应用湿性愈合敷料处理肛瘘术后创面的临床观察
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摘要
目的
本文采用多指标将应用美盐、藻酸盐、水胶体等湿性愈合敷料与传统换药对照进行临床观察,比较两种方法处理肛瘘术后伤口的优缺点,为临床寻求一种更有效的肛瘘术后创面处理方法。
方法
收集我科自2008年9月至2011年3月手术治疗、临床、病理等资料齐全的肛瘘患者60例,按便利取样方法分组。其中对照组使用传统方法凡士林油纱填塞换药治疗的病人30例；试验组在伤口黄期使用美盐,红期应用藻酸盐,渗液减少,上皮爬行期使用水胶体等湿性愈合敷料处理术后伤口的病人30例。记录两组病人治疗过程中疼痛程度、伤口渗液量、伤口愈合速度、住院时间,应用统计学分析方法SPSS13.0进行分析,P<0.05为差异有统计学意义。
结果
60例患者伤口均完全愈合。试验组与对照组在术后疼痛、渗液方面情况：术后第2天两组疼痛、渗液情况差异为P=0.737,P=0.282差异无统计学意义。术后第5、10天疼痛情况差异分别为P=0.000,P=0.033,术后第5、10、15天渗液情况差异分别为P=0.002,P=0.003,P=0.001,差异均具统计学意义。两组平均秩的结果示除了第2天,试验组在术后疼痛、渗液控制方面均优于对照组：在伤口黄期转红期、伤口愈合时间、住院天数等方面,差异分别为P=0.000,P=0.001,P=0.044,具统计学意义,结果显示试验组的伤口黄期转红期、伤口愈合时间、住院天数均短于对照组。
结论
与传统应用凡士林处理肛瘘术后伤口比较,应用湿性愈合敷料处理肛瘘术后伤口在术后第5天开始在减轻伤口疼痛、减少渗液上存在优势,亦能有效加快伤口黄期转红期,促进伤口愈合,并缩短住院天数。
[Objective] In order to find out an efficient treatment for anal fistula wound, moist healing dressings supplemented with Mesalt, alginate and hydrocolloid was compared with the traditional dressing in this study.
[Methods] 60 patients with completed clinical and pathological data in our hospital were used as observed cases from September 2008 to March 2011, who were suffering from anal fistula and underwent neoplasty. According to convenience sampling method, 30 patients of them as the control group, were treated with vaseline gauze dressing, the other 30 patients as the experimental group, were treated with mesalt dressing in the exudation stage of wound, treated with alginate dressing in granulation stage to reduce exudation, treated with hydrocolloid dressing in the stage of epithelial crawling. The pain extent, amount of wound exudation, wound healing and length of patient stay were recorded and analyzed by statistical methods SPSS 13.0, P<0.05 was considered statistically significant.
[Results] 60 patients were all healed. There were significantly difference in pain extent, amount of wound exudation, wound healing and length of patient stay between the experimental group and control group. Moist healing dressings supplemented with Mesalt, alginate and hydrocolloid could relieve the pain, reduce the wound exudation, promote the wound healing and shorten the length of patient stay.
[Conclusions] Compared to the traditional application of vaseline in anal fistula wound, application of moist healing wound dressings in the treatment shows advantage in pain extent, amount of wound exudation, Wound healing and length of patient stay, which should be applied general in clinical therapy.
本文采用多指标将应用美盐、藻酸盐、水胶体等湿性愈合敷料与传统换药对照进行临床观察,比较两种方法处理肛瘘术后伤口的优缺点,为临床寻求一种更有效的肛瘘术后创面处理方法。
方法
收集我科自2008年9月至2011年3月手术治疗、临床、病理等资料齐全的肛瘘患者60例,按便利取样方法分组。其中对照组使用传统方法凡士林油纱填塞换药治疗的病人30例；试验组在伤口黄期使用美盐,红期应用藻酸盐,渗液减少,上皮爬行期使用水胶体等湿性愈合敷料处理术后伤口的病人30例。记录两组病人治疗过程中疼痛程度、伤口渗液量、伤口愈合速度、住院时间,应用统计学分析方法SPSS13.0进行分析,P<0.05为差异有统计学意义。
结果
60例患者伤口均完全愈合。试验组与对照组在术后疼痛、渗液方面情况：术后第2天两组疼痛、渗液情况差异为P=0.737,P=0.282差异无统计学意义。术后第5、10天疼痛情况差异分别为P=0.000,P=0.033,术后第5、10、15天渗液情况差异分别为P=0.002,P=0.003,P=0.001,差异均具统计学意义。两组平均秩的结果示除了第2天,试验组在术后疼痛、渗液控制方面均优于对照组：在伤口黄期转红期、伤口愈合时间、住院天数等方面,差异分别为P=0.000,P=0.001,P=0.044,具统计学意义,结果显示试验组的伤口黄期转红期、伤口愈合时间、住院天数均短于对照组。
结论
与传统应用凡士林处理肛瘘术后伤口比较,应用湿性愈合敷料处理肛瘘术后伤口在术后第5天开始在减轻伤口疼痛、减少渗液上存在优势,亦能有效加快伤口黄期转红期,促进伤口愈合,并缩短住院天数。
[Objective] In order to find out an efficient treatment for anal fistula wound, moist healing dressings supplemented with Mesalt, alginate and hydrocolloid was compared with the traditional dressing in this study.
[Methods] 60 patients with completed clinical and pathological data in our hospital were used as observed cases from September 2008 to March 2011, who were suffering from anal fistula and underwent neoplasty. According to convenience sampling method, 30 patients of them as the control group, were treated with vaseline gauze dressing, the other 30 patients as the experimental group, were treated with mesalt dressing in the exudation stage of wound, treated with alginate dressing in granulation stage to reduce exudation, treated with hydrocolloid dressing in the stage of epithelial crawling. The pain extent, amount of wound exudation, wound healing and length of patient stay were recorded and analyzed by statistical methods SPSS 13.0, P<0.05 was considered statistically significant.
[Results] 60 patients were all healed. There were significantly difference in pain extent, amount of wound exudation, wound healing and length of patient stay between the experimental group and control group. Moist healing dressings supplemented with Mesalt, alginate and hydrocolloid could relieve the pain, reduce the wound exudation, promote the wound healing and shorten the length of patient stay.
[Conclusions] Compared to the traditional application of vaseline in anal fistula wound, application of moist healing wound dressings in the treatment shows advantage in pain extent, amount of wound exudation, Wound healing and length of patient stay, which should be applied general in clinical therapy.
引文
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