{"id":15354,"date":"2015-07-15T13:53:51","date_gmt":"2015-07-15T05:53:51","guid":{"rendered":"http:\/\/buzzorange.com\/citiorange\/2015\/07\/15\/cfct-let-profesional-doctor-do-their-jobs\/"},"modified":"2015-07-15T13:53:51","modified_gmt":"2015-07-15T05:53:51","slug":"cfct-let-profesional-doctor-do-their-jobs","status":"publish","type":"post","link":"https:\/\/buzzorange.com\/citiorange\/2015\/07\/15\/cfct-let-profesional-doctor-do-their-jobs\/","title":{"rendered":"\u6d88\u57fa\u6703\u8ac7\u71d2\u50b7\u91ab\u7642\uff0c\u91ab\u5e2b\u6c88\u75db\u767c\u6587\uff1a\u8b93\u5c08\u696d\u7684\u4f86\u597d\u55ce\uff01"},"content":{"rendered":"

\"2015-07-15<\/a><\/p>\n

\u6587 \/ \u5f35\u8000\u5143<\/p>\n

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\u6211\u4e00\u76f4\u4e0d\u60f3\u5beb\u9019\u7bc7\u6587\u7ae0\u7684\uff0c\u96d6\u7136\u5f9e\u4e8b\u4ef6\u4e00\u958b\u59cb\uff0c\u9019\u6a23\u7684\u4e8b\u60c5\u5c31\u5df2\u7d93\u5f88\u591a\u4e86\u3002<\/p>\n

\u7db2\u8def\u4e0a\u5e38\u80fd\u770b\u5230\u4e00\u4e9b\u6240\u8b02\u7684\u300c\u507d\u91ab\u7642\u6587\u300d\uff0c\u4ec0\u9ebc\u53eb\u507d\u91ab\u7642\u6587\u5462\uff1f\u5c31\u662f\u4f3c\u662f\u800c\u975e\uff0c\u5167\u5bb9\u5beb\u8457\u4f60\u600e\u9ebc\u505a\uff0c\u5c31\u6703\u66f4\u5065\u5eb7\u4e91\u4e91\u3002\u9019\u7a2e\u6587\u7ae0\u56e0\u70ba\u770b\u8d77\u4f86\u662f\u51fa\u81ea\u597d\u5fc3\uff0c\u56e0\u6b64\u5f88\u5bb9\u6613\u88ab\u8f49\u8f09\u3001\u8f49\u767c\u3002\u9019\u4e9b\u507d\u91ab\u7642\u6587\u4e2d\u9023\u57fa\u672c\u7684\u5be6\u9a57\u3001\u7d71\u8a08\u6216\u662f\u4efb\u4f55\u6578\u64da\u90fd\u6c92\u6709\uff0c\u6240\u4ee5\u9019\u6642\u5c31\u9700\u8981\u300c\u507d\u91ab\u5b78\u5c08\u5bb6\u300d\u6216\u662f\u300c\u507d\u91ab\u7642\u5718\u9ad4\u300d\u7684\u51fa\u73fe\uff0c\u4f86\u505a\u70ba\u4f50\u8b49\u3002<\/span>\u800c\u9019\u4e9b\u6240\u8b02\u7684\u5c08\u5bb6\u6216\u5718\u9ad4\u53ef\u80fd\u6839\u672c\u672a\u53d7\u904e\u57fa\u672c\u7684\u91ab\u5b78\u6559\u80b2\uff0c\u6216\u662f\u70ba\u4e86\u67d0\u4e9b\u610f\u5716\u800c\u8ac7\u8ad6\u504f\u96e2\u4e3b\u6d41\u610f\u898b\u7684\u91ab\u7642\u4eba\u54e1\u3002<\/p>\n

\n

\u5927\u591a\u6578\u9019\u985e\u7684\u6587\u7ae0\u8b1b\u7684\u662f\u98f2\u98df\u3001\u904b\u52d5\u3001\u9ad4\u64cd\u6216\u662f\u4f5c\u606f\uff0c\u5c0d\u4eba\u4e26\u4e0d\u6703\u6709\u592a\u5927\u7684\u5371\u5bb3\u3002\u4f46\u4eca\u5929\u6211\u770b\u5230\u4e00\u500b\u5728\u53f0\u7063\u8ca0\u6709\u9ad8\u77e5\u540d\u5ea6\u7684\u5718\u9ad4\u300c\u6d88\u57fa\u6703\u300d\uff0c\u5c45\u7136\u767c\u4e86\u300c\u507d\u91ab\u7642\u6587\u300d\uff0c\u5916\u884c\u6307\u5c0e\u5167\u884c\uff0c\u800c\u4e14\u9084\u662f\u5c0d\u91cd\u50b7\u60a3\u8005\uff0c<\/span>\u6211\u751f\u6c23\u5230\u99ac\u4e0a\u6253\u96fb\u8a71\u7d66\u5176\u4ed6\u91ab\u5e2b\u8aaa\uff1a\u300c\u9019\u6703\u5bb3\u4e86\u591a\u5c11\u4eba\uff1f\u300d<\/p>\n

