磨痂术在烧伤创面中的临床应用专家共识(2020版)

标题: 磨痂术在烧伤创面中的临床应用专家共识(2020版)
title: Consensus of the clinical application of eschar dermabrasion in burn wounds
版本: 原创版
version: Original
分类: 专家共识
classification: Experts consensus
领域: 治疗
field: Treatment
国家和地区: 中国
Country and region: China
指南使用者: 烧伤外科或处理烧伤患者的外科医师
Guide users: Burn clinicians
证据分级方法:
Evidence grading method: Delphi grading standards Recommendation Intensity Criteria for each Recommendation Intensity Criteria for each research grade A level of at least two Ⅰ findings support Ⅰ large sample, randomized study, conclusion, there is A lower risk of false positives or false negatives B only one grade Ⅰ findings support Ⅱ small sample, randomized study, conclusion is uncertain, have a higher risk of a false positives or false negatives C grade only Ⅱ findings support Ⅲ nonrandomized, at the same time control study D at least one grade Ⅲ findings support Ⅳ nonrandomized, historical research and expert advice E levels only Ⅳ or Ⅴ findings support Ⅴ reported case series, the contrast research and expert advice Note: A means strong recommendation, B means recommendation, C, D, E means recommendation, but the intensity of recommendation is decreasing
制定单位: 中华医学会烧伤外科分会
Formulating unit: Chinese Burn Association
注册时间: 2021-02-04
Registration time:
注册编号: IPGRP-2021CN030
Registration number:
指南制订的目的: 磨痂术作为烧伤外科三大清创术式之一,适用于处理以深二度为主的新鲜烧伤创面。尽管在临床中已应用多年,却在磨痂时机、器具、步骤、术后敷料选择以及术后换药方式均有较大不同,造成该术式的临床效果参差不齐。我们通过查阅相关文献,筛选分析高级别证据文章,并经烧伤创面处理领域的专家反复研讨,形成具有指导意义的磨痂术在烧伤创面中的临床应用专家共识,以期为烧伤磨痂术的应用提供科学、规范的指导。
Purpose of the guideline: As one of the three fundamental debridement techniques in burn surgery, eschar dermabrasion is optimal to manage fresh deep-partial-thickness burn wounds. Despite decades’ application in clinic, considerable discrepancies exist on the timing, instruments, procedures, dressings and post-operative treatments, etc., leading to inconsistent clinical outcomes. Thus, we reviewed and screened relative literatures and analyzed the articles with high-level evidence, to draft a rough version of guideline. Then after extensive discussions among experts of burn wound management, a consensus guideline finally formed, which would provide scientific and standard guidance for application of eschar dermabrasion in burn wounds.