摘要：Burns expose the deeper tissues of the skin or body to invasive microbes. Topical preparations for treating burn wounds, to be useful, should ideally have antibiotic power and promote healing. Silver compounds have been the mainstay of topical burn treatment for decades. However, most chemical substances retard wound healing. Several natural agents such as honey and moist exposed burn ointment (MEBO) are believed to protect wounds from infection and promote healing without causing any of the adverse effects of purified chemicals. In this study, we compared the wound healing properties of MEBO, a herbal preparation of Chinese origin, with silver sulphadiazine (SSD), a long-standing conventional burn dressing. Ten adult Sprague Dawley rats were divided into two groups. They were housed in separate cages and received partial-thickness burn wounds on their dorsal skin. They were then treated with MEBO and SSD. The wounds were inspected daily until day 8, when all the animals were sacrificed, perfused with normal saline, and had their wounds excised and prepared for histology. It was found that animals in both groups were well preserved. No clinical infections occurred. Wound healing was at an advanced stage by day 8 in all the animals. Clinical and histological examination showed that the two agents gave the animals comparable protection and healing possibilities. It is concluded that MEBO is a suitable and efficacious alternative to conventional silver-based topical therapies for treating partial-thickness burn wounds.

摘要：Backgrounds: Burn, a damage and tissue loss caused by heat with a high morbidity and mortality, have a many variation and complex problem that require special management. After a period of shock, there were infections that threaten the burn patients. These hazards aggravate the wound to become wider, and it affects the mortality and the length of stay. That is why to reduce mortality rate and length of stay, we need a proper wound care.Methods:A retrospective descriptive studies was perform on 2b degree burn patients (20-25%) that treated with tangential excision and mebo or tangential excision and stsg. Data was taken from burns unit Cipto Mangunkusumo hospital in period of January to December 2011.Results: There were 30 patients (73.2%) that have been treat with tangential excision and mebo, and 11 patients (26.8%) that have been treat with tangential excision and stsg. The average length of stay for the tangential excision and mebo is 22.47 ? 23 days(SD 4.361), whereas patients with tangential excision and stsg is 15.82 ?16 days (SD 2.089). There were 8 patients (26.7%) with tangential excision and mebo that die, whereas patients with tangential excision and stsg were 2 patients (18.2%) that die. There were significant difference in the average length of stay (p = 0.018), but there was no difference in the proportion of patients dying status (P = 0.611).Conclusion:Wound care by tangential excision and stsg on 2b degree burn patient (20-25%), have a better outcome than patients treated by tangential excision and mebo.

摘要：目的:探讨大面积深度烧伤后期残余创面应用湿润烧伤膏(MEBO)治疗的临床效果。方法:对我院2003年3月～2007年3月收治的95例大面积深度烧伤患者残余创面应用MEBO治疗,创面外涂MEBO,厚1mm～2mm,每4小时换药1次,同时加强营养支持等措施治疗。结果:95例患者中,92例残余创面均在3周内愈合,另3例应用MEBO治疗后,创面缩小,每例残余创面面积均在5%TBSA以上,经邮票植皮后治愈,随访6个月～12个月,愈合创面无明显瘢痕增生、挛缩,功能恢复较好。结论:大面积深度烧伤残余创面应用MEBO治疗,方法简单,治疗效果良好,MEBO可促进残余创面愈合。

摘要：氢氟酸为无色、透明的液体,虽非强酸,但由于渗透、腐蚀力强,易造成皮肤坏死形成溃疡,如不及时处理,重者可因合并氟中毒死亡。本文报道了我院自1988年以来合理应用MEBO,采取湿润暴露疗法治疗的74例氢氟酸烧伤情况,其中最大面积为33％,经采用局部和全身治疗,均治愈。经治疗表明:该疗法和药物具有止痛效果明显,创面愈合快,及中和毒物的作用。