\u53f0\u7063\u7684\u6559\u80b2\u666e\u53ca\u7387\u975e\u5e38\u7684\u9ad8\uff0c\u800c\u53d7\u6559\u80b2\u7684\u76ee\u7684\u81f3\u5c11\u662f\u8981\u80fd\u660e\u8fa8\u662f\u975e\u3002\u8b93\u6211\u5011\u5148\u770b\u6d88\u57fa\u6703\u5916\u884c\u4e0d\u61c2\u88dd\u61c2\u7684\u77e5\u8b58\u6027\u554f\u984c\u3002<\/p>\n

\u50b7\u5230\u6df1\u771f\u76ae\u5c64\u7684\u4e8c\u5ea6\u71d9\u50b7\uff0c\u57fa\u672c\u4e0a\u5c31\u662f\u9700\u8981\u6e05\u5275\uff0c\u5982\u679c\u53ea\u662f\u8981\u9760\u63db\u85e5\u8b93\u6df1\u4e8c\u5ea6\u71d9\u50b7\u597d\uff0c\u81f3\u5c11\u8981\u597d\u5e7e\u500b\u661f\u671f\uff0c\u800c\u5728\u9019\u5e7e\u500b\u661f\u671f\u4e2d\u6703\u5f62\u6210\u5f88\u56b4\u91cd\u7684\u75a4\u75d5\u53cd\u61c9\uff0c\u56e0\u6b64\u61c9\u7576\u8981\u65e9\u671f\u6e05\u5275\uff0c\u65e9\u671f\u690d\u76ae\u3002<\/p>\n

\u50b7\u5230\u5168\u5c64\u771f\u76ae\u5c64\u7684\u4e09\u5ea6\u71d9\u50b7\u5c31\u66f4\u4e0d\u7528\u8aaa\uff0c\u6c92\u6709\u771f\u76ae\u5c64\u662f\u4e0d\u6703\u9577\u76ae\u819a\u7684\uff0c\u56e0\u6b64\u65e9\u671f\u6e05\u5275\u8207\u690d\u76ae\u4e5f\u662f\u9700\u8981\u7684\u3002\u81f3\u65bc\u4eba\u5de5\u771f\u76ae\uff0c\u53ea\u662f\u63d0\u4f9b\u4e00\u500b matrix \u6216 scaffold \u7684\u4f5c\u7528\uff0c\u4e26\u6c92\u6709\u9577\u51fa\u76ae\u819a\u7684\u529f\u80fd\uff0c\u56e0\u6b64\u4eba\u5de5\u771f\u76ae\u53ea\u6709\u9810\u9632\u6523\u7e2e\u7684\u529f\u80fd\uff0c\u4e26\u4e0d\u80fd\u53d6\u4ee3\u690d\u76ae\u3002
\n\u53e6\u5916\uff0c\u58de\u6b7b\u7684\u76ae\u5bb9\u6613\u9020\u6210\u611f\u67d3\u554f\u984c\uff0c\u8acb\u554f\u5982\u679c\u662f\u4f60\uff0c\u4f60\u9858\u610f\u5728\u81ea\u5df1\u8eab\u4e0a\u7559\u4e0b\u4e00\u5927\u7247\u6709\u53ef\u80fd\u611f\u67d3\u7684\u6eab\u5e8a\u55ce\uff1f<\/p>\n

\u8b93\u6211\u5011\u7e7c\u7e8c\u770b\u4e0b\u53bb\uff0c\u6d88\u57fa\u6703\u9084\u63d0\u51fa\u4e09\u7bc7\u8ad6\u6587\u3002\u6211\u662f\u5f88\u4e0d\u61c2\uff0c\u6d88\u57fa\u6703\u5c45\u7136\u8981\u6307\u5c0e\u91ab\u5e2b\u770b\u8ad6\u6587\uff1f\u5982\u679c\u771f\u8981\u8b1b\u8ad6\u6587\u90a3\u6211\u5011\u5c31\u4f86\u8b1b\u5427\u3002\u6211\u53bb\u67e5\u4e86\u9019\u4e09\u7bc7\u8ad6\u6587\u3002<\/p>\n

