目的探讨床旁分次刮痂对小面积深Ⅱ°烧伤患者的临床疗效。方法选取我科2012年1月至2014年10月收治的双上肢或双下肢相对应部位小面积深Ⅱ°烧伤患者56例为研究对象,按坏死组织清除方式不同将相对应肢体随机分为A组和B组。A组在常规换药的同时加用分次刮除创面坏死组织的方法进行治疗,B组采用常规换药的方法进行治疗。对两组创面的愈合时间及愈合后瘢痕形成情况进行比较。结果 A组创面平均愈合时间为(19.2±1.5)d,显著短于B组的(20.2±2.2)d,差异具有统计学意义(t=2.8104,P<0.05)。愈合后三个月回访,部分经较长时间愈合创面(创面愈合时间超过20天)均有不同程度瘢痕形成。两组创面面积比较差异无统计学意义(P>0.05),且两组均有少部分创面感染。结论床旁分次刮痂治疗小面积深Ⅱ°烧伤可加速烧伤创面愈合。 Objective To investigate the clinical efficacy of bedside graded scab in small area Ⅱ ° burn patients. Methods From January 2012 to October 2014 in our department were treated double-limb or double-lower extremity corresponding parts of small-area deep Ⅱ ° burns in 56 patients as the research object, according to different necrotic tissue clearance will be the corresponding limbs were randomly divided into A Group and Group B. A group in the conventional dressing at the same time plus grading curettage wound necrosis tissue treatment, B group using conventional dressing method for treatment. The healing time of the two groups of wounds and the healing of scarring were compared. Results The average healing time of wounds in group A was (19.2 ± 1.5) days, which was significantly shorter than that in group B (20.2 ± 2.2 days). The difference was statistically significant (t = 2.8104, P <0.05). After three months of healing, the patients were interviewed, and some of the wounds healed after a long period of healing (wound healing time more than 20 days) had different degrees of scarring. There was no significant difference in wound area between the two groups (P> 0.05), and there were a few wound infections in both groups. Conclusion The treatment of small area depth Ⅱ ° burns by graded bed scraping scrape can accelerate the healing of burn wounds.