partial thickness burns of various age, sex and skin types. Results Very much decrease in procedural and background pain, better joint movement in physiotherapy decrease in crust formation, increase maceration of eschar, better cost- effectiveness, less days of hospital stay. Aim in Iraq circumstances we have to use the most cost effective measures to reach our goals in managing the burn wounds the moist trend which is now being proved it gives better healing with less pain, with best criteria of wound dressing . Conclusion Easily applicable, less painful, non-coasty over all, better condition of patient during course of management, reduced length of hospital stay and lower treatment costs, appropriate wound healing with living tissue , less joint stiffness problems.
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聚乙烯保鲜膜在湿润烧伤创面治疗中的应用
背景皮肤烧伤(部分厚度烧伤)是最痛苦的创伤,有两种类型的疼痛,背景疼痛伴有程序性疼痛,目前常用的最佳耐受治疗方式之一是使用MEBT软膏治疗,以保持湿润和温暖的伤口环境,适合表皮细胞的再生,并减轻疼痛。湿润的伤口敷料保留了水分、热量、体液和药物的生物膜。假设聚乙烯薄膜将保持软膏及其效果,而不仅仅是使用。患者与方法以2018年6月至2019年6月阿扎迪教学医院烧伤中心收治的63例患者为研究对象,以MEBT软膏为对照组和MEBT软膏+保鲜膜保守治疗部分厚度烧伤患者的前瞻性研究。纳入标准包括所有年龄、性别和皮肤类型在10-95%之间的部分厚度烧伤患者。结果手术过程疼痛和背景疼痛明显减轻,关节活动度提高,结痂形成减少,结痂浸渍增多,成本效益较好,住院天数较短。目的:在伊拉克的情况下,我们必须使用最具成本效益的措施来达到我们处理烧伤伤口的目标,现在证明湿润的趋势可以更好地愈合,减轻疼痛,并具有最佳的伤口敷料标准。结论应用方便,疼痛少,总体上不舒服,治疗过程中患者病情较好,缩短了住院时间,降低了治疗费用,适宜的活体组织创面愈合,关节僵硬问题较少。
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