1. J pediatr Surg. 2010 Mar;45(3):600-5
\nHydrocolloid dressing in pediatric burns may decrease operative intervention rates.
\n\u9019\u4e00\u7bc7\u8b1b\u7684\u662f\u5c0f\u65bc 15 \u6b72\uff0c\u90e8\u4efd\u76ae\u819a\u58de\u6b7b\uff08\u4e5f\u5c31\u662f\u6dfa\u4e8c\u5ea6\u5230\u6df1\u4e8c\u5ea6\uff09\uff0c\u672a\u5230\u9054\u4e09\u5ea6\u71d9\u50b7\u7684\u75c5\u4eba\u3002\u75c5\u4eba\u5e73\u5747\u71d9\u50b7\u9762\u7a4d\u662f 4.25 %\u3002\u7d50\u8ad6\u662f\u4eba\u5de5\u6577\u6599\u53ef\u4ee5\u5e6b\u52a9\u50b7\u53e3\u3002
\n\u8acb\u554f\u9019\u8ddf\u6211\u5011\u9019\u6b21\u5875\u7206\u7684\u75c5\u4eba\u689d\u4ef6\u4e00\u6a23\u55ce\uff1f<\/span><\/p>\n

2. J Trauma. 1990 Jul;30(7):857-65
\nComparison of a hydrocolloid dressing and silver sulfadiazine cream in the outpatient management of second-degree burns.
\n\u59d1\u4e14\u4e0d\u8ad6\u9019\u662f 1990 \u5e74\u7684\u8ad6\u6587\uff0c\u9019\u4e00\u7bc7\u8a0e\u8ad6\u7684\u662f\u71d2\u71d9\u50b7\u9762\u7a4d\u5c0f\u65bc 15% \u7684\uff08\u5e73\u5747 1.32%\uff09\uff0c\u4fb7\u9650\u65bc\u4e8c\u5ea6\u71d9\u50b7\uff08\u610f\u5373\u4e0d\u5305\u542b\u4e09\u5ea6\u71d9\u50b7\uff09\uff0c\u4e14\u4e0d\u9700\u8981\u4f4f\u9662\u7684\u75c5\u4eba\uff0c\u8ad6\u6587\u5167\u6bd4\u8f03\u7684\u662f\u4f7f\u7528\u71d9\u50b7\u85e5\u818f\u8207\u4eba\u5de5\u6577\u6599\u7684\u8212\u9069\u5ea6\u3002
\n\u8001\u8a71\u4e00\u53e5\uff0c\u8acb\u554f\u9019\u8ddf\u9019\u6b21\u5875\u7206\u7684\u75c5\u4eba\u689d\u4ef6\u4e00\u6a23\u55ce\uff1f\u8acb\u554f\u5167\u5bb9\u6709\u8a0e\u8ad6\u5230\u4eba\u5de5\u6577\u6599\u8ddf\u624b\u8853\u7684\u6bd4\u8f03\u55ce\uff1f<\/span><\/p>\n

3. Scand J Plast Reconstr Surg Hand Surg. 1987;21(3):283-5
\nHydrocolloid Dressing (Duoderm\u00ae) For the Treatment of Superficial and Deep Partial Thickness Burns
\n\u9019\u4e00\u7bc7\u4f86\u8aaa\uff0c\u5148\u8aaa\uff0c\u96d6\u7136\u6211\u4e0d\u662f\u4ec0\u9ebc\u77e5\u540d\u5b78\u8005\uff0c\u4f46\u9019\u4e00\u672c\u671f\u520a\u8aaa\u771f\u7684\uff0c\u5168\u53f0\u91ab\u5b78\u9662\u5e7e\u4e4e\u90fd\u6c92\u6709\u6536\u85cf\u597d\u55ce\uff1f\u5f88\u51b7\u9580\u7684\u4e00\u672c\u96dc\u8a8c\u3002\u800c\u4e14\u662f 1987 \u5e74\uff0c\u6d88\u57fa\u6703\u63d0\u4f9b\u7684 1989 \u5e74\u662f\u932f\u7684\uff0c\u96e3\u602a\u6211\u627e\u5f88\u4e45\u3002
\n\u597d\u5427\uff0c\u53c8\u662f\u8981\u59d1\u4e14\u4e0d\u8ad6\u9019\u662f 1987 \u5e74\u7684\u8ad6\u6587\uff0c\u9019\u4e00\u7bc7\u4e00\u6a23\u8b1b\u7684\u662f\u71d2\u50b7\u9762\u7a4d\u5c0f\u65bc 7%\uff0c\u4e14\u6c92\u6709\u4e09\u5ea6\u71d9\u50b7\u7684\u75c5\u4eba\u3002<\/span><\/p>\n

\u5144\u5f1f\uff0c\u4f60\u62ff\u4e86 3 \u7bc7\u8207\u672c\u6b21\u72c0\u6cc1\u5b8c\u5168\u4e0d\u4e00\u6a23\u7684\u8ad6\u6587\uff08\u9084\u5f88\u4e45\u4ee5\u524d\u7684\uff09\uff0c\u7528\u660e\u671d\u7684\u528d\u65ac\u6e05\u671d\u7684\u5b98\uff1f<\/span>
\n\u96a8\u4fbf\u62ff\u5e7e\u7bc7\u8ad6\u6587\u51fa\u4f86\uff0c\u5c31\u8981\u5c08\u696d\u91ab\u5e2b\u807d\u4f60\u5011\u7684\u8a71\uff0c\u53ea\u9700\u8981\u63db\u85e5\uff0c\u4e0d\u9700\u8981\u6e05\u5275\uff1f\u597d\u6b79\u4e5f\u62ff\u500b Burn \u6216 PRS \u9019\u5e7e\u5e74\u7684\u6587\u7ae0\u51fa\u4f86\u770b\u770b\u3002\u8acb\u554f\u6d88\u57fa\u6703\uff0c\u6d88\u57fa\u6703\u9019\u6a23\u7b97\u4e0d\u7b97\u5ee3\u544a\u4e0d\u5be6\uff1f\uff08\u597d\u8907\u96dc\u7684\u6587\u7fa9\u554a\uff01\uff09\u96d6\u7136\u91ab\u7642\u4e0d\u662f\u6d88\u8cbb\u884c\u70ba\uff0c\u4f46\u7d66\u8207\u6d88\u8cbb\u8005\u932f\u8aa4\u8cc7\u8a0a\u7684\u6d88\u57fa\u6703\uff0c\u8acb\u554f\u8a72\u8ca0\u8d77\u4ec0\u9ebc\u8cac\u4efb\uff1f<\/p>\n

\u53f0\u7063\u5e38\u51fa\u73fe\u975e\u5c08\u696d\u4eba\u54e1\u6307\u5c0e\u5c08\u696d\u4eba\u54e1\u7684\u60c5\u6cc1\uff0c\u9019\u5df2\u7d93\u5920\u4ee4\u793e\u6703\u5fc3\u75db\u7684\u4e86\uff0c\u975e\u5c08\u696d\u91ab\u7642\u4eba\u54e1\u4f01\u5716\u6307\u5c0e\u91ab\u7642\u884c\u70ba\u6642\uff0c\u66f4\u662f\u6703\u5371\u5bb3\u5230\u8a31\u591a\u4eba\u3002\u9664\u4e86\u8aa4\u4fe1\u7684\u75c5\u4eba\u8207\u5bb6\u5c6c\u53ef\u80fd\u6703\u6709\u66f4\u56b4\u91cd\u7684\u4f75\u767c\u75c7\uff0c\u91ab\u7642\u4eba\u54e1\u5728\u9762\u5c0d\u8aa4\u4fe1\u932f\u8aa4\u8cc7\u8a0a\u7684\u75c5\u4eba\u6642\uff0c\u66f4\u9700\u8981\u82b1\u6578\u500d\u529f\u592b\u7cfe\u6b63\uff0c\u751a\u81f3\u6703\u56e0\u6b64\u7522\u751f\u91ab\u7642\u7cfe\u7d1b\u3002\u800c\u6240\u591a\u82b1\u8cbb\u7684\u4eba\u529b\u8207\u6642\u9593\uff0c\u662f\u5426\u66f4\u662f\u6392\u64e0\u5230\u5176\u4ed6\u9700\u8981\u6cbb\u7642\u7684\u75c5\u60a3\u6642\u9593\u5462\uff1f<\/span>
\n\u5c08\u696d\u7684\u9084\u662f\u8b93\u5c08\u696d\u7684\u4f86\u5427\uff01<\/p>\n

\u6d88\u57fa\u6703\u8acb\u8b1b\u51fa\u9019\u4e9b\u5c08\u5bb6\u662f\u8ab0\u5427\uff01\u8acb\u554f\u4ed6\u5011\u662f\u6574\u5f62\u5916\u79d1\u7684\u91ab\u5e2b\u55ce\uff1f\u7167\u9867\u904e\u71d2\u71d9\u50b7\u7684\u75c5\u4eba\u55ce\uff1f\u6709\u904e\u771f\u6b63\u7684\u81e8\u5e8a\u7d93\u9a57\u55ce\uff1f\u6216\u8005\u53ea\u662f\u4f60\u626d\u66f2\u4e86\u4ed6\u5011\u7684\u610f\u898b\uff1f<\/p>\n

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